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  1. Psn-Pdf (pdf file)

    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
  2. 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 Cite Citation Citation Text: Taking the Lead
  3. 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
  4. 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
  5. 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
  6. 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.
  7. 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:
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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.
  14. 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
  15. psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
    July 01, 2012 - WebM&M Cases Missing ECG and Missed Diagnosis Lead
  16. 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
  17. 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. Copy Citation …
  18. 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. Copy Citation Save Save to your library Print …
  19. 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.
  20. 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

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