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psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
January 12, 2022 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads
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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/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/failure-cap-iv-tubing-and-disinfect-iv-ports-place-patients-risk-infections
August 08, 2018 - May 7, 2018
Electronic prescribing vulnerabilities: height and weight mix-up leads to
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psnet.ahrq.gov/issue/misadministration-iv-insulin-associated-dose-measurement-and-hyperkalemia-treatment
August 24, 2016 - 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/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/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going
June 05, 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/fatal-outcome-after-inadvertent-injection-topical-epinephrine
May 07, 2018 - May 7, 2018
Failed check system for chemotherapy leads to pharmacist's "no contest" plea
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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/anticoagulant-safety-takes-center-stage-2007
May 02, 2018 - 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/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
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psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
May 07, 2018 - September 22, 2010
Electronic prescribing vulnerabilities: height and weight mix-up leads
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psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
June 10, 2018 - October 26, 2011
An anesthesiology department leads culture change at a hospital system
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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/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/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/growing-role-patient-safety-officer-implications-risk-managers
February 17, 2009 - January 15, 2014
When diagnostic testing leads to harm: a new outcomes-based approach
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psnet.ahrq.gov/issue/resolving-human-conflicts-when-questions-about-safety-medical-orders-arise
June 05, 2018 - March 11, 2020
Leaving a discontinued FentaNYL infusion attached to the patient leads
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psnet.ahrq.gov/issue/doctors-fear-criminalization-medical-mistakes
March 28, 2012 - February 20, 2019
Failed check system for chemotherapy leads to pharmacist's "no contest