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Noncognitive Errors ("Slips & Lapses")
PATIENT SAFETY PRIMERS
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Device-related Complications (10)
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Noncognitive Errors ("Slips & Lapses")
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COMMENTARY
Code Status Confusion.
Lo B, Tulsky JA. AHRQ WebM&M [serial online]. July 2003.
COMMENTARY
Check the Bags.
Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.
COMMENTARY
Intubation Mishap.
Weinger MB, Blike GT. AHRQ WebM&M [serial online]. September 2003.
COMMENTARY
Listen to the Family.
Campbell D Jr. AHRQ WebM&M [serial online]. June 2004.
COMMENTARY
The Dropped Lung.
Heffner JE. AHRQ WebM&M [serial online]. May 2003.
COMMENTARY
Transfusion "Slip".
Kaplan HS. AHRQ WebM&M [serial online]. February 2004.
COMMENTARY
Too Tight Control.
Rubin HR, Fajtova VT. AHRQ WebM&M [serial online]. May 2004.
COMMENTARY
Urine a Tough Position.
Gandhi TK. AHRQ WebM&M [serial online]. October 2003.
COMMENTARY
The Other Side.
Vincent C. AHRQ WebM&M [serial online]. October 2003.
COMMENTARY
Missed Appendicitis.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
COMMENTARY
Dangerous Dapsone.
Bookwalter T. AHRQ WebM&M [serial online]. June 2004.
NEWSPAPER/MAGAZINE ARTICLE
Medication reconciliation meets its MATCH.
Agency for Healthcare Research and Quality. Research Activities. May 2013:1, 3-4.
COMMENTARY
Lethal Cap.
Schillinger D. AHRQ WebM&M [serial online]. March 2004.
COMMENTARY
Bleeding Risk.
Crowther MA. AHRQ WebM&M [serial online]. July 2003.
COMMENTARY
Misread Label.
Franklin BD. AHRQ WebM&M [serial online]. November 2003.
NEWSPAPER/MAGAZINE ARTICLE
Administering a saline flush "site unseen" can lead to a wrong route error.
ISMP Medication Safety Alert! Acute Care Edition. May 16, 2013;18:1-3.
COMMENTARY
Lost in the Black Hole.
Wachter RM. AHRQ WebM&M [serial online]. October 2003.
COMMENTARY
XL or Smaller?
Kozer E. AHRQ WebM&M [serial online]. June 2003.
NEWSPAPER/MAGAZINE ARTICLE
Smart pump custom concentrations without hard "low concentration" alerts.
ISMP Medication Safety Alert! Acute Care Edition. February 23, 2012;17:1,3-4.
COMMENTARY
Did We Forget Something?
Gibbs VC. AHRQ WebM&M [serial online]. September 2003.
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