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psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
October 30, 2024 - Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart
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June 12, 2020
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - Emergency department crowding: A systematic review of causes, consequences, and solutions.
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psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
March 01, 2017 - others seek cues to determine desirable behavior.( 5 ) This means that small actions can have major consequences
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psnet.ahrq.gov/node/49447/psn-pdf
June 01, 2004 - Fortunately for this patient, this mistake did not cause her
adverse long-term clinical consequences
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psnet.ahrq.gov/web-mm/forgotten-drip
April 01, 2014 - Nutrition Error
May 26, 2021
WebM&M Cases
Consequences
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psnet.ahrq.gov/node/49862/psn-pdf
May 01, 2019 - environments by those who are unfamiliar with this imaging modality—at times with
serious, and even fatal, consequences
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psnet.ahrq.gov/node/60168/psn-pdf
March 25, 2020 - Documentation of a normal EKG in the wrong chart may have
unintended consequences as well.
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psnet.ahrq.gov/node/60547/psn-pdf
May 28, 2020 - to
implantable, life-saving devices.[1] Ineffective or unsafe medical devices can have detrimental
consequences
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psnet.ahrq.gov/node/836942/psn-pdf
April 27, 2022 - stable and was scheduled for close follow-up to assess for any
complications, including psychological consequences
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.179_slideshow.ppt
July 01, 2008 - Predictors and consequences of negative physician attitudes toward HIV-infected injection drug users.
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psnet.ahrq.gov/node/49845/psn-pdf
October 01, 2018 - Although drug shortages can have direct consequences—such as when a critical medication is unavailable
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.85_slideshow.ppt
March 01, 2005 - Has increased dramatically in recent years
Contributes to numerous negative health consequences
Source
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.338_slideshow.ppt
January 01, 2015 - Performance consequences of automation-induced "complacency." Internat J Aviat Psych. 1993;3:1-23.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.88_slideshow.ppt
March 01, 2005 - Has increased dramatically in recent years
Contributes to numerous negative health consequences
Source
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psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
March 04, 2020 - WebM&M Cases
Getting a Good Report Card: Unintended Consequences
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
December 23, 2020 - Inside the institute, the consequences of the incident reverberated broadly.
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - Sometimes their consequences are hidden, becoming apparent only when they occur in sequence with
http
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - If the incorrect dose was dispensed and administered but the patient experienced no clinical consequences
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psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - culture, many health care settings have been unable to
achieve it, as staff are often fearful of the consequences
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - Spinal anesthesia was reversed, and the patient was returned to her room and did not have any consequences