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  1. psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners
    August 24, 2016 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared
  2. psnet.ahrq.gov/issue/beware-basal-opioid-infusions-pca-therapy
    June 05, 2018 - Related Resources Leaving a discontinued FentaNYL infusion attached to the patient leads
  3. psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
    July 19, 2017 - April 26, 2023 Leaving a discontinued FentaNYL infusion attached to the patient leads
  4. 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.
  5. psnet.ahrq.gov/issue/quality-cancer-diagnosis
    April 08, 2008 - Improving Diagnostic Safety and Quality April 26, 2023 When diagnostic testing leads
  6. 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.
  7. psnet.ahrq.gov/issue/please-dont-sleep-through-wake-call
    June 04, 2014 - May 31, 2017 The absence of a drug–disease interaction alert leads to a child's death
  8. psnet.ahrq.gov/issue/administrative-compensation-medical-injuries-lessons-three-foreign-systems
    September 29, 2017 - February 27, 2019 Failed check system for chemotherapy leads to pharmacist's "no contest
  9. psnet.ahrq.gov/issue/adverse-outpatient-drug-events-problem-and-opportunity
    April 12, 2011 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared
  10. 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
  11. psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how
    March 05, 2013 - March 30, 2011 An anesthesiology department leads culture change at a hospital system
  12. psnet.ahrq.gov/issue/removing-me-md
    July 18, 2016 - February 8, 2023 View More Related Resources Unprofessional Behavior Leads
  13. psnet.ahrq.gov/issue/analysis-ismp-national-vaccine-errors-reporting-program-part-1-and-part-2
    July 08, 2015 - March 26, 2014 The absence of a drug–disease interaction alert leads to a child's death
  14. psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
    July 15, 2015 - April 3, 2018 When diagnostic testing leads to harm: a new outcomes-based approach for
  15. psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
    August 24, 2016 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared
  16. 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
  17. Psn-Pdf (pdf file)

    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
  18. psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-associated-age
    July 27, 2016 - Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared
  19. psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance
    July 10, 2017 - Radiology Reads in the Digital Era January 1, 2017 An anesthesiology department leads
  20. psnet.ahrq.gov/issue/comprehensive-collaborative-patient-safety-residency-curriculum-address-acgme-core
    October 06, 2011 - August 26, 2011 An anesthesiology department leads culture change at a hospital system

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