![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sdhd4eEFUQHstFeiEecSZ1M8rch6iOuFXGJQKIdRrPFDW7a47tHII388I3D0S5QGm6PpR1HohQ56o_oBlpNYAkr03O8-53KAaIzeoKViDiL6qQ4bmXbe9L4D1PQA9it1k=s0-d) | Most liquid dosing errors involve under-dosing. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_t6OsSf9d1885gLaKhBzfgZXa_j1JTFqhQaBdn1dU6zwSLtu0uzuf_lV3dqhYJlK5crhSOP216VdeQ1raYRpyy1t0-Yux13Mk21TgvZTp1lfOt5lOCe5-Df7wraCpxyv8GjK6CpXbQ=s0-d) | Barriers to checklist use. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_shTb3-P6AJYhpX6zElhKv4enRgcJELv_OU_MjNUg5k3qndzGvgVtoCp1WOgNUPj5NJn9_BYMR1FPZRcqp6pJjmh77eKJ9MU0n8qazFyWx6N8LdYx9hgbQr0SvOnJ-If38uCw=s0-d) | Most patients who experienced adverse events had only temporary harm. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sRJyWkc_CTY39JNTpN-57xWXriRocwtruOpvYP8Ml2_pRHxKWaPeyu7hk5sa4quAXIWK1xQYRUYueWPu4KK4Nm4AU37ELbyy7qWgG48PAm1z_pvceJVxS8DfgZmR-_syxnBXY-X4hE8wQ=s0-d) | Most high-alert medication errors reached patients but did not cause harm. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tf__0cQaRES2iDOMjvX1g6BjS9kcbGXQoAAj9ocvP0HkCQ1HEf9EYVUdX0QCBlqF89zGL_sfaN3KYPjtEnjmBSLkP-ebDgSIDXt9omPLpcbKL_0YgBDx6t3ITFeNcM_oOQ=s0-d) | Most primary care malpractice claims related to a problem with diagnosis. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tXrf0c5Nc8njUERN9lpBe7kEVAeul4RgEf1XEj8bLfoKPC0Y1ImwkSdQuIrIawU6XiyCqNTZ9jHgsewsfS-3DkZNpsllIr68-eD9B7pXMyrLiCPZJY_cXNi3iAaBsCIbQJ03L4=s0-d) | Top 5 clinical decision support alerts. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_stXAdUBojgQHE7UOUkxCJCs5afifUlIB1usu4FIC1NAZWmDb5vWO55gHKKgpnsBuPmsRKvajybzqk4xnC2yyNljeg1CIVil4zZ9377AaofLjvWme2LrZEkJ2M=s0-d) | Root causes for suicide attempts on medical-surgical units. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vUSa8ugUklLkEMHvpGKnIB8ZDGsYbDTe9qm7Nbvt2iRIfxJMjmGVxI3DbQs36RBKMM5V_0jrrKRD2QR-8rnGjLYjkiVNZKtlK3H2sUeu-GIMQDDPmKkhLO-fahh3g0Y1Fw1G8=s0-d) | Potential adverse drug events related to excessive dosing. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sTYLguYihcvXOvfqBCcXN70817D0n_HhQNgbW2g_DrAZWUVh56R7ASeHX_A4yAF4mmxOOqOuMq87psYltGx0LiXpncRJ7CU5AS1B1yr0EZzGtDxyXuqyh2TsL3DYYJM9le0yLetnFQihe_wNJerd5Y0NSl=s0-d) | Errors reported in patients receiving radiation therapy. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vDIP3HqT_gazR-qsJGc1H4-TTse773rXus_QvLDqDl-rcVWmnMrFi8vegalgFMxctKgq-TF8seLYilp1WJIipFZWg0F3UpTyYJIAzPb7dVxY-ivBJKPliRGR5COUuhQA=s0-d) | More doctors than patient care assistants admitted making a mistake in patient care. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_uyA-Y0OqC_tjDJrPQrtacQzJNhBnEQzZRCauJ8WIlLMLmnj6Q6n_77cSAhe644pXfYX_4fCgYnHgvLEJgg-W6KK1AH8t5Oo5csabkA094xeSmikFpE3uAgNPcwYFG7EAQRrxRR2nhunV6V=s0-d) | The majority of antiretroviral therapy errors were never corrected. