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psnet.ahrq.gov/issue/design-reliability-barcoded-medication-administration
July 21, 2021 - 2021
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Related Resources
Preventing medication errors at small
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psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
March 15, 2022 - May 2, 2018
Implementing patient safety practices in small ambulatory care settings.
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psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
December 14, 2022 - September 27, 2016
Hidden medication loss when using a primary administration set for small-volume
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psnet.ahrq.gov/issue/avoidable-mistakes-rise-despite-hospital-efforts
September 27, 2016 - March 20, 2013
Small patients, big consequences in medical errors.
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psnet.ahrq.gov/issue/more-families-hear-apologies-following-medical-mistakes
June 28, 2006 - June 28, 2006
Small patients, big consequences in medical errors.
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psnet.ahrq.gov/issue/when-its-surgery-dont-get-it-wrong
August 18, 2010 - December 21, 2014
Safety on an inpatient pediatric otolaryngology service: many small
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psnet.ahrq.gov/issue/most-adverse-events-hospitals-still-go-unreported
September 05, 2012 - June 10, 2018
Small patients, big consequences in medical errors.
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psnet.ahrq.gov/issue/not-quite-fail-safe-computerizing-isnt-panacea-dangerous-drug-errors-study-shows
July 16, 2009 - June 17, 2014
Small patients, big consequences in medical errors.
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psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill
June 10, 2018 - June 26, 2013
Small effort, big payoff...automated maximum dose alerts with hard stops
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psnet.ahrq.gov/issue/sorry-still-hardest-word
June 16, 2014 - June 26, 2019
UK government to set up small claims scheme for medical mishaps.
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psnet.ahrq.gov/issue/preventing-medication-errors-21-billion-opportunity
December 03, 2008 - June 17, 2014
Small patients, big consequences in medical errors.
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psnet.ahrq.gov/issue/arrogant-abusive-and-disruptive-and-doctor
February 09, 2011 - February 9, 2011
Small patients, big consequences in medical errors.
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psnet.ahrq.gov/node/72618/psn-pdf
December 23, 2020 - For example, small changes to the way choices
https://psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions … Patel MS, Dat S, Small DS. et al. … Sharma S, Guttmann D, Small DS, et al.
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psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - The robotic surgery, he explained, would involve a few small incisions, performed by a surgeon seated … Like traditional laparoscopy, RAS uses small incisions and insufflation of the anatomical operative space … There is a small risk of temporary, and even permanent, nerve palsies from the extreme body positioning … December 2, 2020
WebM&M Cases
Nothing Called Small Surgery
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - For example, small changes to the way choices are presented and information is framed within the electronic … Patel MS, Dat S, Small DS. et al. … Sharma S, Guttmann D, Small DS, et al.
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psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - laryngoscopy and intubation proved extremely difficult as the posterior tongue mass, the size of a small … Long upper incisors, protuberant teeth Prominent overbite Inability to protrude mandible Small … mouth opening Large tongue or small pharynx Mallampati classification III or IV High, arched palate
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - by a separate team and ordered primarily to evaluate whether a ligamentous injury was present; the small … low molecular weight heparin is typically preferred after traumatic injury, but in the context of a small … reasonable option.13
Notably, it had already been started before the first MRI study that detected the small
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psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use-authorization
July 01, 2020 - March 11, 2020
Hidden medication loss when using a primary administration set for small-volume
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psnet.ahrq.gov/issue/va-patient-safety-program-cultural-perspective-four-medical-facilities
October 26, 2022 - October 3, 2017
Implementing a Program of Patient Safety in Small Rural Hospitals.
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psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards
February 09, 2022 - January 14, 2021
Hidden medication loss when using a primary administration set for small-volume