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psnet.ahrq.gov/issue/best-practices-safe-medication-administration-during-anesthesia-care
July 05, 2016 - September 30, 2020
Incorrect use of smart infusion pump in the operating room (OR) leads
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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/when-health-care-moves-online-many-patients-are-left-behind
August 19, 2020 - June 17, 2020
Fear of Covid-19 leads other patients to decline critical treatment.
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psnet.ahrq.gov/issue/what-interventions-could-reduce-diagnostic-error-emergency-departments-review-evidence
November 25, 2020 - April 3, 2018
When diagnostic testing leads to harm: a new outcomes-based approach for
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psnet.ahrq.gov/issue/implicit-racial-bias-pediatric-orthopaedic-surgery
September 21, 2022 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads
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psnet.ahrq.gov/issue/engineering-foundation-partnership-improve-medication-safety-during-care-transitions
July 20, 2022 - Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads
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psnet.ahrq.gov/issue/using-simulation-improve-root-cause-analysis-adverse-surgical-outcomes
May 19, 2021 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads
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psnet.ahrq.gov/issue/preventable-closed-claims-aana-foundation-closed-malpractice-claims-database
March 11, 2020 - August 24, 2022
WebM&M Cases
Saline Flush Leads to Acute
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psnet.ahrq.gov/issue/linking-joint-commission-inpatient-core-measures-and-national-patient-safety-goals-evidence
October 19, 2022 - March 2, 2011
An anesthesiology department leads culture change at a hospital system
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psnet.ahrq.gov/issue/interventions-engage-patients-and-families-patient-safety-systematic-review
March 04, 2020 - Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads
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psnet.ahrq.gov/issue/errors-administration-intravenous-medication-brazilian-hospitals
October 05, 2022 - August 11, 2014
Error in body weight estimation leads to inadequate parenteral anticoagulation
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psnet.ahrq.gov/issue/preoperative-multidisciplinary-team-huddle-improves-communication-and-safety-unscheduled
October 19, 2022 - WebM&M Cases
Uterine Artery Injury during Cesarean Delivery Leads
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psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-blaming-attitudes
September 07, 2022 - December 16, 2020
Incorrect use of smart infusion pump in the operating room (OR) leads
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psnet.ahrq.gov/issue/limits-opioid-prescribing-leave-patients-chronic-pain-vulnerable
March 27, 2019 - September 23, 2020
When a vital sign leads a country astray—the opioid epidemic.
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psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem
October 19, 2022 - 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/computerized-physician-order-entry-injectable-antineoplastic-drugs-epidemiologic-study
October 19, 2022 - May 11, 2019
Electronic prescribing vulnerabilities: height and weight mix-up leads to
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psnet.ahrq.gov/issue/im-smiling-under-here-masks-plexiglass-and-questions-norm-hospitals-lure-patients-back-covid
June 24, 2020 - June 17, 2020
Fear of Covid-19 leads other patients to decline critical treatment.
-
psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
September 01, 2021 - Resources
WebM&M Cases
Failure to Ensure Patient Safety Leads
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psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
October 05, 2022 - December 16, 2011
Error in body weight estimation leads to inadequate parenteral anticoagulation
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psnet.ahrq.gov/issue/new-us-health-crisis-looms-patients-without-covid-19-delay-care
July 29, 2020 - June 17, 2020
Fear of Covid-19 leads other patients to decline critical treatment.