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Cognitive Errors ("Mistakes")
PATIENT SAFETY PRIMERS
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Mistakes:
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Device-related Complications (7)
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Cognitive Errors ("Mistakes")
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COMMENTARY
When “Psychiatric” Symptoms are Not.
Goldberg RJ. AHRQ WebM&M [serial online]. February 2003.
COMMENTARY
Which End is Which?
Campbell AR. AHRQ WebM&M [serial online]. April 2003.
COMMENTARY
Code Blue—Where To?
Adams BD. AHRQ WebM&M [serial online]. October 2007.
COMMENTARY
Back to Basics
Hellman R. AHRQ WebM&M [serial online]. March 2007.
COMMENTARY
Crossing the Line.
Feldman JP, Gould MK. AHRQ WebM&M [serial online]. March 2004.
NEWSPAPER/MAGAZINE ARTICLE
Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized.
ISMP Medication Safety Alert! Acute Care Edition. October 22, 2009;14:1-3.
COMMENTARY
Do Not Disturb!
Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.
COMMENTARY
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
COMMENTARY
Inappropriate Antibiotic Use.
Babcock HM, Fraser VJ. AHRQ WebM&M [serial online]. June 2003.
COMMENTARY
Antiseizure Medication Disorder
Alldredge BK. AHRQ WebM&M [serial online]. May 2007.
STUDY
Management-changing errors in the recall of radiologic results—a pilot study.
Brus-Ramer M, Yerubandi V, Newhouse JH. Clin Radiol. 2012;67:574-578.
COMMENTARY
Inadvertent Castration.
Calland JF. AHRQ WebM&M [serial online]. January 2004.
BOOK/REPORT
Fluorouracil Incident Root Cause Analysis Report.
Toronto, ON, Canada: Institute for Safe Medication Practices Canada. May 8, 2007.
PRESS RELEASE/ANNOUNCEMENT
Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically.
National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices; January 23, 2013.
COMMENTARY
The Dropped Lung.
Heffner JE. AHRQ WebM&M [serial online]. May 2003.
COMMENTARY
Delay in Initiating Antibiotics Leads to Fatal Error.
Bellini LM. AHRQ WebM&M [serial online]. February 2004.
COMMENTARY
The Result Stopped Here.
Astion M. AHRQ WebM&M [serial online]. June 2004.
REVIEW
Diagnostic errors and reflective practice in medicine.
Mamede S, Schmidt HG, Rikers R. J Eval Clin Pract. 2007;13:138-145.
COMMENTARY
Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs.
Ilgen JS, Humbert AJ, Kuhn G, et al. Acad Emerg Med. 2012;19:1454-1461.
COMMENTARY
Crushing Chest Pain: A Missed Opportunity.
Graber M. AHRQ WebM&M [serial online]. January 2004.
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