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psnet.ahrq.gov/issue/national-safety-effort-targets-perinatal-injuries
November 10, 2010 - February 9, 2022
WebM&M Cases
Lack of Sepsis Recognition Leads
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psnet.ahrq.gov/issue/rx-better-prescription-hospital-bans-doctors-using-confusing-medical-abbreviations
February 19, 2010 - November 4, 2020
Fear of Covid-19 leads other patients to decline critical treatment.
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psnet.ahrq.gov/issue/medical-errors-leave-devastating-impact-families-professionals
August 11, 2010 - November 4, 2015
Parkland knee surgery done by doctor in training leads to amputation
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psnet.ahrq.gov/issue/use-tall-man-letters-gaining-wide-acceptance
May 02, 2018 - May 5, 2018
Misprogramming PCA concentration leads to dosing errors.
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psnet.ahrq.gov/issue/clash-name-care
April 27, 2016 - September 1, 2011
Parkland knee surgery done by doctor in training leads to amputation
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psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-based-education
March 17, 2021 - Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads
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psnet.ahrq.gov/issue/effect-patient-safety-strategies-incidence-adverse-events
March 09, 2022 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads
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psnet.ahrq.gov/issue/incidence-accidental-awareness-during-general-anaesthesia-obstetrics-multicentre-prospective
December 10, 2024 - WebM&M Cases
Uterine Artery Injury during Cesarean Delivery Leads
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psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use-authorization
July 01, 2020 - December 16, 2020
Incorrect use of smart infusion pump in the operating room (OR) leads
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psnet.ahrq.gov/issue/sent-home-die
April 22, 2020 - July 29, 2020
Fear of Covid-19 leads other patients to decline critical treatment.
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psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong
April 03, 2019 - June 17, 2020
Fear of Covid-19 leads other patients to decline critical treatment.
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psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event
February 02, 2022 - September 29, 2017
WebM&M Cases
A Costly Colonoscopy Leads
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psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
September 25, 2019 - November 18, 2020
When medical care leads to harm—difficulty finding words: a teachable
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psnet.ahrq.gov/issue/oral-chemotherapy-we-simply-must-do-better
February 13, 2019 - June 10, 2018
Electronic prescribing vulnerabilities: height and weight mix-up leads
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psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
January 27, 2021 - August 11, 2021
Electronic prescribing vulnerabilities: height and weight mix-up leads
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psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
September 11, 2019 - September 14, 2016
Electronic prescribing vulnerabilities: height and weight mix-up leads
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psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass
May 05, 2021 - May 10, 2017
COVID-19 leads to increased need for dialysis machines.
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psnet.ahrq.gov/issue/improving-pathologists-communication-skills
May 18, 2022 - July 27, 2016
When diagnostic testing leads to harm: a new outcomes-based approach for
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psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients
February 01, 2023 - January 14, 2021
Incorrect use of smart infusion pump in the operating room (OR) leads
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psnet.ahrq.gov/issue/lewis-blackman-patient-safety-award
April 28, 2021 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads