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A patient arrives at the ED in acute kidney failure; another patient arrives at the ED profoundly hypoglycemic. Both mishaps were determined to stem from medication errors at the time of discharge.
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The 2-Week Itch.
Cohen MR. AHRQ WebM&M [serial online]. April 2003.
XL or Smaller?
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The Dropped Lung.
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Noncognitive Errors ("Slips & Lapses")
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Approach to Improving Safety
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Health Literacy Improvement
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