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81. Psn-Pdf (pdf file)
    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

82. Psn-Pdf (pdf file)
    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

83. Covid-19 surge could lead to another drop in patient visits, doctors fear—and more missed pediatric cancers. | PSNet
    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 Cite Citation Citation Text: Covid-19 surge could lead

84. Psn-Pdf (pdf file)
    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:

85. Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. | PSNet
    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 Citation Text: Smart pump custom concentrations without hard "low concentration" alerts can lead

86. Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? | PSNet
    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

87. Leading your organization to high reliability. | PSNet
    psnet.ahrq.gov/issue/leading-your-organization-high-reliability
    August 18, 2021 - Commentary Leading your organization to high reliability. Citation Text: Kemper C, Boyle DK. Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. doi:10.1097/01.NUMA.0000349684.24165.68. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

88. Clinical faculty: taking the lead in teaching quality improvement and patient safety. | PSNet
    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.

89. Psn-Pdf (pdf file)
    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

90. Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. | PSNet
    psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose
    June 03, 2020 - Lack of familiarity with smart pumps can lead to user error  and patient harm. … The article describes conditions that lead to a programing mistake .

91. Psn-Pdf (pdf file)
    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

92. FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. | PSNet
    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

93. Psn-Pdf (pdf file)
    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

94. Psn-Pdf (pdf file)
    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.

95. Pediatric weight errors and resultant medication dosing errors in the emergency department. | PSNet
    psnet.ahrq.gov/issue/pediatric-weight-errors-and-resultant-medication-dosing-errors-emergency-department
    August 04, 2021 - Weight-based dosing errors can lead to adverse drug events . … This retrospective study found that weight-related errors are rare but did lead to medication dosing

96. Diagnostic errors--The next frontier for patient safety. | PSNet
    psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety
    October 14, 2020 - This commentary discusses individual and systems factors that lead to diagnostic error and proposes … An AHRQ WebM&M  perspective discussed cognitive biases that lead to diagnostic error.

97. The fallacy of a single diagnosis. | PSNet
    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

98. Diagnostic delays in infectious diseases. | PSNet
    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.

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838135/psn-pdf
    January 01, 2023 - 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

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50934/psn-pdf
     February 26, 2020 - Resident in Quality and Safety (CRQS) program alumni suggests that such programs can teach residents to lead … and engage other residents in patient safety and ultimately lead to a workforce fostering a culture