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psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
March 03, 2011 - Mortality database over a 1-year period, researchers fully audited 3422 deaths and identified 226 cases involving … A WebM&M commentary discussed an incident involving a diagnostic error in which a patient was taken
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psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health
September 12, 2018 - A previous WebM&M commentary discussed an incident involving a diagnostic error. … September 12, 2018
Root cause analysis of cases involving diagnosis.
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psnet.ahrq.gov/issue/circumstances-involved-unsupervised-solid-dose-medication-exposures-among-young-children
February 23, 2018 - Incidents were equally divided among calls involving prescription-only medications, over-the-counter … involved medication that had been removed from the original container; this was more likely in incidents involving
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psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety
March 13, 2013 - accountability, discusses why enforcement of safety standards tends to be lax (particularly in cases involving … They also offer suggested penalties (mostly involving suspension of clinical privileges) for repeated
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psnet.ahrq.gov/issue/ambiguous-abbreviations-audit-abbreviations-paediatric-note-keeping
November 16, 2022 - 20, 2018
Quality improvement and patient care checklists in intrahospital transfers involving … View More
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Medication errors and error chains involving
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psnet.ahrq.gov/issue/challenge-competency-assessment-late-career-practitioner
July 15, 2020 - Related Resources From the Same Author(s)
A description of medical malpractice claims involving … View More
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A description of medical malpractice claims involving
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psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics
April 21, 2021 - November 3, 2021
Medical malpractice lawsuits involving trainees in obstetrics and gynecology … November 30, 2016
Disclosure of medical errors involving gametes and embryos.
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psnet.ahrq.gov/node/49586/psn-pdf
May 01, 2009 - Vial Mistakes Involving Heparin
May 1, 2009
Vanderveen T. Vial Mistakes Involving Heparin. … https://psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
The Case
A 65-year-old man was admitted … The Commentary
This heparin error is similar to two highly publicized heparin concentration mix-ups involving … Cedars-Sinai Hospital, Dennis Quaid's newborn twins also were
https://psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin … Establish policies and procedures to immediately communicate any heparin product substitution
involving
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psnet.ahrq.gov/issue/massachusetts-coalition-prevention-medical-errors
February 05, 2014 - January 30, 2019
How will state medical boards handle cases involving disclosure and … June 24, 2015
Human-based errors involving smart infusion pumps: a catalog of error types
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psnet.ahrq.gov/issue/association-simulation-training-rates-medical-malpractice-claims-among-obstetrician
December 02, 2020 - September 13, 2017
An examination of medical malpractice claims involving physician trainees … 2020
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Medical malpractice lawsuits involving
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psnet.ahrq.gov/issue/patient-safety-indicators-judging-hospital-performance-still-not-ready-prime-time
December 22, 2021 - August 20, 2018
An examination of medical malpractice claims involving physician trainees … August 19, 2020
Gender bias in risk management reports involving physicians in training
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psnet.ahrq.gov/issue/errors-prevented-and-associated-bar-code-medication-administration-systems
October 16, 2019 - December 14, 2022
Harmful medication errors involving unfractionated and low-molecular-weight … January 5, 2017
Medication errors involving pediatric patients.
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psnet.ahrq.gov/issue/interpretive-diagnostic-error-reduction-surgical-pathology-and-cytology-guideline-college
February 10, 2012 - pathology and cytology case reviews to determine recommendations to improve diagnostic accuracy , such as involving … September 28, 2010
Identification errors involving clinical laboratories: a College of
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psnet.ahrq.gov/issue/implementation-communication-didactics-obgyn-residents-disclosure-adverse-perioperative
July 21, 2021 - March 17, 2021
Gender bias in risk management reports involving physicians in training … May 17, 2023
Medical malpractice lawsuits involving trainees in obstetrics and gynecology
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psnet.ahrq.gov/issue/analysis-paediatric-long-term-ventilation-incidents-community
November 06, 2024 - September 2, 2020
Reporting incidents involving the use of advanced medical technologies … 15, 2020
Safer healthcare at home: detecting, correcting and learning from incidents involving
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psnet.ahrq.gov/issue/safety-information-patients-and-families
February 05, 2014 - November 29, 2012
How will state medical boards handle cases involving disclosure and … June 24, 2015
Human-based errors involving smart infusion pumps: a catalog of error types
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psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and-strategies-prevention
March 27, 2018 - January 11, 2017
Medication errors involving overrides of healthcare technology. … December 19, 2016
Medication errors involving healthcare students.
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psnet.ahrq.gov/issue/perspective-malpractice-academic-medical-center-frequently-overlooked-aspect-professionalism
April 03, 2024 - 2018
View More
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Medical malpractice lawsuits involving … January 20, 2021
An examination of medical malpractice claims involving physician trainees
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psnet.ahrq.gov/issue/prescribing-errors-cause-harm
March 30, 2016 - Copy Citation
Related Resources From the Same Author(s)
Medication errors involving … October 7, 2015
Medication errors involving overrides of healthcare technology.
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psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-pennsylvania
April 17, 2017 - December 19, 2016
Medication errors involving healthcare students. … March 30, 2016
Medication errors involving overrides of healthcare technology.