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The Collection > Cognitive Errors ("Mistakes")

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Cognitive Errors ("Mistakes")

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1 - 20 of 135

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PRESS RELEASE/ANNOUNCEMENT

Kaletra (lopinavir/ritonavir) oral solution.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 13, 2007.

COMMENTARY

XL or Smaller?

Kozer E. AHRQ WebM&M [serial online]. June 2003.

PRESS RELEASE/ANNOUNCEMENT

Risk of confusion between non-lipid and lipid formulations of injectable amphotericin.

Rapid Response Report 2. London, UK: National Patient Safety Agency; September 3, 2007.

COMMENTARY

The Wrong Shot: Error Disclosure.

Gallagher TH, Levinson W. AHRQ WebM&M [serial online]. June 2004.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

COMMENTARY

Citrate Mix-Up

Weber RJ. AHRQ WebM&M [serial online]. May 2006.

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.

AUDIOVISUAL

Stopping deaths from incorrect drug doses.

Stewart A. "The Bryant Park Project." National Public Radio. March 18, 2008.

COMMENTARY

Shake Well.

Flynn EA. AHRQ WebM&M [serial online]. September 2003.

BOOK/REPORT

How Doctors Think.

Groopman J. Boston, MA: Houghton Mifflin; 2007. ISBN: 0618610030.

AUDIOVISUAL

The Wrong Medicine: Quaid on Medical Mistakes

"60 Minutes." CBS News Video. March 16, 2008.

COMMENTARY

Discharge Fumbles.

Forster A. AHRQ WebM&M [serial online]. December 2004.

AUDIOVISUAL

NJ CVS mixed up cancer meds with kids' fluoride.

Greenblatt M. ABC News. March 3, 2012.

NEWSPAPER/MAGAZINE ARTICLE

Prescription mistakes are rampant and under-reported.

LaGrone K. WPTV.com. April 30, 2012.

COMMENTARY

No Blood, Please.

Liang BA. AHRQ WebM&M [serial online]. May 2004.

NEWSPAPER/MAGAZINE ARTICLE

How hepatitis probe led to clinic: old-fashioned legwork yielded clues that came together.

Allen M. Las Vegas Sun. March 2, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition.

ISMP Medication Safety Alert! Acute Care Edition. September 22, 2011;16:1-3.

COMMENTARY

Poor Prognosis.

Lamont EB. AHRQ WebM&M [serial online]. September 2004.

NEWSPAPER/MAGAZINE ARTICLE

Nurse error spotlights drug's danger.

Greene L. St. Petersburg Times. June 15, 2006:A1.

COMMENTARY

Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant.

Mannan K, Chow P, Lissauer T, Godambe S. Acta Paediatr. 2007;96:1536-1567.

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