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- Communication Improvement(21)
- Computerized Decision Support(3)
- Computerized Provider Order Entry (CPOE)(2)
- Culture of Safety(3)
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- Error Reporting and Analysis(31)
- Human Factors Engineering(4)
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- Quality Improvement Strategies(25)
- Research Directions(4)
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- Technologic Approaches(12)
- Device-Related Complications(1)
- Diagnostic Errors(51)
- Discontinuities, Gaps, and Hand-Off Problems(10)
- Fatigue and Sleep Deprivation(1)
- Identification Errors(1)
- Medical Complications(14)
- Medication Safety(21)
- Nonsurgical Procedural Complications(1)
- Psychological and Social Complications(4)
- Surgical Complications(2)
Kent S. NJ.com. March 12, 2023.
Cognitively impaired patients may be at increased risk of adverse events, such as falls, and assessment of cognitive status and implementation of appropriate supports is needed to improve their safety.
Lockhart B, Mascie-Taylor H. Crown Copyright: London, England; June 2022. ISBN 9781912313631.
A 58-year-old man with a past medical history of seizures presented to the emergency department (ED) with acute onset of left gaze deviation, expressive aphasia, and right-sided hemiparesis. The patient was evaluated by the general neurology team in the ED, who suspected an acute ischemic stroke and requested an evaluation by the stroke neurology team but did not activate a stroke alert. The stroke team concluded that the patient had suffered a focal seizure prior to arrival and had postictal deficits.
Outcalt C. The Atlantic. August 2021.
Farnborough, UK; Healthcare Safety Investigation Branch. October 2020
Horowitz SH. Washington Post. October 4, 2020.