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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/node/39057/psn-pdf
December 30, 2014 - Errors involving a missing dose clarification request, a related near miss, and
medication name confusion
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psnet.ahrq.gov/node/39429/psn-pdf
April 07, 2010 - Through a case discussion, this article explores ethical and clinical issues surrounding adverse events
involving
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psnet.ahrq.gov/node/35569/psn-pdf
April 29, 2018 - psnet.ahrq.gov/issue/fatal-misadministration-iv-vincristine
This alert responds to fatal medication errors involving
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psnet.ahrq.gov/node/41882/psn-pdf
November 28, 2012 - This commentary describes the design and initial test of a large-scale initiative to track incidents involving
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psnet.ahrq.gov/node/39189/psn-pdf
April 16, 2018 - neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors
This article discusses adverse incidents submitted to the Pennsylvania reporting system involving
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psnet.ahrq.gov/node/37149/psn-pdf
January 02, 2017 - author discusses strategies to improve medication safety and highlights interventions to prevent errors
involving
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hcup-us.ahrq.gov/reports/natstats/5proced.pdf
February 11, 2011 - Note: Figures are average charges for hospital stays involving these procedures and they
exclude auxiliary
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psnet.ahrq.gov/node/36594/psn-pdf
May 27, 2011 - psnet.ahrq.gov/issue/right-tech-dose-helps-medicine-go-down
The author describes some common mistakes involving
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psnet.ahrq.gov/node/42630/psn-pdf
June 10, 2018 - small-effort-big-payoffautomated-maximum-dose-alerts-hard-stops
This newsletter article relates three incidents involving
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psnet.ahrq.gov/node/38368/psn-pdf
July 30, 2015 - childrens-hospitals-solutions-patient-safety
This Web site provides resources related to a collaborative effort involving
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psnet.ahrq.gov/node/38020/psn-pdf
August 27, 2008 - psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-department
This commentary describes safety issues involving
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psnet.ahrq.gov/node/43267/psn-pdf
June 11, 2014 - protect-initiative-advancing-childrens-medication-safety
This Web site offers resources related to a collaborative involving
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psnet.ahrq.gov/node/39041/psn-pdf
October 21, 2009 - To illustrate the value of just culture implementation, this piece describes a hypothetical scenario involving
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hcup-us.ahrq.gov/reports/infographics/MaternalMorbidity2.pdf
September 06, 2018 - Source: HCUP Stat Brief #243: Trends and Disparities in Delivery Hospitalizations Involving Severe Maternal
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psnet.ahrq.gov/node/37058/psn-pdf
September 29, 2011 - preventable-errors-operating-room-retained-foreign-bodies-after-surgery-part-i
The authors discuss the history and evidence on errors involving
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psnet.ahrq.gov/node/33977/psn-pdf
April 06, 2011 - issue/beyond-organisational-accident-need-error-wisdom-frontline
This commentary uses a case study involving
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psnet.ahrq.gov/node/34948/psn-pdf
February 17, 2011 - issue/methicillin-resistant-staphylococcus-aureus-disease-three-communities
This surveillance project involving
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psnet.ahrq.gov/node/37231/psn-pdf
May 02, 2018 - fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives
This article summarizes an incident involving
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psnet.ahrq.gov/node/39952/psn-pdf
October 27, 2010 - specimen-labeling-errors-surgical-pathology-18-month-experience
Specimen labeling errors, most frequently involving