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  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46697/psn-pdf
    January 10, 2018 - ://psnet.ahrq.gov/issue/primary-care-providers-perspectives-errors-omission Errors of omission can lead
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46413/psn-pdf
    February 22, 2018 - comparison-error-rates-between-intravenous-push-methods-prospective- multisite-observational Errors in intravenous medication administration can lead
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46354/psn-pdf
    November 21, 2017 - controlled-trial-improve-resident-sign-out-medical-intensive-care-unit Communication errors during handoffs can lead
  18. 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
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46304/psn-pdf
    November 01, 2017 - comparative-performance-pediatric-weight-estimation-techniques-human- factor-errors-analysis Estimating weights in time-sensitive situations can lead
  20. 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

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