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psnet.ahrq.gov/issue/sick-children-face-potentially-deadly-danger-medication-errors
September 02, 2009 - May 19, 2018
Failed check system for chemotherapy leads to pharmacist's "no contest"
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psnet.ahrq.gov/issue/building-case-medication-reconciliation
June 10, 2018 - November 2, 2022
The absence of a drug–disease interaction alert leads to a child's death
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psnet.ahrq.gov/issue/accidental-overdoses-involving-fluorouracil-infusions
July 08, 2015 - June 10, 2018
Selection of incorrect medication pump leads to chemotherapy overdose.
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psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention
May 07, 2018 - June 30, 2021
Electronic prescribing vulnerabilities: height and weight mix-up leads
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psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology
March 18, 2010 - June 10, 2018
Misprogramming PCA concentration leads to dosing errors.
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psnet.ahrq.gov/issue/your-attention-please-designing-effective-warnings
February 24, 2016 - April 29, 2018
Misprogramming PCA concentration leads to dosing errors.
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psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
March 28, 2012 - March 7, 2012
Parkland knee surgery done by doctor in training leads to amputation, questions
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psnet.ahrq.gov/issue/fda-advise-err-prevent-dangerous-drug-device-interaction-causing-falsely-elevated-glucose
May 02, 2018 - May 5, 2018
Misprogramming PCA concentration leads to dosing errors.
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psnet.ahrq.gov/issue/ongoing-preventable-fatal-events-fentanyl-transdermal-patches-are-alarming
May 07, 2018 - April 29, 2018
Misprogramming PCA concentration leads to dosing errors.
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psnet.ahrq.gov/issue/most-crucial-half-hour-hospital-shift-change
August 17, 2016 - Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads
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psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious-adverse-drug-events
June 10, 2018 - May 5, 2018
Misprogramming PCA concentration leads to dosing errors.
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psnet.ahrq.gov/issue/hospital-safety-records-ceo-pay-increasingly-linked
March 03, 2010 - November 23, 2016
Parkland knee surgery done by doctor in training leads to amputation
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psnet.ahrq.gov/issue/people-disabilities-fear-pandemic-will-worsen-medical-biases
April 27, 2016 - April 17, 2019
COVID-19 leads to increased need for dialysis machines.
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psnet.ahrq.gov/issue/i-cant-turn-my-brain
December 14, 2016 - December 14, 2016
Fear of Covid-19 leads other patients to decline critical treatment
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psnet.ahrq.gov/issue/physicians-role-patient-safety-whats-it-me
May 29, 2019 - 26, 2022
View More
Related Resources
Unprofessional Behavior Leads
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psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond
December 09, 2020 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared
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psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
January 27, 2021 - October 21, 2021
Electronic prescribing vulnerabilities: height and weight mix-up leads
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psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts
November 18, 2020 - September 23, 2020
Incorrect use of smart infusion pump in the operating room (OR) leads
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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/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