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psnet.ahrq.gov/issue/interruptions-during-delivery-high-risk-medications
September 26, 2016 - February 3, 2021
Electronic prescribing vulnerabilities: height and weight mix-up leads
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psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help
June 15, 2012 - WebM&M Cases
Uterine Artery Injury during Cesarean Delivery Leads
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psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement
January 28, 2009 - WebM&M Cases
Uterine Artery Injury during Cesarean Delivery Leads
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psnet.ahrq.gov/issue/identifying-organizational-cultures-promote-patient-safety
June 16, 2011 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads
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psnet.ahrq.gov/issue/crises-clinical-care-approach-management
March 23, 2011 - WebM&M Cases
Uterine Artery Injury during Cesarean Delivery Leads
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psnet.ahrq.gov/issue/differences-day-and-night-shift-clinical-performance-anesthesiology
September 29, 2017 - Related Resources
WebM&M Cases
Sleep Deprivation Leads
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psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
September 29, 2017 - Download Citation
Related Resources From the Same Author(s)
When medical care leads
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psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2
November 16, 2015 - June 15, 2022
The absence of a drug–disease interaction alert leads to a child's death
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psnet.ahrq.gov/issue/using-enhanced-oral-chemotherapy-computerized-provider-order-entry-system-reduce-prescribing
October 20, 2014 - May 11, 2019
Electronic prescribing vulnerabilities: height and weight mix-up leads to
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psnet.ahrq.gov/issue/academic-year-end-transfers-outpatients-outgoing-incoming-residents-unaddressed-patient
January 27, 2016 - March 30, 2011
An anesthesiology department leads culture change at a hospital system
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psnet.ahrq.gov/issue/measuring-errors-surgical-pathology-real-life-practice-defining-what-does-and-does-not-matter
January 14, 2011 - September 27, 2017
When diagnostic testing leads to harm: a new outcomes-based approach
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psnet.ahrq.gov/issue/understanding-safer-practices-health-care-prologue-role-indicators
May 07, 2008 - November 21, 2012
Learning through simulated independent practice leads to better future
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psnet.ahrq.gov/issue/using-multidisciplinary-rounds-improve-patient-safety-through-venous-thromboembolism
April 20, 2016 - Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads
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psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
April 14, 2011 - March 2, 2011
An anesthesiology department leads culture change at a hospital system
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psnet.ahrq.gov/issue/greatest-impact-safe-harbor-rule-may-be-improve-patient-safety-not-reduce-liability-claims
July 05, 2017 - December 21, 2022
When a vital sign leads a country astray—the opioid epidemic.
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psnet.ahrq.gov/issue/good-catch-campaign-improving-perioperative-culture-safety
April 24, 2018 - June 9, 2021
WebM&M Cases
Lack of Sepsis Recognition Leads
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psnet.ahrq.gov/issue/when-systems-fail
February 10, 2011 - April 14, 2021
Error in body weight estimation leads to inadequate parenteral anticoagulation
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psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
May 25, 2011 - March 23, 2011
An anesthesiology department leads culture change at a hospital system
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psnet.ahrq.gov/issue/novel-approach-implementation-quality-and-safety-programmes-anaesthesiology
January 15, 2014 - March 1, 2011
An anesthesiology department leads culture change at a hospital system
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psnet.ahrq.gov/issue/always-having-say-youre-sorry-ethical-response-making-mistakes-professional-practice
September 09, 2011 - February 22, 2017
A medical error leads to tragedy: how do we inform the patient?