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401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72637/psn-pdf
     January 13, 2021 - Identifying factors leading to harm in English general practices: a mixed-methods study based on patient experiences integrating structural equation modeling and qualitative content analysis. January 13, 2021 Ricci-Cabello I, Gangannagaripalli J, Mounce LTA, et al. Identifying Factors Leading to Harm in English G…

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46329/psn-pdf
     September 06, 2017 - risk-factors-missed-colorectal-lesions-after-colonoscopy Failure to detect abnormalities during testing can lead

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45234/psn-pdf
     November 18, 2016 - psnet.ahrq.gov/issue/recommended-responsibilities-management-mr-safety Magnetic resonance safety events can lead

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47241/psn-pdf
     October 10, 2018 - single hospital, a 4-hour training on high reliability and just culture for registered nurses did not lead

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45366/psn-pdf
     December 20, 2017 - patient-centered-prescription-drug-label-promote-appropriate-medication-use- and-adherence Errors in patient use of medications can lead

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40690/psn-pdf
     August 17, 2011 - mode-and-effect A prospective failure mode and effect analysis identified 57 potential failures that each could lead

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47319/psn-pdf
     October 10, 2018 - Differences in strength expression on product labels of compounders and conventional manufacturers may lead

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44830/psn-pdf
     January 01, 2019 - Though nurses felt surgeon-led time outs are valuable and lead to fewer adverse events, 94% of them

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44410/psn-pdf
     August 12, 2015 - This commentary discusses how poor design of health information technology can lead to more nurse workarounds

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42913/psn-pdf
     January 29, 2014 - usefulness, including prioritizing and examining incidents to identify which events occur more often or lead

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44396/psn-pdf
     January 22, 2016 - bedside-shift-shift-handoffs-systematic-review-literature Incomplete handoffs and poor communication regarding key clinical information may lead

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43505/psn-pdf
     April 25, 2016 - psnet.ahrq.gov/issue/hospitals-often-ignore-policies-using-qualified-medical-interpreters Language barriers can lead

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46116/psn-pdf
     May 24, 2017 - elimination-emergency-department-medication-errors-due-estimated-weights Inaccurate assessments of patient weight can lead

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866521/psn-pdf
     August 14, 2024 - High reliability in a safety net hospital leading to operational excellence. August 14, 2024 Didion L, Whitfield C, Bishop P, et al. High reliability in a safety net hospital leading to operational excellence. J Patient Saf. 2024;20(5):375-380. doi:10.1097/pts.0000000000001236. https://psnet.ahrq.gov/issue/high-re…

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34726/psn-pdf
     April 19, 2011 - report on how house officers cope with their medical mistakes and how different coping strategies lead

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34637/psn-pdf
     March 02, 2011 - authors examine the complexity of embracing this proposed strategy while weighing the factors that lead

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44227/psn-pdf
     November 19, 2018 - unmet-needs-teaching-physicians-provide-safe-patient-care https://psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36926/psn-pdf
     September 09, 2011 - communication to errors, the authors speculate that the large number of "case-irrelevant communications" could lead

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45705/psn-pdf
     January 23, 2017 - provided to patients in a variety of care settings, and errors in the enteral nutrition–use process may lead

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35069/psn-pdf
     June 22, 2009 - towards-organization-memory-exploring-organizational-generation-adverse- events-health-care The authors examine the organizational factors that lead