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vn1OYSFhhBYFbF6TOxpmD9JNwPUKHblX3K3Uq-CbJS1JFXyXmXoI4lliDzCyJqu994_GKYVO3X63cNG5tTYI8xUXeiGYaRqqT5ou1yt9EbQEbqEFDeueEit5VEthbyasvxr2MLVA=s0-d) | Types of equipment failures in the operating room. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_s6N--sHa2NVVr4wcM6E0uDqFe_zHObJgUFMlr0q4hABCuUr3WddxqI2HK9F0PuHeFD90lVpdBkX8qx4iZ3lRE2PH4FS8-LgewDtDpev1vHiuLTdcR8Ajc071R8XNeWq51FSiYDeg=s0-d) | Physicians and staff nurses observed concerns on a labor and delivery unit. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_s-riKAFtRBAMn-qxNuinotkQ7l9p0aOchMtcWq5dGsYLaPoMecbvszw9stuo5ufPe7yNkFPMTlZavLy7km9LxKfOthsUZSYejSkNXk3OaDWcyHvieYA_XP5eaE40WzPKk=s0-d) | Information was frequently missing in personal medication lists. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sjITKwcE9QYZujYSDm9tXdytIu0PYCepn32SF5g3KUlvi07RSooGIJTrRkRYabUOYnC-P_6kFQ_F73EVNYvlSJ1YO0Qy3f824q3IS-rxDNcRX_37UDDEY29RBgxFynZrVTVEk=s0-d) | Physicians reported benefits of EHR system use. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vriTRRMObtZzqQLfPqDbgNW_PEL3VsqYv2ZLPElUl43o_j_dVGgNW87O5zL_ckhKBUj_AOpBFVmukKYhcj3CXVKA7UrIs43OxHGEM_542KTUlqlhv9TyU2qO373JYi8qOvD80x=s0-d) | Most medication incident reports were submitted by nurses. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_s3-UkkKrwSixVEOJzleqXGsXLk0dtIzOlQaDaYh-1kY9hqYT-xACBFAwozO7t1QVFu_tGH-O8wcd66YsJz3c-kA485VIMf7Ycnb5QWkX3G5J7xpOvgo4uvGbeiTNtydfzPHyOHYG26Vw=s0-d) | Types of anticoagulant errors in nursing homes. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_ubHQojhxfmMcMgeXGU3nrYWfc2UFa3wi-VKTOuRQtzO0AhqnZP29W5Pz2_b7945Ume6YNN2YglcifreX0aiSUlWfYqVHfCM9tXpgr3M_wEgx43H6k3-WzdTSVSX_RM6E7-L_g=s0-d) | Top 5 patient-reported elements of missed nursing care. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vFtvnBmXjASiQcYEKEfBiPLIs0gr3qsfYTA5mqpc8JQRKwUPt3bhln8KjcZ6xuCAr2HxwCt6WPJ82KOcdbPyOjD8L41mEdo8YIzqOhfJddxY31kCYVRtFnYpxZUKnDpgP-VA=s0-d) | More than half of alarms triggered in an ICU were irrelevant. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_s1avP9sO5PwKGwT6wMHE0I1FLRDEakj0Y0agh6dp_XtEUd9NN5b1gqHpQziPTxpnKU92fXGq3Ft8r4OJiH49XHww_3Ddqsl235XVY6Z6lpf28MurIDZ5GnyXq69is=s0-d) | Medication incidents associated with IT systems reported by hospitals. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_s0iXJmFS6mqqGWOECI8VOq7ObJN3q9qY_u1CYWGLVlnyGDJtjNyKjoancjeKuPcC2VSIidH3-lK-iyV812ahxW56DTyR74IIrNyqLMz7XAeqcRQevbOiwkuC1BvBh5ohUT6MgzSB6T=s0-d) | Implementing bar coding in the ED reduced medication administration errors. