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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
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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/49598/psn-pdf
February 01, 2010 - Milpitas, CA), a web-based national medication error reporting system, received 2567 error
reports involving … Root Causes
Causes of errors involving patients' home medications include (i) failing to bring the medication … As a result,
involving the pharmacist as a resource or using Web-based subscription resources for tablet … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#figure
https://psnet.ahrq.gov//#figure
severity of errors 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
-
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
-
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
-
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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hcup-us.ahrq.gov/reports/statbriefs/sb233-Operating-Room-Procedures-United-States-2014.jsp
December 01, 2017 - The percentage of all inpatient stays involving operating room (OR) procedures and the percentage of … aggregate costs attributed to inpatient stays involving OR procedures are presented. … Findings
Characteristics of inpatient stays involving operating room procedures, 2014
Figure … Compared with stays without OR procedures, stays involving OR procedures were longer on average (5.1 … In 2014, inpatient stays involving OR procedures averaged 5.1 days in length with an average cost of
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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
-
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
-
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
-
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
-
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