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psnet.ahrq.gov/issue/electronic-health-record-related-events-medical-malpractice-claims
April 03, 2018 - November 9, 2022
Death by 1,000 clicks: where electronic health records went wrong.
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psnet.ahrq.gov/issue/situ-simulation-adoption-new-technology-improve-sepsis-care-rural-emergency-departments
November 10, 2021 - April 27, 2022
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Related Resources
Risk factors for wrong-patient
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psnet.ahrq.gov/issue/analysis-iatrogenic-and-hospital-medication-errors-reported-united-states-poison-centers
November 28, 2018 - most common medication types involved in these errors, and the most common error types involved the wrong
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psnet.ahrq.gov/issue/engaging-ethnic-minority-consumers-improve-safety-cancer-services-national-stakeholder
September 15, 2021 - 25, 2020
More than words: patients' views on apology and disclosure when things go wrong
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psnet.ahrq.gov/issue/ethical-leadership-supports-safety-voice-increasing-risk-perception-and-reducing-ethical
September 14, 2022 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong
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psnet.ahrq.gov/issue/are-we-heeding-warning-signs-examining-providers-overrides-computerized-drug-drug-interaction
September 01, 2016 - January 7, 2015
Indication-based prescribing prevents wrong-patient medication errors
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psnet.ahrq.gov/issue/what-counts-voiceable-concern-decisions-about-speaking-out-hospitals-qualitative-study
June 16, 2021 - event (referred to as a “voiceable concern”) is influenced by four factors: certainty that something is wrong
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psnet.ahrq.gov/issue/how-often-do-prescribers-include-indications-drug-orders-analysis-4-million-outpatient
May 01, 2019 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient
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psnet.ahrq.gov/issue/physician-antipsychotic-overprescribing-letters-and-cognitive-behavioral-and-physical-health
March 05, 2025 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient
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psnet.ahrq.gov/issue/policy-based-intervention-reduction-communication-breakdowns-inpatient-surgical-care-results
January 04, 2010 - Related Resources
Using performance improvement to enhance time-out compliance and prevent wrong-site
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psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal
February 15, 2023 - October 21, 2020
Wrong-patient ordering errors in peripartum mother-newborn pairs: a
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psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
September 11, 2019 - August 28, 2024
WebM&M Cases
Root Cause Analysis Gone Wrong
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psnet.ahrq.gov/issue/perspectives-emergency-clinicians-about-medical-errors-resulting-patient-harm-or-malpractice
October 13, 2021 - Association of display of patient photographs in the electronic health record with wrong-patient
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psnet.ahrq.gov/issue/barcode-medication-administration-technology-use-hospital-practice-mixed-methods
December 07, 2022 - Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient
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psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study
October 16, 2013 - November 9, 2016
Electronic patient identification for sample labeling reduces wrong
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psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire
April 24, 2018 - December 19, 2018
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Related Resources
So many ways to be wrong
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psnet.ahrq.gov/issue/developing-surgical-and-anesthesia-resident-patient-safety-competencies-through-systems-based
August 03, 2017 - 2010
Assessment of the implementation of a national patient safety alert to reduce wrong
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psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans
January 02, 2017 - April 25, 2016
Errors upstream and downstream to the Universal Protocol associated with wrong
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psnet.ahrq.gov/issue/identification-priorities-improvement-medication-safety-primary-care-prioritize-study
October 05, 2016 - February 1, 2017
Understanding and responding when things go wrong: key principles for
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psnet.ahrq.gov/issue/correlation-between-hospital-finances-and-quality-and-safety-patient-care
January 12, 2022 - September 20, 2023
Wrong-patient blood transfusion error: leveraging technology to overcome