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tOKc51jLN-KLVLKALPcNC38PZyShZiE62QmEk615cLTRj2QtH1WRF5FeRkHoHHD3-zSpygjHUFsLYejEu7_XKYu0vn5MJnKYvv7KwGzG7FoC0brUO4jGbUzaM=s0-d) | Types of medication errors occurring in pediatric patients receiving cancer care at home |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_ujy3TmVbBE_Vd686assIiyvEZ0knfTptLXjg5znlJJ2P9Nx8vNQsSqGA6A010Me_kRUQFQR7pmAyTNkLTca8G2QbvXi2XAuQVLrgOpo75KlvefU97QtguTQNsRfyIE=s0-d) | Comparison of ICU errors reported to the National Reporting and Learning System (NRLS) and MedMarx, 2003–2008 |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_ssExYpZD9lpJkJ8SDOaJtUgRdwhaH9A0hqrqlQXEfOe3g3EX3BV9D__BoirQAu8_dnMiHVUVS1K6ZE1ml56OE3jlu-yUTvG6oijhavkt_h0d1HxXOaFf7p9rL_Ew=s0-d) | Tactics RNs utilized to prevent near misses |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_u-6yggAHt8bPho_SJ7LY-wVeHouLvE3sgW7-7fj9ttQvM_K3V-Z0IYgqy3Df9oiFL_3TP3DXFuIa3knqk19HrDQAUJFTj-tNXd0JsqHrtdleA9uvGcgazJfI-p=s0-d) | Top 5 communication errors in air medical transport |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tTDtYQIBo3yxC7SQHfnWTvAU4rlbuEwhOBNcvifDqs7cRCZtbWkagoTz9QZDi7eSC3GcryUDaGTRi5CHWdxFhpv0oCOqWQf9Q-K2SdeOznyNOK2WIBLQ=s0-d) | Parents of children with cancer often used support tools at home for medication use. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sRxGrFQbGznJNjNTIkaE8KBptMoxA1DLCZAude4QaS_JNTtQKp1YH_w_7yVHcqjaUuJqymrvBf5yqh-suWu812eJ-p0RpujylM8MuumCsJrAn6JRHjBQ=s0-d) | Many surgeons felt that managing their own discomfort about poor outcomes was challenging. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vLk5i4dxIP6VOVxENUyjlFaPdgMqDtJH6vCvmNPhe7iblDqMfi0F2oLMcxTrGRMwd6YGgxp2c6Z3BQ0kR_9VWeiDPfOWjRkaJRLeKGEk-wluzZ7hwni5IZOCQ=s0-d) | A pre- and post-implementation comparison showed that CPOE use reduced potential errors. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_uwYgLUL8CUhnD59_bz3vVLHyT-Nj395dT_VLl75Udn2dR5JbMZY0_eiKiibIehtGublD7tRPvJlrYN5nB-uKgagZuJfIWeGFMQsDm_p22el50oIIdPQA=s0-d) | Common safe practice violations. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vmhlQkLONP1x_ZagLsPgkny6kEanGKjR_JDNwRohdFIFHVRWLbDoCHMSznsWG_48UFwAVe2qoF4n_7jU11eMkRO4VUutVuwH6Xhm2UM6RuDv6_8ApwrgaW=s0-d) | Less than half of pharmacy case manager recommendations were accepted by inpatient physicians. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_t3QUQYov0Cz50-Pp7T3pHyUWiy1mQU8ymLjdWN8c5cyGWI2L9PUo9wfSn09V-qvDBOq6fY3bRreYS2pz6sHf1vMd2dVVyidtVifXYnuz5wSxekpi2is2IR3m4=s0-d) | Many patients did not understand changes to their medications. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_s8J91v-GnevXxOyi36HZNqPUgtnSmXwthK6ZAa2iCMj6orU2-c4zPDrvuR32cAnNUukdyiS8mcs9aTWpjS14TjPQ-b2RqV6i4KuvEsXrQl26RdqKx4Qso=s0-d) | Most patient-completed medication reconciliation forms had errors. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vSVv2qONHghtWgZHt0zmK1yB1oO44Qc-Zg3feiAKS5A3LKWeXtkrgVf4olPUx4yAxA2Afg3rkiYjEIArH_w39mho45ECaVqKZ-xv34jnxK7saXqLKt45cKQw=s0-d) | A prospective standardized incident form increased reporting of complications. