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The Wrong Shot: Error Disclosure.
Gallagher TH, Levinson W. AHRQ WebM&M [serial online]. June 2004.
A child is mistakenly vaccinated for hepatitis A, rather than B. Despite forthright disclosure and no evident harm to the child, the father becomes incredibly angry at the providers.
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Resource Type
Commentary
Setting of Care
Hospitals
Ambulatory Clinic or Office
Target Audience
Health Care Providers
Non-Health Care Professionals
Clinical Area
Primary Care
Allergy & Immunology
Pediatrics
Public Health
Safety Target
Medication Errors/Preventable Adverse Drug Events
Administration Errors
Look-Alike, Sound-Alike Drugs
Bedside Procedures
Error Types
Cognitive Errors ("Mistakes")
Origin/Sponsor
Agency for Healthcare Research and Quality (AHRQ)