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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61075/psn-pdf
    October 28, 2020 - fda-advises-health-care-professionals-and-patients-about-insulin-pen-packaging-and-dispensing https://psnet.ahrq.gov/issue/national-estimates-insulin-related-hypoglycemia-and-errors-leading-emergency-department

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73298/psn-pdf
    May 19, 2021 - future-nursing-2020-2030-charting-path-achieve-health-equity https://psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health

  3. 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

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866202/psn-pdf
    July 24, 2024 - medication-without-harm-how-digital-healthcare-tools-can-support-providers- and-improve Medication errors are a leading

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866314/psn-pdf
    July 17, 2024 - //psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867047/psn-pdf
    October 30, 2024 - therapeutic-errors-involving-diabetes-medications-reported-united-states-poison-centers https://psnet.ahrq.gov/issue/national-estimates-insulin-related-hypoglycemia-and-errors-leading-emergency-department

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866558/psn-pdf
    August 21, 2024 - efforts: insufficient awareness of sepsis warning signs, atypical symptoms, dismissal of concerns leading

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867140/psn-pdf
    November 13, 2024 - cmqcc-obstetric-sepsis-toolkit-update-patient-centered-approach-quality- improvement Maternal (or obstetric) sepsis is a leading

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852460/psn-pdf
    August 16, 2023 - toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage Obstetric hemorrhage and severe high blood pressure during pregnancy are leading

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837736/psn-pdf
    July 27, 2022 - medication-errors-overweight-and-obese-pediatric-patients-systematic-review https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47953/psn-pdf
    January 01, 2021 - polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837212/psn-pdf
    June 08, 2022 - engaging-physicians-teamwork-training-quality-and-safety-or-why-dont-your-physicians-get https://psnet.ahrq.gov/issue/leading-health-care-transformation-primer-clinical-leaders

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851201/psn-pdf
    July 05, 2023 - perspective/maternal-safety-and-perinatal-mental-health https://psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46239/psn-pdf
    January 01, 2021 - identifying-high-alert-medications-university-hospital-applying-data-medication-error https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

  15. AHRQ 2011 Annual Conference.  | PSNet

    psnet.ahrq.gov/issue/ahrq-2011-annual-conference
    October 23, 2019 - This conference featured leading authorities in health care research and policy.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855106/psn-pdf
    November 08, 2023 - home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among https://psnet.ahrq.gov/primer/falls https://psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865487/psn-pdf
    April 03, 2024 - evaluation-design-and-structure-electronic-medication-labels-improve-patient- health-knowledge Medication labels can be confusing to patients, leading

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40505/psn-pdf
    January 27, 2012 - https://psnet.ahrq.gov/issue/ahrq-2011-annual-conference This conference featured leading authorities

  19. Miscommunication in the OR Leads to Anticoagulation Mishap | PSNet

    psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
    May 08, 2019 - WebM&M Cases Failure to Adhere to Dietary Restrictions Leading

  20. Lapse in Antibiotics Leads to Sepsis | PSNet

    psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
    November 21, 2021 - results.( 8,9 ) The primary problem with these electronic alerts is that they fire too frequently, leading
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