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psnet.ahrq.gov/node/36235/psn-pdf
September 06, 2006 - Tenfold errors can lead to tragedy.
September 6, 2006
Sipkoff M. Drug Topics. August 21, 2006. … https://psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy
This article discusses a decimal error … https://psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy
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psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-create-culture
August 29, 2017 - Book/Report
Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior … Citation Text:
Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create … Copy URL
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Taking the Lead
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psnet.ahrq.gov/node/39069/psn-pdf
February 18, 2011 - Did duty hour reform lead to better outcomes among the
highest risk patients? … Did duty hour reform lead to better outcomes among the
highest risk patients? … https://psnet.ahrq.gov/issue/did-duty-hour-reform-lead-better-outcomes-among-highest-risk-patients
The … https://psnet.ahrq.gov/issue/did-duty-hour-reform-lead-better-outcomes-among-highest-risk-patients
https
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psnet.ahrq.gov/issue/covid-19-surge-could-lead-another-drop-patient-visits-doctors-fear-and-more-missed-pediatric
February 13, 2008 - Newspaper/Magazine Article
Covid-19 surge could lead to another drop in patient visits … Citation Text:
Covid-19 surge could lead to another drop in patient visits, doctors fear—and more missed … URL
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Covid-19 surge could lead
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psnet.ahrq.gov/node/37291/psn-pdf
May 02, 2018 - Error-prone conditions that lead to student nurse-related
errors. … https://psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
Reporting on survey … https://psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety
July 01, 2017 - Commentary
Clinical faculty: taking the lead in teaching quality improvement and … Clinical faculty: taking the lead in teaching quality improvement and patient safety. … Clinical faculty: taking the lead in teaching quality improvement and patient safety.
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psnet.ahrq.gov/node/42310/psn-pdf
June 10, 2018 - Administering a saline flush "site unseen" can lead to a
wrong route error. … https://psnet.ahrq.gov/issue/administering-saline-flush-site-unseen-can-lead-wrong-route-error
Describing … https://psnet.ahrq.gov/issue/administering-saline-flush-site-unseen-can-lead-wrong-route-error
https:
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psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-lead-patient-harm
October 17, 2018 - Article
Smart pump custom concentrations without hard "low concentration" alerts can lead … Citation Text:
Smart pump custom concentrations without hard "low concentration" alerts can lead to … Citation
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Smart pump custom concentrations without hard "low concentration" alerts can lead
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psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service
January 22, 2014 - Study
Which clinical errors lead to the referral of UK paediatricians to the National … Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service … Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service
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psnet.ahrq.gov/node/46593/psn-pdf
November 08, 2017 - Unreadable barcodes and multiple barcodes on packages
can lead to errors. … https://psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
Barcodes … https://psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
https
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous
Delay
March 1, 2018
O'Connor RE. … Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018. … https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
The Case
A 35-year-old … When
emergency medical services (EMS) arrived at the patient's home, EMS providers obtained a 12-lead … The Commentary
https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
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psnet.ahrq.gov/node/46965/psn-pdf
March 28, 2018 - The other opioid crisis: hospital shortages lead to patient
pain, medical errors. … https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors … https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
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psnet.ahrq.gov/node/60359/psn-pdf
May 20, 2020 - incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-
overdose
Lack of familiarity with smart pumps can lead … The article describes
conditions that lead to a programing mistake.
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psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
February 15, 2024 - URL
August 7, 2024
July 26, 2024;
Patient-administered medications can lead … Differences in strength expression on product labels of compounders and conventional manufacturers may lead
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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - WebM&M Cases
Missing ECG and Missed Diagnosis Lead
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - Financial barriers represent a patient safety issue that can lead to many downstream consequences including
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psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success
August 20, 2018 - Book/Report
Leading a Culture of Safety: a Blueprint for Success.
Citation Text:
Leading a Culture of Safety: a Blueprint for Success. Chicago, IL: American College of Healthcare Executives, National Patient Safety Foundation's Lucian Leape Institute; 2017.
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psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare
May 06, 2015 - Book/Report
Leading High-Reliability Organizations in Healthcare.
Citation Text:
Leading High-Reliability Organizations in Healthcare. Morrow R. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781466594883.
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psnet.ahrq.gov/issue/diagnostic-delays-infectious-diseases
December 15, 2021 - Delayed diagnosis of infectious diseases can lead to serious patient harm . … April 15, 2020
Diagnostic errors that lead to inappropriate antimicrobial use.
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psnet.ahrq.gov/issue/fallacy-single-diagnosis
October 05, 2022 - accept a diagnosis before it has been confirmed and alternative diagnoses have been explored and can lead … Findings suggest that bias can lead individual to overlook the likelihood of COVID-19 when an alternative