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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/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism
November 16, 2022 - Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads
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psnet.ahrq.gov/issue/multidisciplinary-system-detecting-medication-errors-antineoplastic-chemotherapy
March 09, 2022 - May 11, 2019
Electronic prescribing vulnerabilities: height and weight mix-up leads to
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psnet.ahrq.gov/issue/call-shift-fatigue-and-use-countermeasures-and-avoidance-strategies-certified-registered
March 15, 2023 - Related Resources
WebM&M Cases
Sleep Deprivation Leads
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psnet.ahrq.gov/issue/inpatients-notes-sensemaking-fostering-shared-understanding-clinical-teams
November 25, 2020 - November 1, 2023
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Related Resources
Unprofessional Behavior Leads
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psnet.ahrq.gov/issue/patient-safety-and-quality-care
April 01, 2020 - January 15, 2017
When diagnostic testing leads to harm: a new outcomes-based approach
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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/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
May 18, 2022 - Implementing an interprofessional patient safety learning initiative: insights from participants, project 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/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/diffusing-aviation-innovations-hospital-netherlands
August 12, 2020 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads
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psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events
November 04, 2020 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads
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psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-best-practices
February 12, 2020 - November 17, 2021
Leaving a discontinued FentaNYL infusion attached to the patient leads
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psnet.ahrq.gov/issue/national-survey-safe-practice-epidural-analgesia-obstetric-units
July 28, 2021 - Related Resources
WebM&M Cases
Sleep Deprivation Leads
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psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
May 18, 2022 - March 29, 2023
Incorrect use of smart infusion pump in the operating room (OR) leads
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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/impact-electronic-health-records-diagnosis
May 19, 2019 - April 3, 2018
When diagnostic testing leads to harm: a new outcomes-based approach for
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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/safety-considerations-challenges-when-using-smart-infusion-pumps
October 26, 2022 - May 3, 2023
The absence of a drug–disease interaction alert leads to a child's death.
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psnet.ahrq.gov/issue/reminder-pay-attention-appearance-your-medicines
September 09, 2015 - March 6, 2018
Selection of incorrect medication pump leads to chemotherapy overdose.