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vv8aZk1sX7TJRa3TjgdV9uuzYUToIIiy0813RXmruHld1FcxPLaVUdlgGF7AayIZkCq2hwm6sEVmcTidniYyV3ZLaKDzgwRgq1MskplMm8B5EzqEja-C3NBCjI9g=s0-d) | Top 5 US physician specialties reporting burnout. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tn0e2oXOr3AjCXSOz4pHkEcA354mlJWXwr4S1uZ2hvKR-6lauJnKXt3F4ZRL1ud9qTr7V1-7Twp2JNu5vd93fWejiwCRk-Lk37jg60-G61KW7LzXZSoCzOwr0=s0-d) | Adverse events related to invasive procedures. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vyTP--UiksDLU7LYAXMWan7rnFV1r9kvcEa4zZLe52emxs53Ej-j49EXE0MU5WZwjTjyYL_YnymXsi4mDFaU3vqQIrWazAm0Q5lH4RLFhvL_B1-8Zf-q1KLZWR=s0-d) | Top causes for system-based errors. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sJDfuF1-uknAaWpMu6F6V7-jM8FThH1aUZzgevUeg1GyQKciUpxCIClZjbfEgnD26fnLcUMXq9Ax8yVki7tAYQYtgfz6ZwNI_ZUX6uL_l5hdhAShXiK22c=s0-d) | Palliative care providers want more patient safety training. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vHaDZDb17HxeU0Z0KKPglK6GhZh5zyCJm7m11_l1UZsX8FcbB7VGzh-NDy2AfI2wpt-a4vIQJhMDs8HoF6E_6vzPVx54PCWIRany-bpE-Hbajq9FKSoxr4=s0-d) | Residents' ratings of the quality of their education after duty-hour regulations. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_uMqs7OqNWSelJiwbynSbl28R75yz3jwffQFoP5yxWSQRq65Pb7ciWVzROqrQ3pR9FGZLaACztEKRCYJdExWUrYRbO73LcxnT80JLxHPoyiNGpGAX4GJwJQ=s0-d) | Residents feel less well prepared for senior roles following duty-hours regulations. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tITOQIoXFp-LdUPabFk0PjeTpH_ajo9ISr3vM8AAJhVBlnscHYJ2Rd6ZkCFcaO-Q-DUgdDoVLVUl3boLagQGsQkSMLSgI2E83w5vMtWt55CRvMMdlQQA=s0-d) | Most workflow interruptions in hospitals were by colleagues. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vdxsoVbrxFNB63XzDF4FgoUz-MwvPJD7-MlDcQtYzRtkQK7e3TYRcUKiFkXOQpNbtzJJfPXLfb6H3w8qjW3CJ-Kj7JVRNkNpr-Sy4S-jn4p_RHKLBcUQo=s0-d) | 5 contributory factors to safety incidents. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vzcQHJIblKvb-rw7edMkENRZbMU-0Y38P21lNQsTV0rluKNsOUL2RkN8KImkojeoXtHJVdH4Bvt2o-nVyfGLE_VlRbs2QqOIwEdh8GqsPWXk-EqmG9-w=s0-d) | Top 5 barriers to physicians seeking support. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_u7NMohJNKmR50GBxV9zm5qiZU2O3ZKYhRJF-1v6t7DKQxf0V8pRO6H9HopCqjfJy5hZR8of9WIqDtlLcWxOFjS6AXxCQW7SIsGb04vSf8Z7RLei6yufn29FDwkt10xy-z72g=s0-d) | Top 5 barriers to error disclosure. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tmiGgZ6jxPfS31HsFLRoBjNA8cLLzP4-u2CByTTS8vYKpIv28eJBVILEgD2F1_MGgPNuuhqkQz6DkaLxBVyFLDEaCw_49oUVNgvgPrKbW-gX4nqOBBG4RaLw18=s0-d) | Medication errors intercepted by pharmacists. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_u1owC749V97eLJ0r-Hx9-W0vj51410TgMwY3t2LiYB-Jr34z8MAOWAwtR9EyF2fNjhGztMX6IuVoLNC89mPxq02I-imV17n_wHzVvh1igWS3KqfKYrMpDdEQk=s0-d) | The majority of pharmacist-identified errors occurred in the prescribing phase. