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41. 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 … The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading … psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process- leading … //psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading … //psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading

42. 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 … Identifying Factors Leading to Harm in English General Practices: A Mixed-Methods Study Based on Patient … https://psnet.ahrq.gov/issue/identifying-factors-leading-harm-english-general-practices-mixed-methods … https://psnet.ahrq.gov/issue/identifying-factors-leading-harm-english-general-practices-mixed-methods-study-based-patient … https://psnet.ahrq.gov/issue/identifying-factors-leading-harm-english-general-practices-mixed-methods-study-based-patient

43. Effective Treatment of Leading Causes of Morbidity and Mortality | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-eff.html
    September 01, 2015 - Chartbook on Women's Health Care Effective Treatment of Leading Causes of Morbidity and Mortality … Access to Health Care Affordability Communication and Care Coordination Effective Treatment of Leading … According to the Centers for Disease Control and Prevention ( Xu, et al., 2014 ), the rate for the top 10 leading … causes of death has decreased or held steady, except the 10th leading cause of death in the United States

44. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866521/psn-pdf
    August 14, 2024 - High reliability in a safety net hospital leading to operational excellence. … High reliability in a safety net hospital leading to operational excellence. … https://psnet.ahrq.gov/issue/high-reliability-safety-net-hospital-leading-operational-excellence Health … https://psnet.ahrq.gov/issue/high-reliability-safety-net-hospital-leading-operational-excellence https

45. National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations. | PSNet
    psnet.ahrq.gov/issue/national-estimates-insulin-related-hypoglycemia-and-errors-leading-emergency-department
    October 20, 2021 - Study National estimates of insulin-related hypoglycemia and errors leading to emergency … National estimates of insulin-related hypoglycemia and errors leading to emergency department visits … National estimates of insulin-related hypoglycemia and errors leading to emergency department visits … December 18, 2014 Medication use leading to emergency department visits for adverse drug

46. 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 (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
    January 01, 2019 - care • Cascade with opioids (respiratory depressant) complicated by morbid obesity and sleep apnea leading … to aspiration pneumonia • Cascade with respiratory infection while on ventilator leading to acute kidney … an acute-care hospital and contributing to death • Cascade with stage-4 infected pressure ulcer leading … to death • Cascade beginning with delirium leading to the dislodgement of the tracheal tube by the … to electrolyte imbalance leading to ventricular tachycardia • Hyperkalemia (potassium of 6.2) Other

47. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851656/psn-pdf
    July 26, 2023 - Investigation of urology intraoperative events leading to root cause analysis at national VA medical … https://psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis- … https://psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical … https://psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/852284/psn-pdf
    August 09, 2023 - ‘Medical errors are the third leading cause of death’ and other statistics you should question. … https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should … https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question … https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question

49. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. | PSNet
    psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading-institutional
    March 30, 2022 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading … A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional … A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional … therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading

50. National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents. | PSNet
    psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events-children-and
    March 24, 2021 - Medication misadventures leading to emergency department visits have been described , particularly in … February 24, 2021 Medication use leading to emergency department visits for adverse drug … March 29, 2017 Medication use leading to emergency department visits for adverse drug … April 8, 2011 Medication overdoses leading to emergency department visits among children

51. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72670/psn-pdf
    January 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. … System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. … https://psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis Patients … https://psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis https

52. ‘Medical errors are the third leading cause of death’ and other statistics you should question. | PSNet
    psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question
    February 24, 2025 - Newspaper/Magazine Article ‘Medical errors are the third leading cause of death’ … Citation Text: ‘Medical errors are the third leading cause of death’ and other statistics you should … Cite Citation Citation Text: ‘Medical errors are the third leading

53. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40262/psn-pdf
    March 02, 2011 - Leading clinical handover improvement: a change strategy to implement best practices in the acute care … Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18. … https://psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best- practices-acute-care … https://psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care … https://psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care

54. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38937/psn-pdf
    September 23, 2009 - Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults … Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults … https://psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events- hospitalized-older-adults … https://psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults … https://psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36799/psn-pdf
    November 28, 2016 - The evolving role of health educators in advancing patient safety: forging partnerships and leading … The evolving role of health educators in advancing patient safety: forging partnerships and leading … psnet.ahrq.gov/issue/evolving-role-health-educators-advancing-patient-safety-forging-partnerships- and-leading … psnet.ahrq.gov/issue/evolving-role-health-educators-advancing-patient-safety-forging-partnerships-and-leading … psnet.ahrq.gov/issue/evolving-role-health-educators-advancing-patient-safety-forging-partnerships-and-leading

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37201/psn-pdf
    October 06, 2011 - Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm … Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm … https://psnet.ahrq.gov/issue/mistaken-identity-skin-cleansing-solution-leading-extensive-chemical-burns … https://psnet.ahrq.gov/issue/mistaken-identity-skin-cleansing-solution-leading-extensive-chemical-burns-extremely-preterm … https://psnet.ahrq.gov/issue/mistaken-identity-skin-cleansing-solution-leading-extensive-chemical-burns-extremely-preterm

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40070/psn-pdf
    December 08, 2010 - Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia … Epidural Pump Programming Error Leading to Inadvertent 10- Fold Dosing Error During Epidural Labor Analgesia … https://psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error … https://psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural … https://psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural

58. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34960/psn-pdf
    June 22, 2009 - Making hospital care safer and better: the structure- process connection leading to adverse events. … Making hospital care safer and better: the structure-process connection leading to adverse events. … https://psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading … https://psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events … https://psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events

59. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet
    psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
    September 27, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up Citation … Failure to adhere to dietary restrictions leading to complications and poor follow-up.. … Failure to adhere to dietary restrictions leading to complications and poor follow-up.. … However, the order was not known to all hospital staff, and it was not followed, leading to postponement … Failure to adhere to dietary restrictions leading to complications and poor follow-up..

60. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39521/psn-pdf
    May 12, 2010 - Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a … Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a … https://psnet.ahrq.gov/issue/confusion-about-epinephrine-dosing-leading-iatrogenic-overdose-life- threatening-problem … https://psnet.ahrq.gov/issue/confusion-about-epinephrine-dosing-leading-iatrogenic-overdose-life-threatening-problem … https://psnet.ahrq.gov/issue/confusion-about-epinephrine-dosing-leading-iatrogenic-overdose-life-threatening-problem