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  1. psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
    December 16, 2020 - Study Leading causes of anesthesia-related liability claims in ambulatory surgery centers. Citation Text: Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46463/psn-pdf
    October 04, 2017 - Effectively leading for quality. October 4, 2017 Lachman P, Nicklin W. Effectively leading for quality. Healthc Manage Forum. 2017;30(5):233-236. doi:10.1177/0840470417706705. https://psnet.ahrq.gov/issue/effectively-leading-quality Hospital boards and executives can help drive safety improvement. This commentary …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41331/psn-pdf
    October 03, 2017 - Leading a highly visible hospital through a serious reportable event. October 3, 2017 Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6. https://psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-repor…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38886/psn-pdf
    August 26, 2009 - Medication overdoses leading to emergency department visits among children. August 26, 2009 Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018. https://psnet.ahrq.gov/issue/medication…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38619/psn-pdf
    May 07, 2018 - Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2. https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea- involuntary-manslaughter …
  6. psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
    May 07, 2018 - Newspaper/Magazine Article Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. Citation Text: Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. ISMP Medication Safety Alert! Ac…
  7. psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children
    March 05, 2008 - Study Medication overdoses leading to emergency department visits among children. Citation Text: Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018. Cop…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34782/psn-pdf
    November 01, 2016 - four case examples to illustrate their points and contrast organizational successes with factors that lead
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41296/psn-pdf
    April 11, 2012 - psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs Poor communication at transitions of care can lead
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44938/psn-pdf
    September 28, 2017 - psnet.ahrq.gov/issue/walking-tightrope-communicating-overdiagnosis-modern-healthcare Medical care overuse can lead
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40130/psn-pdf
    January 12, 2011 - workers were more likely to engage in safety behaviors if they believed their actions would directly lead
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45411/psn-pdf
    August 31, 2016 - The authors advocate for research to examine the environmental characteristics that lead to increased
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42717/psn-pdf
    November 06, 2013 - current-surgical-instrument-labeling-techniques-may-increase-risk- unintentionally-retained This commentary examines how surgical instrument labels may lead
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46046/psn-pdf
    April 19, 2017 - medication-errors-involving-healthcare-students https://psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46701/psn-pdf
    December 20, 2017 - psnet.ahrq.gov/issue/polypharmacy https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43517/psn-pdf
    October 08, 2014 - issue/cost-opioid-related-adverse-drug-events Opioids are particularly dangerous medications that may lead
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45039/psn-pdf
    September 27, 2016 - deaths-following-prehospital-safety-incidents-analysis-national-database Safety problems in prehospital care can lead
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38702/psn-pdf
    June 10, 2009 - The lead author also co- authored a review in the same issue about verbal orders and patient safety.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37417/psn-pdf
    March 28, 2012 - Medication use leading to emergency department visits for adverse drug events in older adults. March 28, 2012 Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. Ann Intern Med. 2007;147(11):755-765. https://psnet.ahrq.gov/issue/med…
  20. psnet.ahrq.gov/issue/fear-covid-19-leads-other-patients-decline-critical-treatment
    June 24, 2020 - Newspaper/Magazine Article Fear of Covid-19 leads other patients to decline critical treatment. Citation Text: Hafner K. Fear of Covid-19 leads other patients to decline critical treatment. New York Times. 2020;May 25. Copy Citation Format: Google Scholar BibTeX EndNote X3 …

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