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41. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38051/psn-pdf
    May 05, 2018 - Misprogramming PCA concentration leads to dosing errors. … https://psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors This article describes … https://psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors

42. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. | PSNet
    psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
    November 30, 2021 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. … Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. … Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. … Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. … Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads

43. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
    psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
    February 01, 2004 - SPOTLIGHT CASE Delay in Treatment: Failure to Contact Patient Leads to Significant Complications … Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. … Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. … Delay in Treatment: Failure to Contact Patient Leads to Significant Complications.

44. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40055/psn-pdf
    December 01, 2010 - Parkland knee surgery done by doctor in training leads to amputation, questions. … https://psnet.ahrq.gov/issue/parkland-knee-surgery-done-doctor-training-leads-amputation-questions This … https://psnet.ahrq.gov/issue/parkland-knee-surgery-done-doctor-training-leads-amputation-questions https

45. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39825/psn-pdf
    June 10, 2018 - Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error. … https://psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error … https://psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error

46. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44363/psn-pdf
    May 05, 2018 - Selection of incorrect medication pump leads to chemotherapy overdose. May 5, 2018 ISMP Canada. … https://psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose Checklists … https://psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose https://

47. A medical error leads to tragedy: how do we inform the patient? | PSNet
    psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
    April 08, 2018 - Commentary A medical error leads to tragedy: how do we inform the patient? … A medical error leads to tragedy: how do we inform the patient? … A medical error leads to tragedy: how do we inform the patient?

48. How health care complexity leads to cooperation and affects the autonomy of health care professionals. | PSNet
    psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals
    October 27, 2021 - Study How health care complexity leads to cooperation and affects the autonomy of … How health care complexity leads to cooperation and affects the autonomy of health care professionals … How health care complexity leads to cooperation and affects the autonomy of health care professionals

49. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. | PSNet
    psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
    September 12, 2018 - Commentary When diagnostic testing leads to harm: a new outcomes-based approach for … When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. … When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine.

50. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44183/psn-pdf
    November 03, 2015 - The absence of a drug–disease interaction alert leads to a child's death. … https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death The disabling … https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death https://psnet.ahrq.gov

51. Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice. | PSNet
    psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-performance-simulated
    June 14, 2019 - Study Learning through simulated independent practice leads to better future performance … Learning through simulated independent practice leads to better future performance in a simulated crisis … Learning through simulated independent practice leads to better future performance in a simulated crisis

52. The absence of a drug–disease interaction alert leads to a child's death. | PSNet
    psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
    July 08, 2015 - Newspaper/Magazine Article The absence of a drug–disease interaction alert leads … Citation Text: The absence of a drug–disease interaction alert leads to a child's death. … Cite Citation Citation Text: The absence of a drug–disease interaction alert leads

53. Oral chemotherapy: not just an ordinary pill. | PSNet
    psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill
    May 05, 2018 - Related Resources From the Same Author(s) Selection of incorrect medication pump leads … September 14, 2016 Electronic prescribing vulnerabilities: height and weight mix-up leads … June 10, 2018 Electronic prescribing vulnerabilities: height and weight mix-up leads … June 10, 2018 Selection of incorrect medication pump leads to chemotherapy overdose.

54. Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes | PSNet
    psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
    July 23, 2024 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes

55. An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. | PSNet
    psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and
    March 30, 2011 - Commentary An anesthesiology department leads culture change at a hospital system … An anesthesiology department leads culture change at a hospital system level to improve quality and patient … An anesthesiology department leads culture change at a hospital system level to improve quality and patient

56. Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. | PSNet
    psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants
    August 14, 2014 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads … Implementing an interprofessional patient safety learning initiative: insights from participants, project leads … Implementing an interprofessional patient safety learning initiative: insights from participants, project leads

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/853978/psn-pdf
    September 27, 2023 - ://psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc … ://psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc

58. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/867659
    July 10, 2024 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. … delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism https://psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery … Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. By Gary S. … https://psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery https

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837308/psn-pdf
    June 01, 2022 - delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations https://psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery … https://psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications

60. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy | PSNet
    psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
    September 30, 2020 - SPOTLIGHT CASE Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. … Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy.