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Commentary
PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (20)
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Diagnostic Errors (83)
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Identification Errors (21)
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Discontinuities, Gaps, and Hand-Off Problems (166)
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Fatigue and Sleep Deprivation (27)
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Medication Safety (154)
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Medical Complications (59)
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Nonsurgical Procedural Complications (21)
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Surgical Complications (59)
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Commentary
Error Types
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Epidemiology of Errors and Adverse Events (32)
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Active Errors (219)
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Latent Errors (152)
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Near Miss (18)
Approach to Improving Safety
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Error Reporting and Analysis (154)
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Human Factors Engineering (108)
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Culture of Safety (192)
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Education and Training (231)
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Allied Health Services (3)
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Health Care Providers (581)
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Non-Health Care Professionals (309)
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Patients (19)
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Hospitals (464)
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COMMENTARY
Missed Appendicitis.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
COMMENTARY
Triage Time Bomb.
Washington DL. AHRQ WebM&M [serial online]. January 2004.
COMMENTARY
Do Not Disturb!
Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.
COMMENTARY
Autopsy Revelation.
Shojania KG. AHRQ WebM&M [serial online]. March 2004.
COMMENTARY
The Dropped Lung.
Heffner JE. AHRQ WebM&M [serial online]. May 2003.
COMMENTARY
Discharge Fumbles.
Forster A. AHRQ WebM&M [serial online]. December 2004.
COMMENTARY
Crushing Chest Pain: A Missed Opportunity.
Graber M. AHRQ WebM&M [serial online]. January 2004.
COMMENTARY
X-ray Flip.
Shapiro MJ. AHRQ WebM&M [serial online]. February 2004.
COMMENTARY
To LP or not LP.
Landrigan CP. AHRQ WebM&M [serial online]. October 2003.
COMMENTARY
Lethal Vertigo.
Furman JM. AHRQ WebM&M [serial online]. June 2004.
COMMENTARY
Undiagnosed Vaginal Bleeding.
Mandelblatt J. AHRQ WebM&M [serial online]. February 2004.
COMMENTARY
Lost in Transition
Beach C. AHRQ WebM&M [serial online]. Febuary 2006.
COMMENTARY
Bloody BP Cuff.
Madan AK. AHRQ WebM&M [serial online]. May 2003.
COMMENTARY
Too Tight Control.
Rubin HR, Fajtova VT. AHRQ WebM&M [serial online]. May 2004.
COMMENTARY
No Blood, Please.
Liang BA. AHRQ WebM&M [serial online]. May 2004.
COMMENTARY
Crossing the Line.
Feldman JP, Gould MK. AHRQ WebM&M [serial online]. March 2004.
COMMENTARY
Transfusion "Slip".
Kaplan HS. AHRQ WebM&M [serial online]. February 2004.
COMMENTARY
Lost in the Black Hole.
Wachter RM. AHRQ WebM&M [serial online]. October 2003.
COMMENTARY
Fumbled Handoff.
Vidyarthi A. AHRQ WebM&M [serial online]. March 2004.
COMMENTARY
Recurrent Hypoglycemia: A Care Transition Failure?
Eytan T. AHRQ WebM&M [serial online]. October 2008.
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