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_uQECZrXGpel8lRQqeen_jOu003lWy5LfA4ojOlPz-8-vpF-DDHccuT86tMJKwdvpPBNR0PNAifKnThkYjwmONU3kAgIym_3kJePOc9DjcC0F1qrVisR3U=s0-d) | About half of harmful medication errors in nursing homes occurred during the administration phase. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tnblImJACuP2u7xlqQl9JbiOPpzowrXS6THBXkr4AgGP_7Ir6k9FYcEAOQDFoEzfH85EOikrcRGFujgNo1iiZ6TA2Hq9LkIdAGPYOTEB5iUqfio-Owa8I=s0-d) | Harmful medication errors in nursing homes occurred nearly twice as often in patients who were unable to direct their own care. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sqiih_yk7L2w_jQPjXZFCoocYh4oWlzd-vKeHCRyIz53eMbOa04wdXTEgT3WkTtjZYw103em6WcDtXqf-n9u49dtndXKh2mVS6oy4aWujTy-ROvsmuS2Xk6_GSNMg=s0-d) | Physicians perceive that arrival of new residents has negative impact on care for up to a month. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_v_-rCAqCgEPtdcwwfJhSnXVte4RgbOkkLYaqq0QwLEYZndo5HHNGas-8rW4DXjSC6SqH80ipm_1Q5MnQOw85sxF9RCj7IGFZAvVhvrMF8lOuxRx3-wXiX6TXI=s0-d) | Nurses were felt to be responsible for most of the medication errors in the emergency department. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_twJbLEQXeIQnpjZ2UX9qAf-pspIy-o5crIioZTDgEgFynB91djJKQtkJJ8uT8x4D_OMwZUe2BL8DUq2FNeROa-TjAeqKG7sp3FfeIz2B5UWCMPO6psZIV1Y8Wu=s0-d) | Omitted information is most frequent cause of errors with outpatient computerized prescribing systems. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sKP-6oRI2ovy8_FXqH-gNwCL0GDAUIU3lX791Wj8jtC3yUaU6IFteqWWF2-LOt_SiyHEXRxUYikh0RBwzoWwUpP-f_kFPRY5M69wtoMQxHx31ql6s8kXCk-J0N=s0-d) | Two-thirds of prescriptions drawn from an electronic health record didn't match the EHR medication list. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_v_HyeVmKPNOLuXJ6S3zcSr5jOjmLFiUos8K8ecCl-QVycMOTcwvncKLqXhRhnYo2xYZIszMmGM83iyNHIiVbRO-A0QNhXvlzs9n1owTwVzDp-p4Z6Rn2tKOA=s0-d) | Many patients report their physicians made errors in their care. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sqmAtJbaigcEQ_PJWcOQAXsI6Kh-JdnF9LKhSmt87B2PvD5aWlMMboOzW2pz4hKZ71Xg28_56JSSMgVR31AXbA6dBy_UqNlxQi1cTLbbi3RhQLnBnbKTp2Fg=s0-d) | Patients who perceive errors in their care often change physicians. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tN3n43Rm0rMQh3AFqfXN_VFQYBGqx8iGY1CuWOqfm4w-BswtpK8gv7jAtr-LEZW-w83AY8vd2zAWOeUNyZ-AGTzzE4Y8KZ5Ov1jJ2DkuqPwIASDAgNlL0=s0-d) | Residents' perceived barriers to potential patient safety solutions. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tyFD9zmJfUhQOBxD2nAp284H1q-jYVjvMZtK-57mJo1IWddw6gvFfTa-u37kO-ZsJ_AcS7_JuSVAtW-k93x71UhRoS7WZhBAS-sROfXEwNR5Mb6S16jmh7cFRembAxiiyomLCgmg=s0-d) | Most diagnostic errors occurred during the testing phase |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sokqETg4BGAUV9W5fxHBEzgw9hOTFXwFtltCgY2TuORFCHfZ_rJ7KJirLz-hlRvA0nd8XTwRRxN_ca2OwulaPoToGzbVj3j2PeBeVFXJa2fgDfg4_c6CPnyilAXf0GfHtJcEjdia0ZbOU=s0-d) | Causes of adverse events in ambulatory diabetes |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_t1HJNkmbZXc6uj5vu1rI26NA7c4Ue7WXBfORYzHsABS6Ug-cWk9wWvxl20cl5fLEJejiZ0Tjrc472rAMaQwTwX27Zr7iHej4SwUxhVMnvAcB33hu6Q1wikB6PXiKCe4THTbtRU=s0-d) | Most pediatric adverse drug event (ADE)-related visits were in the youngest children. