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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - The strategies employed in this study included implementing a standardized protocol for medication administration
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - Commission released the most common causes
of sentinel events related to opioid administrations which included
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - LAM is included in the group of proliferative lesions known as perivascular epithelioid cell tumors.
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - The infant required an increased level of care that included ventilator support, infusion of blood products
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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - Predictor variables included in the TIMI risk score*.( 9 ) • Age 65 years or older
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - unit coordinators, scrub technicians, or others who are part of the team, but who are frequently not included
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - These included storage issues in the pharmacy, an omitted second manual check or bar code scan before
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - medications that may require extra safeguards.( 14 ) Metoprolol tartrate and metoprolol succinate are included
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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - The often forgotten and most important part of the team---the patient--must be included, as the patient
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - Before arthroscopic surgery, she had been given postoperative instructions for ACL repair, which included
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - These included orders for type and frequency of blood tests, fetal monitoring, and surveillance of symptoms
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - factors ( Table 2 ).( 3 ) In a recent systematic review, contributing factors to wrong-site surgery included
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - the patient that identified him as a 68-year-old nursing home resident with shortness of breath and included
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psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - The debriefings in this case should have included efforts to determine whether the resident, the nurse
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psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - the use of "cheat sheets" and other handwritten reminders that are less likely to be systematically included
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psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - (s). 2
Unfortunately, details about the type and age of the patient’s titanium valve are not included
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psnet.ahrq.gov/web-mm/result-stopped-here
December 01, 2006 - imminent life-threatening condition.( 6 )
The law does not state which tests or test values should be included
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psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - anonymous questionnaire describing their most significant mistake and their response to it.( 13 ) Mistakes included
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - His pre-admission medication regimen was included on his discharge orders.
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psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
August 20, 2018 - initial presentation of this 88-year-old man, the differential diagnosis of the emergency physician included