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Newspaper/Magazine Article

Using information from external errors to signal a "clear and present danger."

Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5.

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March 8, 2017

ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5.

Monitoring external reports of error and harm can prompt organizations and clinicians to look for similar risks in their own health care systems. This newsletter article reviews attribution biases that hinder improvement and discusses recommendations to address them, including leadership commitment to learning and infrastructure processes to track published information.

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Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5.