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_t42X_MfZxFRMCCI4G4Cm58fGHW401bv3-fpwFbemI4RKP9d6XApJCmTtnY1OxZ5lq5U5W9y0l2XELkZfOYg3vECvfHQ98vy8_HzHBqpQ4WwWzTAt0RXYv0zUbvWg=s0-d) | Caregivers who commit errors ("second victims") often experience personal problems. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_u5tQjFmtlFw_YmiCbn66R1QbH_vPtreeHO6J7tLqTkJbOwfuxFAip52cVH4O26wdIUPrA3uhaFt2WuUVVCCxKH3XqpBtH6YwDHlItsPEXnfsrpFC5r2UdFG3VmV18Y=s0-d) | A structured medication administration process decreased errors. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_v5g1LmQwWg6LbSHjblL9iRumgT3uF1zTjFEqfRL5cTTrh1D9KWBgeQPh5WDnuKi0dkv4rPji-V-ZFwnXyHlf1jdLvFhad07ipPnNBh2934N-DtykKW9Dyoaxjk3AnZKas=s0-d) | Critical care nurses identified 4183 potentially lethal medical errors. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sGd5Q-FKvGx9Y_F-zabAhFS4y9ujDds80pHeVwqfKh8GGmXqYMuXH7_ZfPO82sgz6x5Ky45Jngvx87YyEV2oen3_Gdb4fSUV5FlbX41a5RUudifzVnxLzGxhM_WI4=s0-d) | One in three adults misunderstood pediatric medication instructions. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tPNxfTVZ2kqunmuSAKtDaqqhRJJcPIsIOyh11pQ3O5FvKATcGW4oetYJNZUc--zGIeQ1rlndDhovpJno9SGnijD3bnj3eHUdvRRAx1KUY9UkY8vLV6c7BRHRjAHrTxJkHs=s0-d) | Five drug types accounted for more than 80% of ED visits for ADEs. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tA7H1gTeAKGoFAXd3i0pD1C1tQwxQSfUTD3_NvuzhGh_qB56OwZZoIB3LYuQxtyQLyIRltoCUfCb8hVBM46VoiIwzpND6Z4KSZtSa8SKm76XN5iG4Q9aNZpBxmV62H4eBi_idhmw=s0-d) | Classification of drug administration errors in anesthesia malpractice cases. |
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![]() | Distribution of the 312 "never events" reported to the Minnesota Department of Health in 2007-2008 |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_uBomQLkz8yCZArvB0j45-0XC2gYPvHxMQsWeNjQuHkLV3xlQomc6Bhk--ReWJdFP_JWPVpk9ng2Ec0rczGh-uJVIMljkRx_UKmPUeRjbnbDSsNu3CAnneCPeQ1=s0-d) | Physician attitudes toward copy and paste function (CPF) in electronic notes |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vW-Ke99yWGGXrDATfGK-e3owVJmopGsul6Lc4mFY1MmK3d7Bww8AYVdL-b0GjfUkdMlMzw1QafmqGETiW4VUsjHVbz0R2lIC1V1v19Nc094kKNTAOHFA=s0-d) | Types of wrong-site surgery observed in the previous 6 months by orthopedic surgeons |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sVfHVj8YasGOrhZF1g2av0nXp6cn6ITnhP8RAnjmHsDOKCFvERFWn0qSj5azJb6sbgPCJEIB-450wQ5mma5pPENQZMeK-Ri0B7ScxXjCTNO7dHzuVSyg=s0-d) | Location of errors observed by orthopedic surgeons in the previous 6 