-
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?
-
psnet.ahrq.gov/issue/weighing-medication-safety
September 24, 2010 - August 29, 2011
Error in body weight estimation leads to inadequate parenteral anticoagulation
-
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
-
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
-
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
-
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
-
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.
-
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.
-
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.
-
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.
-
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
-
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,
-
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
-
psnet.ahrq.gov/issue/seattle-pilots-misdiagnosis-highlights-challenges-around-coronavirus-testing
March 21, 2007 - August 5, 2020
Fear of Covid-19 leads other patients to decline critical treatment.
-
psnet.ahrq.gov/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors
September 01, 2016 - November 23, 2016
WebM&M Cases
Lapse in Antibiotics Leads
-
psnet.ahrq.gov/issue/adoption-electronic-medical-record-technology-order-prevent-medical-errors-matter-american
March 07, 2018 - August 8, 2018
Unprofessional Behavior Leads to Complications.
-
psnet.ahrq.gov/issue/taking-charge-your-healthcare-your-path-being-empowered-patient
May 24, 2017 - Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads
-
psnet.ahrq.gov/issue/resolving-human-conflicts-when-questions-about-safety-medical-orders-arise
June 05, 2018 - June 26, 2013
Leaving a discontinued FentaNYL infusion attached to the patient leads
-
psnet.ahrq.gov/issue/you-can-say-sorry
February 25, 2009 - March 3, 2011
A medical error leads to tragedy: how do we inform the patient?
-
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