Do Me a Favor.
Williamson A. AHRQ WebM&M [serial online]. May 2004.
An antenatal room left in disarray causes a charge nurse to search for the missing patient. Investigation reveals that a resident had performed an ultrasound on a nurse friend rather than a true “patient.”
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Not a Miscarriage.
Learman LA. AHRQ WebM&M [serial online]. June 2003.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
Premature or Overdue?
Thomas J, Hannah M. AHRQ WebM&M [serial online]. April 2003.
Failure to Latch
Rodriguez M., Mannel R., Frye D. MN AHRQ WebM&M [serial online]. September 2008.
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Setting of Care
Ambulatory Clinic or Office
Health Care Providers
Discontinuities, Gaps, and Hand-Off Problems
Psychological and Social Complications
Noncognitive Errors ("Slips & Lapses")
Approach to Improving Safety
Communication between Providers
Culture of Safety
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