months |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_udr7vTg6vJE3D58DjgfyvZsfynWdYeDHBvymJUZW5FbUu_qzk8VZi4gGhfN_N8wUMiikWiNLpVl-M4VMzYdUoRpj1DMNXVzheu3EWiieqy=s0-d) | Types of errors observed by orthopedic surgeons in prior 6 months |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_ubczamSIA4pRVs5mw0DqjzG08fljqpZi8fvqlouevFGgYZxv9WKIZbntAnXzjTTd5E0yqS70adPrIUO7TPAeg_Q3k8WzoRdcQSLNghy0vPUwlM3wTX6EX4l8hi=s0-d) | Types of errors reported in an academic surgery department in a 12-month period |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_v0JJltM46zoBOf3Vlcv0gdkM2v5h9S9eXuf7NLPMfwwD0qdVEzle_KgpLyg3QwfwSqtcomSWt6C_z5VCM93UTp4XiEOyBxsHmI7ci9Z2G8RWmKqSOx=s0-d) | Of 3522 patients surveyed, 4.2% reported experiencing a harmful adverse event in the past year. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vfiBeidi5X8PSJ4FU61oBBMnIdFf9VvPxKpKYT2Lk8k03mVdDHc69h2M3PFSW4EZIe01Yh68X2q0QIEzASm__qLK3QbmnSRZ8n8X0nG02bqYUN522f9sAhLIai=s0-d) | Disruptive behaviors linked to adverse events in survey* of hospital staff. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vOAW_xIC7mvoxWKKFXxFTxd_bkBsFsePVDAT-jMh1vh0cdxf2Dq2ka-xrM_ifuQRI2KRNb3NF_y1UOcY7TKmojOqBECRWGni8gXcuFR_n2yuO_cMv446pvxw=s0-d) | According to a 2006 study, a quarter of US hospitals have no information technology (IT) applications* for medication safety. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tFG8QujWVyERTRnhD75ZCjJu8b6TAvwzVCuWQd6idCqTPMGXPxl7fQJLJLpP11tjTfaSoqO0IgMyYX69PY-mRse5lXfxPzSmJeWCsYllR6GQzRlM2SWmY94lkA-0q3XCHoCfej=s0-d) | Many intravenous drug infusions labeled incorrectly. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tfMPQsAqv9rzgz3WL6w671gLBQEuv5KvMg4h2Q22BIa55yIgWPNef8jyQZtAKvOqdtTUxmNKjJeuL63Yjl_CF3xUjT_quTowmYICT3Fj4wp5ACS0W90bRuilhOX0_NneQJCcxd=s0-d) | Most ED cases referred to a physician review committee in an urban hospital ED involved three or more contributing factors. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_uocMYA3m8fAwsi59bRqijmZCQ5DaWqmTz1BEmaivcutGdv-FRWMhSYt5JAFr5V_xuSOtGjQY7AhGcriJaIYXI7F9OBHWSXLYQ_Sh8JTqbuGpT4sepC-A=s0-d) | Fewer than 50% of physicians believe they have access to a reporting system in their organization to report medical errors |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_uQ_BPRfE6rHzeYzQVyrhVoxLKBAcoVxqI0B9cd6R6KNkgrC9u_lpL2cEFUr9od5faH_-VliFW98ZCw8Mj69YkpLL8_O-OW4Begnb50rTx6-jrqJ6vfQw=s0-d) | More than 50% of key clinical faculty report worsening medical educational experiences for students on their medicine rotations as a result of duty hour regulations. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tKIQPaGBHAncS0a7fKOABLQFz7Zoj4TBzs1phz0gTsR-gTSZPqP3GmFzyOlRua0noTGmi4ITtJWya1u6W2Bnkh4jknum_nuw7z_7QR3G_790mHL6Y4Ww=s0-d) | Surgeons experienced 50% fewer positioning errors with laparoscopic procedure equipment when they used a structured checklist. