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141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60944/psn-pdf
     September 23, 2020 - science has played during the COVID-19 pandemic, defined as the loosening of methodological standards leading

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48106/psn-pdf
     July 24, 2019 - issue/teamwork-toolkit https://psnet.ahrq.gov/primer/teamwork-training https://psnet.ahrq.gov/issue/leading-article-how-can-i-optimise-my-role-leader-within-surgical-team

143. The Shift Coupon: an innovative method to monitor adverse events. | PSNet
     psnet.ahrq.gov/issue/shift-coupon-innovative-method-monitor-adverse-events
     June 25, 2010 - June 25, 2010 Medication use leading to emergency department visits for adverse drug … therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73456/psn-pdf
     June 30, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia June 30, 2021 … Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. … https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe … https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia … https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia

145. What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior? | PSNet
     psnet.ahrq.gov/issue/what-evidence-supports-use-computerized-alerts-and-prompts-improve-clinicians-prescribing
     August 04, 2021 - interactions for use in electronic health records systems with computerized physician order entry: review of leading … interactions for use in electronic health records systems with computerized physician order entry: review of leading

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73668/psn-pdf
     September 01, 2021 - safe-day-call-reducing-silos-health-care-through-frontline-risk-assessment https://psnet.ahrq.gov/issue/leading-article-how-can-i-optimise-my-role-leader-within-surgical-team

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852806/psn-pdf
     February 24, 2025 - medias-role-patient-safety https://psnet.ahrq.gov/issue/dying-care https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question

148. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-16
     June 16, 2019 - insulin being administered instead of heparin and discusses issues of software and staff unawareness leading

149. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
     April 01, 2015 - normal chest radiograph should not be used to rule out acute aortic dissection List three factors leading … The dissection was probably present on admission and the tear in the aorta had impaired blood flow leading … on how or whether this finding should have influenced the clinicians in this case * * Factors Leading … Factors leading to failure to diagnose acute aortic dissection in the emergency room. … Am J Emerg Med. 2012;30:1622-1626. http://www.ncbi.nlm.nih.gov/pubmed/22306397 * Factors Leading

150. A Fumbled Handoff to Inpatient Rehab | PSNet
     psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
     December 21, 2018 - The patient in question had complex care needs due to traumatic brain injury leading to prolonged mechanical … However, providers receive little guidance regarding which patients should go where, leading not only … mismatch, in which patients may be either transferred to higher capability facilities than necessary (leading … to wasted spending) or lower capability facilities than necessary (leading to potential harm). … Care May 29, 2024 WebM&M Cases Misconnection Leading

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74093/psn-pdf
     November 17, 2021 - prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73631/psn-pdf
     August 25, 2021 - This narrative review of 75 studies concluded that cardiovascular medications are a leading cause of

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47669/psn-pdf
     July 17, 2019 - decision support, the usability of the tool and fit with the critical care environment were suboptimal, leading

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866957/psn-pdf
     October 16, 2024 - pharmacy-prevalence-second-victim-syndrome-comprehensive-cancer-center Adverse events can negatively impact a provider's mental and physical health, leading

155. Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors. | PSNet
     psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls
     November 21, 2014 - therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading … December 15, 2021 System issues leading to "found-on-floor" incidents: a multi-incident

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44426/psn-pdf
     January 01, 2019 - impact-and-culture-change-after-implementation-preprocedural-checklist- interventional Checklists have played a leading

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72511/psn-pdf
     November 25, 2020 - hospital-preparedness-covid-19-surge-assessment-tool https://psnet.ahrq.gov/issue/organisational-crisis-resource-management-leading-academic-department-emergency-medicine

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47850/psn-pdf
     March 27, 2019 - psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837155/psn-pdf
     November 15, 2022 - advancing-diagnostic-excellence-older-adults-proceedings-workshop-brief https://psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48175/psn-pdf
     August 07, 2019 - psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us