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psnet.ahrq.gov/node/38605/psn-pdf
June 16, 2019 - selection of reports discusses an error involving the routing of a printed label in the pharmacy,
describes
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psnet.ahrq.gov/node/40298/psn-pdf
May 13, 2019 - /improving-patient-safety-radiation-oncology
This commentary discusses radiation safety issues and describes
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psnet.ahrq.gov/node/38390/psn-pdf
June 16, 2019 - selection of medication error reports includes information about the risks of cutting medication
patches, describes
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psnet.ahrq.gov/node/41259/psn-pdf
June 27, 2022 - making-health-care-safer-stopping-c-difficile-infections
This newsletter article and accompanying set of infographics describes
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psnet.ahrq.gov/node/38107/psn-pdf
June 16, 2019 - /issue/ismp-medication-error-report-analysis-29
This monthly selection of medication error reports describes
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psnet.ahrq.gov/node/50901/psn-pdf
February 12, 2020 - https://psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
This commentary describes cognitive errors
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psnet.ahrq.gov/node/40647/psn-pdf
February 20, 2019 - psnet.ahrq.gov/issue/too-many-abandon-second-victims-medical-errors
This piece discusses second victims and describes
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psnet.ahrq.gov/node/60737/psn-pdf
July 29, 2020 - psnet.ahrq.gov/issue/second-victim-support-programs-healthcare-organizations
This literature review describes
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psnet.ahrq.gov/node/865979/psn-pdf
May 29, 2024 - This article describes the factors that contribute to overdiagnosis of myocardial
infarction in emergency
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psnet.ahrq.gov/node/854393/psn-pdf
October 11, 2023 - This
article describes the impacts of pharmacist involvement, including lower hospital readmissions
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psnet.ahrq.gov/node/60754/psn-pdf
August 05, 2020 - https://psnet.ahrq.gov/issue/covid-blindness
This editorial describes one clinician’s experience treating
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psnet.ahrq.gov/node/39361/psn-pdf
June 16, 2019 - ismp-medication-error-report-analysis-42
This monthly article discusses incidents involving dosing errors and describes
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psnet.ahrq.gov/node/73542/psn-pdf
July 28, 2021 - This
article describes existing efforts to examine diagnostic error through reporting and highlights
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psnet.ahrq.gov/node/60302/psn-pdf
May 06, 2020 - psnet.ahrq.gov/issue/fighting-against-covid-19-innovative-strategies-clinical-pharmacists
This article describes
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psnet.ahrq.gov/node/50939/psn-pdf
February 26, 2020 - https://psnet.ahrq.gov/issue/homecare-safety-virtual-quality-improvement-collaboratives
This article describes
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psnet.ahrq.gov/node/852289/psn-pdf
August 09, 2023 - This series describes
how diversion contributed to unnecessary pain in fertility clinic patients.
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psnet.ahrq.gov/node/48131/psn-pdf
August 14, 2019 - psnet.ahrq.gov/issue/teaching-nurses-make-clinical-judgments-ensure-patient-safety
This commentary describes
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psnet.ahrq.gov/node/60710/psn-pdf
July 22, 2020 - https://psnet.ahrq.gov/issue/lessons-walking-medical-distancing-tightrope
This commentary describes
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psnet.ahrq.gov/node/39271/psn-pdf
February 03, 2010 - antidote-medical-errors
This feature article explains how cognitive errors contribute to medical mistakes and describes
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psnet.ahrq.gov/node/34856/psn-pdf
March 07, 2005 - psnet.ahrq.gov/issue/horror-awakening-during-surgery
A patient shares her story of awakening during surgery and describes