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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
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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
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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
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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/quality-cancer-diagnosis
April 08, 2008 - Improving Diagnostic Safety and Quality
April 26, 2023
When diagnostic testing leads
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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.
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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
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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
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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
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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/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
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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/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
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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
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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
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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/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/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
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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
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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