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  1. psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism
    November 16, 2022 - Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads
  2. psnet.ahrq.gov/issue/use-common-gas-outlet-supplementary-oxygen-during-caesarean-section
    August 04, 2021 - WebM&M Cases Uterine Artery Injury during Cesarean Delivery Leads
  3. psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
    January 12, 2022 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads
  4. psnet.ahrq.gov/issue/multidisciplinary-system-detecting-medication-errors-antineoplastic-chemotherapy
    March 09, 2022 - May 11, 2019 Electronic prescribing vulnerabilities: height and weight mix-up leads to
  5. psnet.ahrq.gov/issue/inpatients-notes-sensemaking-fostering-shared-understanding-clinical-teams
    November 25, 2020 - November 1, 2023 View More Related Resources Unprofessional Behavior Leads
  6. psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die
    September 15, 2021 - February 9, 2022 Fear of Covid-19 leads other patients to decline critical treatment.
  7. psnet.ahrq.gov/issue/diagnostic-error-internal-medicine
    May 25, 2022 - April 3, 2018 When diagnostic testing leads to harm: a new outcomes-based approach for
  8. psnet.ahrq.gov/issue/call-shift-fatigue-and-use-countermeasures-and-avoidance-strategies-certified-registered
    March 15, 2023 - Related Resources WebM&M Cases Sleep Deprivation Leads
  9. psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture
    September 23, 2020 - December 16, 2020 Incorrect use of smart infusion pump in the operating room (OR) leads
  10. psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
    May 18, 2022 - March 29, 2023 Incorrect use of smart infusion pump in the operating room (OR) leads
  11. psnet.ahrq.gov/issue/ebola-us-patient-zero-lessons-misdiagnosis-and-effective-use-electronic-health-records
    June 21, 2023 - May 22, 2019 WebM&M Cases Lapse in Antibiotics Leads
  12. psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident
    November 21, 2021 - April 29, 2020 WebM&M Cases Lapse in Antibiotics Leads
  13. psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
    October 05, 2022 - September 6, 2017 When diagnostic testing leads to harm: a new outcomes-based approach
  14. psnet.ahrq.gov/issue/confusion-specimen-mix-dermatopathology-and-measures-prevent-and-detect-it
    February 12, 2020 - February 2, 2022 When diagnostic testing leads to harm: a new outcomes-based approach
  15. psnet.ahrq.gov/issue/national-survey-safe-practice-epidural-analgesia-obstetric-units
    July 28, 2021 - Related Resources WebM&M Cases Sleep Deprivation Leads
  16. psnet.ahrq.gov/issue/medication-injection-safety-knowledge-and-practices-among-anesthesiologists-new-york-state
    August 25, 2021 - April 30, 2024 WebM&M Cases Saline Flush Leads to Acute
  17. psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events
    November 04, 2020 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads
  18. psnet.ahrq.gov/issue/are-they-safe-there-patient-safety-and-trainees-practice
    September 22, 2021 - March 30, 2011 An anesthesiology department leads culture change at a hospital system
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49833/psn-pdf
    June 01, 2018 - Studies have demonstrated that earlier treatment with thrombolytics leads to better functional outcomes … neck and head could have excluded a basilar artery thrombosis, one of the few ischemic strokes that leads … on reducing underdiagnosis of stroke, overdiagnosis can also be problematic, particularly when it leads
  20. psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
    July 02, 2011 - This process leads to arrythmias including ST and T wave changes, neurogenic pulmonary edema, hypertension … December 14, 2022 WebM&M Cases Saline Flush Leads … Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads

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