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Commentary
PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (15)
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Diagnostic Errors (52)
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Identification Errors (15)
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Discontinuities, Gaps, and Hand-Off Problems (52)
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Fatigue and Sleep Deprivation (1)
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Medication Safety (78)
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Medical Complications (35)
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Nonsurgical Procedural Complications (17)
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Surgical Complications (30)
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Asia (1)
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Commentary
Error Types
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Epidemiology of Errors and Adverse Events (5)
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Active Errors (157)
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Latent Errors (51)
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Near Miss (8)
Approach to Improving Safety
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Legal and Policy Approaches (38)
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Error Reporting and Analysis (61)
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Human Factors Engineering (49)
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Teamwork (13)
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Culture of Safety (28)
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Technologic Approaches (44)
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Education and Training (68)
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Allied Health Services (1)
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Health Care Providers (249)
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Health Care Executives and Administrators (174)
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Non-Health Care Professionals (69)
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Patients (15)
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Hospitals (153)
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Patient Transport (2)
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COMMENTARY
Failure to Latch
Rodriguez M., Mannel R., Frye D. MN AHRQ WebM&M [serial online]. September 2008.
COMMENTARY
A "Weak" Response.
Reisman AB. AHRQ WebM&M [serial online]. December 2004.
COMMENTARY
Language Barrier
Flores G. AHRQ WebM&M [serial online]. April 2006.
COMMENTARY
Missed Appendicitis.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
COMMENTARY
Urine a Tough Position.
Gandhi TK. AHRQ WebM&M [serial online]. October 2003.
COMMENTARY
ISMP medication error report analysis.
Cohen MC. Hosp Pharm. 2009;44:374-378.
COMMENTARY
Doctor, Don't Treat Thyself.
Rosvold EO. AHRQ WebM&M [serial online]. September 2004.
COMMENTARY
Hiding in Plain Sight
Weinberg JM. AHRQ WebM&M [serial online]. August 2009.
COMMENTARY
It's All in the Syringe
Weingart SN. AHRQ WebM&M [serial online]. August 2006.
COMMENTARY
The Worst Headache.
Edlow JA. AHRQ WebM&M [serial online]. July 2004.
COMMENTARY
Carpe Diem (Seize the Day).
Krumholz A. AHRQ WebM&M [serial online]. December 2004.
COMMENTARY
Suicidal Man with Gun.
Simon RI. AHRQ WebM&M [serial online]. May 2003.
COMMENTARY
Undiagnosed Vaginal Bleeding.
Mandelblatt J. AHRQ WebM&M [serial online]. February 2004.
COMMENTARY
Empiric Steroids: the Good, the Bad, and the Ugly
Harris ED. AHRQ WebM&M [serial online]. September 2008.
COMMENTARY
Recurrent Hypoglycemia: A Care Transition Failure?
Eytan T. AHRQ WebM&M [serial online]. October 2008.
COMMENTARY
The Dangerous Detour.
Gibson J, Taylor D. AHRQ WebM&M [serial online]. June 2003.
COMMENTARY
Patient Safety: A Perspective from Office Practice.
Baron RJ. AHRQ WebM&M [serial online]. May 2009.
COMMENTARY
Delirium or Dementia?
Rudolph JL. AHRQ WebM&M [serial online]. May 2009.
COMMENTARY
Safer out of hours primary care.
Cosford PA, Thomas JM. BMJ. 2010;340:c3194.
COMMENTARY
A case of adverse drug reaction induced by dispensing error.
Gallelli L, Staltari O, Palleria C, Di Mizio G, De Sarro G, Caroleo B. J Forensic Leg Med. 2012;19:497-498.
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