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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41928/psn-pdf
    January 30, 2013 - perceived-causes-prescribing-errors-junior-doctors-hospital-inpatients-study- protect The causative factors leading

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45454/psn-pdf
    September 04, 2016 - psnet.ahrq.gov/issue/err-human-building-safer-health-system https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38840/psn-pdf
    August 12, 2009 - but the requisitions themselves did not prompt clinicians to enter all the pertinent clinical data, leading

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838251/psn-pdf
    October 05, 2022 - right-patient-wrong-sample https://psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading-institutional

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72546/psn-pdf
    December 09, 2020 - actions taken to prevent recurrence of injuries were similar across three severity levels (injuries leading

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73140/psn-pdf
    April 14, 2021 - psnet.ahrq.gov/web-mm/missed-pneumonia https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72471/psn-pdf
    November 18, 2020 - The editorial discusses factors that may be leading patients to defer care as well as actions that healthcare

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45263/psn-pdf
    September 04, 2016 - The use of a mnemonic PSYCH (Patient information, Situation leading to hospitalization, Your assessment

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45122/psn-pdf
    October 08, 2016 - transformational-leadership-nursing-and-medication-safety-education-discussion-paper https://psnet.ahrq.gov/issue/leadership-committed-safety https://psnet.ahrq.gov/issue/leading-health-care-transformation-primer-clinical-leaders

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46753/psn-pdf
    January 30, 2018 - psnet.ahrq.gov/issue/essential-role-leadership-developing-safety-culture https://psnet.ahrq.gov/issue/leading-health-care-transformation-primer-clinical-leaders

  11. The faces of medical error...from tears to transparency. | PSNet

    psnet.ahrq.gov/issue/faces-medical-errorfrom-tears-transparency
    May 01, 2022 - The circumstances leading to the death of Lewis Blackman , one of the patients discussed in this video

  12. Swiss Cheese Model | PSNet

    psnet.ahrq.gov/glossary/swiss-cheese-model
    September 13, 2021 - analyses of major accidents and catastrophic systems failures tend to reveal multiple, smaller failures leading

  13. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-452
    August 28, 2024 - a medication error in the ED, with about 43% of these errors being potentially harmful but without leading … Study High reliability in a safety net hospital leading to operational excellence … a medication error in the ED, with about 43% of these errors being potentially harmful but without leading … weeks later, she presented to the emergency department (ED) and diagnosed with a severe infection, leading

  14. Risk factors associated with incorrect surgical counts. | PSNet

    psnet.ahrq.gov/issue/risk-factors-associated-incorrect-surgical-counts
    October 20, 2010 - This study explored factors leading to inconsistencies in the manual count of instruments and materials

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41249/psn-pdf
    December 21, 2014 - Medical errors and adverse events were significant contributing factors, leading the authors to advocate

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42949/psn-pdf
    February 19, 2014 - impact-clinical-pharmacy-admission-medication-reconciliation-program- medication-errors-high Pharmacists are increasingly leading

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45295/psn-pdf
    July 27, 2016 - medication-complexity-medication-number-and-their-relationships-medication-discrepancies https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35340/psn-pdf
    July 10, 2008 - The authors conclude that use of a medication discrepancy tool can identify problems leading to medical

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45941/psn-pdf
    March 08, 2017 - medication-errors-associated-transition-insulin-pens-insulin-vials https://psnet.ahrq.gov/issue/national-estimates-insulin-related-hypoglycemia-and-errors-leading-emergency-department

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60279/psn-pdf
    April 29, 2020 - care systems and tools (such as different EHR systems that do not communicate), and; inadequate time leading
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