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psnet.ahrq.gov/issue/hospital-costs-associated-adverse-events-gynecological-oncology
March 09, 2022 - November 6, 2024
Adverse drug events caused by three high-risk drug-drug interactions
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psnet.ahrq.gov/issue/new-unintended-adverse-consequences-electronic-health-records
March 20, 2019 - 29, 2018
Orders on file but no labs drawn: investigation of machine and human errors caused
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psnet.ahrq.gov/issue/patient-safety-when-are-we-too-old-operate
October 19, 2022 - 19, 2023
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Related Resources
Morbidity and mortality caused
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psnet.ahrq.gov/issue/errors-medication-process-frequency-type-and-potential-clinical-consequences
July 21, 2021 - February 21, 2024
Adverse drug events caused by three high-risk drug-drug interactions
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psnet.ahrq.gov/issue/blueprint-leadership-during-covid-19
December 15, 2021 - Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused
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psnet.ahrq.gov/issue/novel-approach-cardiac-alarm-management-telemetry-units
October 27, 2021 - March 15, 2017
Adverse drug events caused by three high-risk drug-drug interactions in
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psnet.ahrq.gov/issue/statewide-identification-adverse-events-using-retrospective-nurse-review-methods-and-outcomes
November 21, 2021 - July 5, 2013
Adverse drug events caused by serious medication administration errors.
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psnet.ahrq.gov/issue/bedside-computer-vision-moving-artificial-intelligence-driver-assistance-patient-safety
December 01, 2021 - Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused
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psnet.ahrq.gov/issue/physician-burnout-electronic-health-record-era-are-we-ignoring-real-cause
October 04, 2023 - 19, 2018
Orders on file but no labs drawn: investigation of machine and human errors caused
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psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - Jaundice is rarely caused by tumor infiltration of the liver, except after advanced and
extensive infiltration … L is also rarely a result of sequestration of
platelets caused by splenomegaly due to cirrhosis and … may
occur locally at the skin incision site, but the most common and concerning type of pain is that caused
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psnet.ahrq.gov/issue/staying-safe-while-getting-well
February 05, 2014 - March 9, 2011
Harm Caused by Delays in Transferring Patients to the Right Place of Care
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psnet.ahrq.gov/issue/mistake-proofing-design-health-care-processes
December 18, 2008 - February 5, 2019
Preventing adverse events caused by emergency electrical power system
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psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
December 23, 2016 - December 23, 2016
Preventing adverse events caused by emergency electrical power system
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psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
October 31, 2012 - November 4, 2015
A medication safety education program to reduce the risk of harm caused
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psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve
June 09, 2009 - March 15, 2016
A medication safety education program to reduce the risk of harm caused
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psnet.ahrq.gov/issue/robotic-assisted-surgery-focus-training-and-credentialing
January 07, 2015 - June 28, 2023
Morbidity and mortality caused by noncompliance with California hospital
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psnet.ahrq.gov/issue/parents-can-detect-contribute-or-be-affected-critical-events-during-childs-hospitalization
June 10, 2018 - Diagnostic Safety and Quality
April 26, 2023
Preventing sentinel events caused
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psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill
May 05, 2018 - Related Resources
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused
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psnet.ahrq.gov/issue/promoting-patient-safety-ethical-basis-policy-deliberation
June 02, 2010 - September 16, 2015
The New Electronic Health Record’s Unknown Queue Caused Multiple Events
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.215_slideshow.ppt
April 01, 2010 - In This Case
This medication error was a preventable ADE and caused patient harm
System improvements … medication errors that cause harm are preventable adverse drug events
Not all adverse drug events are caused