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- Communication Improvement 3
- Education and Training 1
- Error Reporting and Analysis 3
- Human Factors Engineering 1
- Legal and Policy Approaches
- Quality Improvement Strategies 2
- Identification Errors
- Medication Safety 1
- Nonsurgical Procedural Complications 1
- Surgical Complications 2
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Cases & Commentaries
- Web M&M
Albert W. Wu, MD, MPH; Peter J. Pronovost, MD, PhD; January 2004
A patient receiving end-of-life care, whose code status was DNR, encounters a potentially life-threatening medication error.
Westfall SS, Mascia K. People. October 5, 2009;72:155.
This story discusses an instance of mistakenly implanted embryos and the impact of the error on the two families involved.
Cohen E. Empowered Patient. CNN.com. November 13, 2009.
This news story describes an incident of patient misidentification and offers tips to help patients confirm their care during a hospitalization.
Altman LK. New York Times. December 11, 2001;1:1.
This news piece reports on wrong-site and wrong-patient surgery and describes efforts to prevent surgical errors following a Joint Commission sentinel event alert on the topic.