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psnet.ahrq.gov/web-mm/check-twice-transport-once
March 15, 2023 - These errors include transporting the wrong patient, transporting to the wrong location, communication … consequences of these errors include patient harm, delays in care, increased healthcare costs, and “wrong … July 8, 2009
WebM&M Cases
Right Place, Right Drug, Wrong
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psnet.ahrq.gov/issue/medical-mystery-alcoholism-didnt-cause-mans-diabetes-and-cirrhosis
July 06, 2011 - Copy Citation
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The pain of wrong … May 28, 2014
Misdiagnosis is more common than drug errors or wrong-site surgery.
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psnet.ahrq.gov/issue/video-games-can-help-cut-surgical-errors
January 23, 2008 - August 17, 2016
5 cataract surgeries, 5 people blinded: what went wrong? … November 14, 2011
When surgery goes wrong: weighing up the risks.
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - against anesthesia providers are due to medication errors. 6 Most of these errors occurred when the wrong … dose (31%) or wrong drug (24%) was administered. 6 In this case, the error occurred when the wrong … concentration of drug was prepared, and therefore the wrong dose was given. … April 15, 2020
5 cataract surgeries, 5 people blinded: what went wrong?
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psnet.ahrq.gov/issue/harm-prevalence-due-medication-errors-involving-high-alert-medications-systematic-review
June 19, 2024 - June 30, 2021
Wrong drug and wrong dose dispensing errors identified in pharmacist professional
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psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global-paediatric-emergency
December 16, 2020 - Related Resources
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psnet.ahrq.gov/issue/cancelrx-health-it-tool-reduce-medication-discrepancies-outpatient-setting
March 23, 2022 - WebM&M Cases
Multiple Levels Involved in Prescribing the Wrong … February 2, 2011
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Bad Writing, Wrong Medication
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psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error
July 01, 2020 - Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong … November 30, 2007
When Things Go Wrong: Responding to Adverse Events.
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psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance
April 13, 2022 - January 23, 2019
The wrong patient. … May 10, 2010
Incidence and root cause analysis of wrong-site pain management procedures
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psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
September 23, 2020 - June 16, 2011
The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
June 29, 2022 - March 10, 2021
Wrong drug and wrong dose dispensing errors identified in pharmacist professional
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psnet.ahrq.gov/issue/developing-standard-handoff-process-operating-room-icu-transitions-multidisciplinary
February 06, 2019 - April 7, 2021
So many ways to be wrong: completeness and accuracy in a prospective study … August 17, 2022
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psnet.ahrq.gov/issue/electronic-health-record-interoperability-why-electronically-discontinued-medications-are
August 25, 2021 - Association of display of patient photographs in the electronic health record with wrong-patient … May 4, 2010
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psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
April 12, 2019 - April 25, 2016
Errors upstream and downstream to the Universal Protocol associated with wrong … January 17, 2019
Errors upstream and downstream to the Universal Protocol associated with wrong
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psnet.ahrq.gov/issue/adaptation-and-implementation-who-safe-childbirth-checklist-around-world
March 17, 2021 - January 11, 2017
Interventions for reducing wrong-site surgery and invasive procedures … December 23, 2020
Wrong-patient ordering errors in peripartum mother-newborn pairs: a
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psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
November 30, 2022 - November 30, 2022
Wrong-patient ordering errors in peripartum mother-newborn pairs: a … January 26, 2022
Risk of wrong-patient orders among multiple vs singleton births in the
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psnet.ahrq.gov/issue/prescription-enhancing-electronic-prescribing-safety
August 04, 2021 - Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient … Association of display of patient photographs in the electronic health record with wrong-patient
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psnet.ahrq.gov/issue/honesty-and-transparency-indispensable-clinical-mission-parts-i-iii
November 11, 2020 - October 19, 2022
Adding automation and independent dual verification to reduce wrong … November 17, 2021
Using performance improvement to enhance time-out compliance and prevent wrong-site
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psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-diagnostic-imaging-us-childrens-hospitals
April 22, 2020 - 4, 2024
The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … answer to the wrong question.
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psnet.ahrq.gov/issue/adverse-events-paediatric-emergency-department-prospective-cohort-study
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