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psnet.ahrq.gov/issue/comparison-internal-medicine-and-general-surgery-residents-assessments-risk-postsurgical
September 27, 2017 - Insertion Leads to Cardiac Arrest
January 26, 2022
Educational targets to reduce medication … errors by general surgery residents.
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psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
May 24, 2012 - March 17, 2010
Comparison of intensive care unit medication errors reported to the United
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psnet.ahrq.gov/issue/crisis-management-during-anaesthesia-development-anaesthetic-crisis-management-manual
June 23, 2015 - April 24, 2018
Computerised physician order entry-related medication errors: analysis
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psnet.ahrq.gov/issue/impact-national-qi-programme-reducing-electronic-health-record-notifications-clinicians
February 24, 2021 - electronic health records (EHRs) contributes to primary care physician burnout and can increase medication … errors .
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psnet.ahrq.gov/issue/how-health-systems-decide-use-artificial-intelligence-clinical-decision-support
March 30, 2022 - May 19, 2021
A systematic review on pediatric medication errors by parents or caregivers
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psnet.ahrq.gov/issue/strengths-and-weaknesses-working-global-trigger-tool-method-retrospective-record-review-focus
March 24, 2012 - March 16, 2011
Characteristics of medication errors and adverse drug events in hospitals
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psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative
December 16, 2015 - 2019
Nurses' safety motivation: examining predictors of nurses' willingness to report medication … errors.
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psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
October 19, 2022 - July 17, 2024
Nurses' perspectives on medication errors and prevention strategies in
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psnet.ahrq.gov/issue/development-and-expression-high-reliability-organization
November 03, 2021 - January 11, 2017
How effective are electronic medication systems in reducing medication … error rates and associated harm among hospital inpatients?
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psnet.ahrq.gov/issue/relationship-between-quality-care-and-negligence-litigation-nursing-homes
September 07, 2011 - December 22, 2010
Medication error reporting in nursing homes: identifying targets for
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psnet.ahrq.gov/issue/framework-direct-observation-performance-and-safety-healthcare
November 15, 2023 - April 12, 2017
Infusion medication error reduction by two-person verification: a quality
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psnet.ahrq.gov/issue/quality-and-safety-pediatric-anesthesia-how-can-guidelines-checklists-and-initiatives-improve
December 11, 2024 - October 1, 2014
Infusion medication error reduction by two-person verification: a quality
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psnet.ahrq.gov/issue/risk-care-plans-way-reduce-readmissions-and-adverse-events
October 27, 2010 - April 22, 2015
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/patient-data-outage-exposes-risks-electronic-medical-records
June 27, 2018 - March 27, 2018
Medication errors in older people with mental health problems: a review
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psnet.ahrq.gov/issue/hospitals-collaborate-prevent-wrong-site-surgery
November 28, 2018 - April 16, 2018
Medication errors with the dosing of insulin: problems across the continuum
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psnet.ahrq.gov/issue/critical-care-safety-essentials-icu-patient-care-and-technology
March 10, 2021 - September 19, 2016
Serious medication errors from intravenous administration of nimodipine
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psnet.ahrq.gov/issue/quality-care-and-information-technology
September 27, 2017 - February 1, 2023
Medication errors in overweight and obese pediatric patients: a systematic
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psnet.ahrq.gov/issue/walk-inside-have-surgery-it-safe
January 02, 2008 - January 2, 2008
Health literacy, medication errors, and health outcomes: is there a relationship
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psnet.ahrq.gov/issue/another-fatal-failure-kingdrew
May 03, 2017 - May 18, 2005
Scanning out medication errors: Ohio Valley Hospital's automated IV system
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psnet.ahrq.gov/node/49467/psn-pdf
December 01, 2004 - A "Weak" Response
December 1, 2004
Reisman AB. A "Weak" Response. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/weak-response
The Case
A primary care physician on call for his group received a call at 9:00PM from a 68-year-old man. He said,
"They started me on a new pill for my blood pressure and now I fe…