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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
    July 01, 2023 - She reasons that because dangerously elevated blood pressure can lead to stroke or seizures she needs
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
    July 01, 2023 - To avoid making assumptions that can lead to error, you should verify in writing or orally any nonverbal … looking at an electrocardiogram would quickly tell the nurse the severity of the situation and might lead
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
    July 01, 2023 - To avoid making assumptions that can lead to error, you should verify in writing or orally any nonverbal … looking at an electrocardiogram would quickly tell the nurse the severity of the situation and might lead
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41060/psn-pdf
    September 06, 2013 - flaws-clinical-reasoning-common-cause-diagnostic-error Through an illustrative case report, this commentary describes how cognitive biases may lead
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36960/psn-pdf
    September 12, 2011 - profiles-patient-safety-perfect-storm-emergency-department The authors present a case of delayed diagnosis and discuss the cognitive dispositions that can lead
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49845/psn-pdf
    October 01, 2018 - However, the error did lead to the performance of additional blood tests (mostly activated partial thromboplastin … critical medication is unavailable, this case illustrates how a seemingly safe substitution strategy can lead … With heparin, an overdose can lead to a stroke, or even death, especially in vulnerable populations … Just like errors involving heparin, errors involving saline injection can lead to devastating outcomes
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45707/psn-pdf
    April 18, 2018 - costs-and-consequences-associated-misdiagnosed-lower-extremity-cellulitis Misdiagnosis is common and can lead
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure.pptx
    July 01, 2023 - Therefore, as a Hospital AIM Team Lead you’ll want to understand all perceived losses and make it clear
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure.pptx
    July 01, 2023 - Therefore, as a Hospital AIM Team Lead you’ll want to understand all perceived losses and make it clear
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38979/psn-pdf
    October 14, 2009 - physicians are encouraged to ask questions, seek feedback, and reflect on their experiences, could actually lead
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42799/psn-pdf
    December 04, 2013 - automation can diminish human performance, decision-making, and situational awareness—and thereby lead
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43624/psn-pdf
    October 22, 2014 - compendium-strategies-prevent-healthcare-associated-infections-acute-care-hospitals https://psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
    July 01, 2023 - She reasons that because dangerously elevated blood pressure can lead to stroke or seizures she needs
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865870/psn-pdf
    May 15, 2024 - Leading quality and safety on the frontline - a case study of department leaders in nursing homes. May 15, 2024 Magerøy M, Braut GS, Macrae C, et al. Leading quality and safety on the frontline - a case study of department leaders in nursing homes. J Healthc Leadersh. 2024;16:193-208. doi:10.2147/jhl.s454109. http…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854818/psn-pdf
    October 25, 2023 - The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. October 25, 2023 van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical laboratory testing process lea…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73922/psn-pdf
    October 06, 2021 - Leading causes of anesthesia-related liability claims in ambulatory surgery centers. October 6, 2021 Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000000000431. https://psnet.ahrq.go…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60986/psn-pdf
    January 01, 2021 - Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. October 7, 2020 Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. BMJ Lea…
  18. www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-7-formulation-task-force-recommendations
    June 21, 2025 - In this case, the individual member or the primary topic lead speaks with the Chairs, requests a vote
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72637/psn-pdf
    January 13, 2021 - Identifying factors leading to harm in English general practices: a mixed-methods study based on patient experiences integrating structural equation modeling and qualitative content analysis. January 13, 2021 Ricci-Cabello I, Gangannagaripalli J, Mounce LTA, et al. Identifying Factors Leading to Harm in English G…
  20. pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
    January 01, 2019 - Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category Page 1 of 9 Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report…