-
psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - There are also
some economic drivers to shift the financial risk and exposure of financial consequences
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - increase in handoffs that comes with duty hour restrictions, has been one of the most striking unintended consequences … Cases
Fumbled Handoff
March 1, 2004
Potential unintended consequences
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psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - All these circumstances may lead to serious consequences without strong communication strategies to ensure … packing removed but I feel like there is something still inside me. "
The second case illustrates the consequences
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psnet.ahrq.gov/issue/exploring-harmful-effects-health-care
January 25, 2023 - Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences
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psnet.ahrq.gov/issue/apology-medical-practice-emerging-clinical-skill
October 25, 2006 - January 16, 2019
Development of a conceptual map of negative consequences for patients
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psnet.ahrq.gov/issue/origin-and-uses-primum-non-nocere-above-all-do-no-harm
January 09, 2019 - October 27, 2010
Fatal consequences of a simple mistake: how can a patient be saved from
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psnet.ahrq.gov/issue/individual-based-framework-study-medical-error
November 11, 2020 - 2016
Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences
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psnet.ahrq.gov/issue/annual-diagnostic-excellence-summit
May 09, 2024 - Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences
-
psnet.ahrq.gov/issue/systems-approach-error-prevention-medicine
February 15, 2017 - September 19, 2018
Development of a conceptual map of negative consequences for patients
-
psnet.ahrq.gov/issue/new-medical-errors-how-protect-yourself
June 09, 2021 - April 10, 2019
Medication errors during treatment with new oral anticancer agents: consequences
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psnet.ahrq.gov/issue/communication-medical-product-risk-how-effective-effective-enough
January 17, 2007 - April 24, 2019
Potential consequences of patient complications for surgeon well-being
-
psnet.ahrq.gov/issue/medical-device-associated-safety-and-risk-surveillance-and-stratagems
March 06, 2005 - 2021
"My whole room went into chaos because of that thing in the corner": unintended consequences
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psnet.ahrq.gov/issue/patient-safety-mindful-meaningful-and-fulfilling
October 20, 2021 - Lack of awareness of community-acquired adverse drug reactions upon hospital admission: dimensions and consequences
-
psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - (Go to table citation in the text)
Error Site Year Description and Consequences
An 18-year-old woman
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psnet.ahrq.gov/web-mm/troubling-amine
September 01, 2003 - Some unintended consequences of information technology in health care: the nature of patient care information
-
psnet.ahrq.gov/node/49521/psn-pdf
September 12, 2006 - Some unintended consequences of information technology in health care: the
nature of patient care information
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psnet.ahrq.gov/web-mm/resuscitate-or-not
November 01, 2011 - They may also fear the consequences that the error may have for them, including loss of status, disciplinary
-
psnet.ahrq.gov/node/49851/psn-pdf
January 01, 2019 - Fortunately, the patient did not experience
any adverse consequences from the use of the lidocaine for
-
psnet.ahrq.gov/web-mm/hazards-loading-doses
December 01, 2003 - It also shows how poor documentation of recommendations from consultants can lead to adverse consequences
-
psnet.ahrq.gov/node/49629/psn-pdf
June 01, 2011 - can be short-lived if the interdependencies among information
needs, communication processes, and consequences