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441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60309/psn-pdf
     May 06, 2020 - COVID-19 leads to increased need for dialysis machines. May 6, 2020 Mosley T. Here & Now. Boston Public Radio. April 27, 2020. https://psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines Comorbidities can result in unexpected care complexities. This article discusses an emerging challenge for …

442. 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

443. 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

444. 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

445. 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

446. 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

447. 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

448. 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

449. 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

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38598/psn-pdf
     June 03, 2010 - Leading successful rapid response teams: a multisite implementation evaluation. June 3, 2010 Donaldson N, Shapiro S, Scott M, et al. Leading successful rapid response teams: A multisite implementation evaluation. J Nurs Adm. 2009;39(4):176-81. doi:10.1097/NNA.0b013e31819c9ce9. https://psnet.ahrq.gov/issue/leading-…

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844553/psn-pdf
     February 15, 2023 - Mental health conditions leading cause of pregnancy- related deaths. February 15, 2023 Quick Safety. January 16 2023;(67):1-3. https://psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths Maternal safety is compromised by a range of social, cognitive, and clinical factors. This arti…

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43201/psn-pdf
     May 21, 2014 - New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. May 21, 2014 Washington, DC: US Department of Health and Human Services; May 7, 2014. https://psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved- care-and-savings Comparing safety…

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45357/psn-pdf
     October 09, 2016 - Leading article: how can I optimise my role as a leader within the surgical team? October 9, 2016 Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j.bjoms.2016.05.035. https://psnet…

454. 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

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73498/psn-pdf
     July 14, 2021 - Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error July 14, 2021 ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2. https://psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error High-alert medication misadministration i…

456. 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

457. 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

458. 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

459. 2007 Study of Injectable Medication Errors. | PSNet
     psnet.ahrq.gov/issue/2007-study-injectable-medication-errors
     August 15, 2007 - May 14, 2008 Error-prone conditions that lead to student nurse-related errors.

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42806/psn-pdf
     January 19, 2014 - Organization has provided 17 classic patient safety research publications along with comments by their lead