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psnet.ahrq.gov/node/34905/psn-pdf
February 25, 2009 - issue/quest-six-sigma
This discussion of patient safety from a surgical perspective highlights issues involving
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psnet.ahrq.gov/node/35372/psn-pdf
June 06, 2018 - paralyzed-mistakes-preventing-errors-neuromuscular-blocking-agents
This article provides examples of incidents involving
-
psnet.ahrq.gov/node/37720/psn-pdf
June 13, 2011 - deploying-med-reconciliation
This commentary describes how one medical center developed a medication reconciliation program
involving
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psnet.ahrq.gov/node/35683/psn-pdf
April 25, 2018 - ://psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
This article describes problems involving
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psnet.ahrq.gov/node/42865/psn-pdf
January 15, 2014 - This newspaper article reports on
diagnostic errors involving cancer—including common causes and patients
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psnet.ahrq.gov/node/37852/psn-pdf
May 02, 2018 - psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams
This article describes recommendations for involving
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psnet.ahrq.gov/node/40229/psn-pdf
January 01, 2017 - psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
This article reports on a court case of a pharmacy error involving
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psnet.ahrq.gov/node/40831/psn-pdf
October 05, 2011 -
https://psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
Reporting on a patient death involving
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psnet.ahrq.gov/node/36351/psn-pdf
October 27, 2010 - issue/when-bone-flap-hits-floor
The authors discuss the incidence, treatment, and outcomes of cases involving
-
psnet.ahrq.gov/node/38580/psn-pdf
April 22, 2009 - practising-safely-foundation-years
Through case scenarios, this commentary examines adverse events involving
-
psnet.ahrq.gov/node/39241/psn-pdf
March 05, 2010 - https://psnet.ahrq.gov/issue/dealing-honestly-honest-mistake
This case report describes a near miss involving
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psnet.ahrq.gov/node/39367/psn-pdf
April 16, 2018 - medication-errors-dosing-insulin-problems-across-continuum
This article analyzed 2685 event reports involving
-
psnet.ahrq.gov/node/42813/psn-pdf
December 04, 2016 - patient-stories-2013-time-change
This publication provides patient and family accounts of incidents involving
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psnet.ahrq.gov/node/35353/psn-pdf
July 16, 2009 - article reports on one hospital's use of failure modes and effects analysis (FMEA) to reduce errors
involving
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psnet.ahrq.gov/node/41315/psn-pdf
October 10, 2012 - ismp-international-medication-safety-self-assessment-oncology
https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
-
psnet.ahrq.gov/node/39577/psn-pdf
June 09, 2010 - ismp-medication-error-report-analysis-45
This monthly selection of error reports discusses incidents involving
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psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
October 12, 2016 - December 16, 2015
Patient safety incidents involving sick children in primary care in … December 15, 2021
A mixed-methods analysis of patient safety incidents involving opioid
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psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
December 21, 2017 - More
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Medication errors involving overrides of healthcare technology.
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psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
December 18, 2013 - October 5, 2016
A mixed-methods analysis of patient safety incidents involving opioid … November 11, 2020
Patient safety incidents involving sick children in primary care in
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psnet.ahrq.gov/issue/methods-studying-medication-safety-following-electronic-health-record-implementation-acute
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A mixed-methods analysis of patient safety incidents involving opioid … June 24, 2020
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