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psnet.ahrq.gov/issue/opportunities-enhance-laboratory-professionals-role-diagnostic-team
April 13, 2022 - March 15, 2017
When diagnostic testing leads to harm: a new outcomes-based approach for
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psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
October 05, 2022 - September 6, 2017
When diagnostic testing leads to harm: a new outcomes-based approach
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psnet.ahrq.gov/issue/confusion-specimen-mix-dermatopathology-and-measures-prevent-and-detect-it
February 12, 2020 - February 2, 2022
When diagnostic testing leads to harm: a new outcomes-based approach
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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/eighth-annual-national-patient-safety-foundation-congress-conference-proceedings
November 29, 2017 - May 11, 2014
A medical error leads to tragedy: how do we inform the patient?
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psnet.ahrq.gov/issue/weighing-medication-safety
September 24, 2010 - August 29, 2011
Error in body weight estimation leads to inadequate parenteral anticoagulation
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psnet.ahrq.gov/issue/epidural-iv-route-mix-ups-reducing-risk-deadly-errors
May 02, 2018 - May 5, 2018
Misprogramming PCA concentration leads to dosing errors.
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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.
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psnet.ahrq.gov/issue/avoiding-care-during-pandemic-could-mean-life-or-death
April 09, 2014 - June 17, 2020
Fear of Covid-19 leads other patients to decline critical treatment.
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psnet.ahrq.gov/issue/coronavirus-strains-hospitals-cancer-patients-face-treatment-delays-uncertainty
April 27, 2016 - August 19, 2020
Fear of Covid-19 leads other patients to decline critical treatment.
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psnet.ahrq.gov/issue/failure-cap-iv-tubing-and-disinfect-iv-ports-place-patients-risk-infections
June 10, 2018 - November 16, 2015
Electronic prescribing vulnerabilities: height and weight mix-up leads
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psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
May 07, 2018 - June 10, 2018
Electronic prescribing vulnerabilities: height and weight mix-up leads
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psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
June 10, 2018 - April 4, 2018
The absence of a drug–disease interaction alert leads to a child's death
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psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room
July 08, 2015 - November 16, 2015
The absence of a drug–disease interaction alert leads to a child's
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psnet.ahrq.gov/issue/fda-advise-err-medication-errors-associated-cerebyx
May 02, 2018 - April 20, 2022
Failed check system for chemotherapy leads to pharmacist's "no contest
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psnet.ahrq.gov/issue/er-doctor-discusses-role-ebola-patients-initial-misdiagnosis
October 15, 2014 - August 11, 2010
Parkland knee surgery done by doctor in training leads to amputation,
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psnet.ahrq.gov/issue/screen-flashes-and-pop-reminders-alert-fatigue-spreads-through-medicine
August 05, 2015 - December 14, 2022
Leaving a discontinued FentaNYL infusion attached to the patient leads
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psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients
November 18, 2015 - September 27, 2016
The absence of a drug–disease interaction alert leads to a child's
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psnet.ahrq.gov/issue/preventing-diagnostic-errors-primary-care
July 02, 2014 - April 3, 2018
When diagnostic testing leads to harm: a new outcomes-based approach for
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psnet.ahrq.gov/issue/quality-indicators-detect-pre-analytical-errors-laboratory-testing
December 21, 2016 - October 9, 2013
When diagnostic testing leads to harm: a new outcomes-based approach