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psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect-tyre-nichols
July 19, 2023 - May 3, 2023
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Related Resources
Harm Caused by Delays in
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psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them-survived
November 20, 2019 - January 15, 2020
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Related Resources
Harm Caused by Delays
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psnet.ahrq.gov/issue/alcohol-based-surgical-prep-solution-and-risk-fire-operating-room-case-report
February 02, 2022 - May 9, 2013
Prevention of medical accidents caused by defective surgical instruments.
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psnet.ahrq.gov/issue/information-technology-cannot-guarantee-patient-safety
March 14, 2022 - January 7, 2015
Adverse drug events caused by three high-risk drug-drug interactions
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psnet.ahrq.gov/issue/using-technology-promote-perinatal-patient-safety
January 27, 2021 - Related Resources
A medication safety education program to reduce the risk of harm caused
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psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
January 12, 2022 - January 4, 2017
Preventing adverse events caused by emergency electrical power system
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psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partnerships
August 23, 2023 - December 22, 2010
Utilizing information technology to mitigate the handoff risks caused
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hcup-us.ahrq.gov/db/nation/nass/nasscorrections_2022.jsp
January 01, 2022 - We apologize for any inconvenience this may have caused.
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixB_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - programming calculations
• Security, virus or other malware
• Unforeseen software issue (e.g. safety issue caused
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psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
February 01, 2006 - say, "I don't know that this really was an error," or "I don't really know for sure that this error caused … And we believe this medication error caused the problems that she had. It caused her heart to stop. … It caused our having to take her down to the ICU where, as you know, we were not successful in resuscitating … their errors so risk management can look into the organization's latent system failures that may have caused
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psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
February 01, 2006 - say, "I don't know that this really was an error," or "I don't really know for sure that this error caused … And we believe this medication error caused the problems that she had. It caused her heart to stop. … It caused our having to take her down to the ICU where, as you know, we were not successful in resuscitating … their errors so risk management can look into the organization's latent system failures that may have caused
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hcup-us.ahrq.gov/reports/statbriefs/sb160.jsp
August 01, 2013 - intervertebral disc disorders, other back problems
11,218
2.9
667
7
Pneumonia (except that caused … 4
Complication of device, implant or graft
7,469
4.1
414
5
Pneumonia (except that caused … graft
1,426
2.4
71
4
Mood disorders
1,377
2.3
244
5
Pneumonia (except that caused … Complications of surgical procedures or medical care
2,123
1.9
181
9
Pneumonia (except that caused … 359
2.1
45
10
Fracture of lower limb
359
2.1
25
11
Pneumonia (except that caused
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hcup-us.ahrq.gov/reports/statbriefs/sb148.pdf
March 01, 2012 - trauma to perineum and vulva 674 22
CCS: Clinical Classifications Software
* Pneumonia: except that caused … 125 179 225 26%
CCS: Clinical Classifications Software
*Pneumonia: except that caused … for nearly 30 percent of all Medicaid stays in
2010: newborn birth, trauma to the perineum and vulva caused … Classifications Software
*Population denominators are not available by payer
** Pneumonia: except that caused … Classifications Software
*Population denominators are not available by payer
** Pneumonia: except that caused
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psnet.ahrq.gov/issue/mistakes-we-make-dialysis
April 04, 2018 - September 6, 2017
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused
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psnet.ahrq.gov/issue/ounce-prevention-reduce-errors-hospitals-prescribe-innovative-designs
December 13, 2006 - Safety in Acute Hospital Care Units
April 26, 2023
Preventing adverse events caused
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psnet.ahrq.gov/issue/impact-light-outcomes-healthcare-settings
October 24, 2012 - February 5, 2019
Preventing adverse events caused by emergency electrical power system
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psnet.ahrq.gov/issue/human-factors-and-technology-icu
June 30, 2010 - March 28, 2018
Preventing sentinel events caused by family members.
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psnet.ahrq.gov/issue/safety-numbers-evidence-based-development-medicine-management-learning-tool
June 30, 2013 - September 6, 2017
A medication safety education program to reduce the risk of harm caused
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0653-131114.pdf
June 14, 2013 - This congenital, oral anomaly is typically caused by an unusually short and thick
lingual frenulum and
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psnet.ahrq.gov/issue/safety-and-reliability-pediatrics
December 06, 2011 - July 3, 2016
Lacerations and embedded needles caused by epinephrine autoinjector use