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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/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/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/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-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/node/49675/psn-pdf
February 01, 2013 - Delay in Treatment: Failure to Contact Patient Leads to
Significant Complications
February 1, 2013 … Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. … https://psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications … and again no one answered the
https://psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
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psnet.ahrq.gov/issue/assessment-quality-data-provided-pap-test-requisitions-implications-quality-care-and-patient
March 15, 2017 - July 27, 2016
When diagnostic testing leads to harm: a new outcomes-based approach for
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psnet.ahrq.gov/issue/eric-cropp-weighs-error-sent-him-prison
May 07, 2018 - September 27, 2016
Failed check system for chemotherapy leads to pharmacist's "no contest
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psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
September 14, 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/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety
February 13, 2019 - June 30, 2021
Electronic prescribing vulnerabilities: height and weight mix-up leads
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psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture
July 01, 2017 - August 29, 2011
An anesthesiology department leads culture change at a hospital system
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psnet.ahrq.gov/issue/rate-and-costs-attributable-intravenous-patient-controlled-analgesia-errors
April 29, 2010 - June 16, 2019
Misprogramming PCA concentration leads to dosing errors.
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psnet.ahrq.gov/issue/identifying-medical-errors-developing-consensus-classifications-and-consequences
July 14, 2010 - August 29, 2011
Error in body weight estimation leads to inadequate parenteral anticoagulation
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psnet.ahrq.gov/issue/piece-my-mind-speak
September 30, 2015 - June 3, 2020
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Related Resources
Unprofessional Behavior Leads
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psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription
September 20, 2011 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared
-
psnet.ahrq.gov/issue/are-you-listeningare-you-really-listening
December 04, 2016 - Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads
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psnet.ahrq.gov/issue/removing-me-md
July 18, 2016 - February 8, 2023
View More
Related Resources
Unprofessional Behavior Leads
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psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
January 14, 2019 - May 4, 2022
WebM&M Cases
Saline Flush Leads to Acute
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psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use-non-profiled
May 07, 2014 - June 10, 2018
Misprogramming PCA concentration leads to dosing errors.