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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - Rural Hospital
June 1, 2018
WebM&M Cases
Consequences
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psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - WebM&M Cases
To Dilute or Not Dilute: Drug Errors and Consequences
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psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
February 20, 2019 - Some unintended consequences of clinical decision support systems.
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - epidural and 1 in 220,000 for spinal anesthetics.( 7 ) Even though the complication is unusual, the consequences—often
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psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
August 21, 2024 - Quality
April 26, 2023
WebM&M Cases
The Consequences
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psnet.ahrq.gov/web-mm/deciphering-code
November 16, 2022 - Some unintended consequences of information technology in health care: the nature of patient care information
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - The pediatric patient in this case did not experience any long-term consequences, but the feeding tube
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - esoteric when
considering a real case such as the one presented here, they have very real clinical consequences
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - appropriate backdrop to discuss defensive medicine more broadly and outline the associated costs and consequences
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psnet.ahrq.gov/web-mm/painful-dilemma
September 01, 2013 - drug-taking behaviors—such as loss of control over use, continued use despite knowledge of harmful consequences
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psnet.ahrq.gov/node/49663/psn-pdf
September 01, 2012 - delayed recognition of
catheter infection by inexperienced staff, until the development of serious consequences
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psnet.ahrq.gov/node/33722/psn-pdf
December 01, 2011 - They understand the consequences of an injurious patient fall, that it can be life
altering and life
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psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - test as a potential alert and
the selection of panic thresholds for that test depend on the clinical consequences
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psnet.ahrq.gov/node/49799/psn-pdf
July 01, 2017 - The true
consequences of false-positive results. JAMA. 1991;265:365-369. [go to PubMed]
7.
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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - transfusion of multiple units of blood, and
fortunately the injury was repaired before more serious consequences
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psnet.ahrq.gov/node/49621/psn-pdf
March 01, 2011 - care unit but did not
https://psnet.ahrq.gov/web-mm/volume-too-low-and-out
experience any long-term consequences
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psnet.ahrq.gov/node/49678/psn-pdf
March 01, 2013 - This system has failed and
will continue to fail—sometimes with disastrous consequences.
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - recommendations on the use of opioids for the treatment of chronic pain, resulting in some unintended consequences
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - The extent and importance of unintended consequences related to computerized provider order entry.
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - WebM&M Cases
To Dilute or Not Dilute: Drug Errors and Consequences