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Cognitive Errors ("Mistakes")
PATIENT SAFETY PRIMERS
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STUDY
Understanding the cognitive work of nursing in the acute care environment.
Potter P, Wolf L, Boxerman S, et al. J Nurs Adm. 2005;35:327-335.
COMMENTARY
Novel Drug Misuse.
Angus DC, Milbrandt EB. AHRQ WebM&M [serial online]. July 2004.
COMMENTARY
XL or Smaller?
Kozer E. AHRQ WebM&M [serial online]. June 2003.
COMMENTARY
Unreported errors in the intensive care unit: a case study of the way we work.
Henneman EA. Crit Care Nurse. 2007;27:27-34.
COMMENTARY
Don't Push.
Meltzer HY. AHRQ WebM&M [serial online]. November 2003.
COMMENTARY
The Wrong Shot: Error Disclosure.
Gallagher TH, Levinson W. AHRQ WebM&M [serial online]. June 2004.
COMMENTARY
Intubation Mishap.
Weinger MB, Blike GT. AHRQ WebM&M [serial online]. September 2003.
COMMENTARY
Strategies for improving patient safety: linking task type to error type.
Mattox EA. Crit Care Nurse. 2012;32:52-78.
COMMENTARY
Clinical cognition and biomedical informatics: issues of patient safety.
Patel VL, Currie LM. Int J Med Inform. 2005;74:869-885.
STUDY
Characteristics of medication errors made by students during the administration phase: a descriptive study.
Wolf ZR, Hicks R, Serembus JF. J Prof Nurs. 2006;22:39-51.
COMMENTARY
Pregnant with Danger.
Pearlman MD, Desmond JS. WebM&M [serial online]. May 2005.
STUDY
Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?
Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.
COMMENTARY
Missed TB.
FitzGerald JM, Menzies D. AHRQ WebM&M [serial online]. May 2004.
COMMENTARY
Ectopic or Not?
Givens VM, Lipscomb GH. AHRQ WebM&M [serial online]. May 2003.
COMMENTARY
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
COMMENTARY
Preventable Rash.
McLean C. AHRQ WebM&M [serial online]. March 2005.
COMMENTARY
Citrate Mix-Up
Weber RJ. AHRQ WebM&M [serial online]. May 2006.
COMMENTARY
The Dropped Lung.
Heffner JE. AHRQ WebM&M [serial online]. May 2003.
COMMENTARY
The Worst Headache.
Edlow JA. AHRQ WebM&M [serial online]. July 2004.
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.
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