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_soc6w0INdD17cwsO3ObCNo0dkpE3Wx1KgJsiRLe3BZj1KZtbWp5QQeJ_3_6atj6eJCVLwNboagrNUMSlfWwvTniv8ZTbROmfcvvtqAdoI5Wazkfe_eRQU=s0-d) | Sentinel events most frequently reported to The Joint Commission. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vbuwnaUnKtSgr15mhRG-qV3AUKl2iuGSYtN7BKmi6wxB0f91oiqVLzQk_m3NaeeAKsckIUWF2kJXyoZeZRgnxQAXCOamscqaOi3aIPlu0wRYBZA7A5=s0-d) | Most physicians are dissatisfied with current systems to report and disseminate error information in their hospital or health care organization. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_t6Z4fhFOEOnsR8v9O4jL__nCdazf_tuuCZbNzULreEtOllQFlkbvonnwm3NkOp0XnoDi98ZN1aBFp7vVKZZ61KtxsSMAVFrF72MqPyzc-CVrOo_34MwA=s0-d) | In a survey of 1082 practicing physicians, most report having been involved in a medical error. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vWqxhyAc-dtSRRxVzoebAZTdf5pCh_4vaiGuoOA9wQR43W4zTsn15d5d3xH1-itokqQCwCBX5qtAYu9A-bw0tiQOmvcjkdm7RU1e06REKtGdou6U9O=s0-d) | Low and marginally literate patients have difficulty following the prescription label instruction "take two tablets by mouth daily" even when they are able to read dosage instructions correctly. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vXcL-rTIvqhdRYtte1fXBeq5SSpcXD9-6uVuRIpgQsndVG5ggB0fhEXfxwUaD9Xdhu5hDkohLwKKngp3ghK55SVNroa6g2NX_2Du569xHjveUYfUS8sw=s0-d) | Prescribers override more than half of CPOE generated alerts of critical drug-drug interactions (DDIs) without providing a reason. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_v9cqBcqfftVchAXmX5xSZFzNjvkfQQedg-hTm1x7ZEjnoa-LhUyr6o4Lh6JxG_xBN2Aqirr1n2HVGZ5TkcP41XkN2sVt7r-4PRb21eS_eR6ObsxuZqKQ=s0-d) | Key clinical faculty feel that duty hour regulations have worsened resident patient care |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tlH6a0kGURQasfAHjb40LBt1PRxSFHtHATPp8X9Fb1eO93b6-NSxeqf2VHftNHg3m7uhAXf70Ftdo6IcmO6UA3B1lEQanKv_tRtrnUhuV1QGfZZoEqQHo=s0-d) | Surgical specimen identification errors |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vf8bCChRx8b1EdPnqZkggh3fLb9_FYQsaXY3PtTGhRSmW4VOovcI6ksW24hcruC_5-DqlvoFeN-iQIlrDypT9a54Q-i3ZIdrNEAdZ0lG5fx6vmnrddZQ=s0-d) | Patient safety publications before and after publication of the IOM report "To Err is Human." |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sKQqhsWrM5VAttsoFeCZJXDs-DEupZWu-ixqvt73JJS3JGJJZzRYnpfbhuMbXaPbr-T6VEJlBkAXc814XM3COqeaL2fFXtHPNfq3ILsHfsQwg2tKARWA=s0-d) | Patients' reports of errors in outpatient chemotherapy via patient safety liaison program |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tV2TZtkgBKfBHJqPWRD1l_yad7rygCgv84GpQIe6ats4I4jlRUkQn26a70WEOXAP0WAooDrNnWe3XZgLEXeJT9QDTpC6R73fNcKjmEFKluQFZZtbLktw=s0-d) | What physicians would disclose about error |
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![]() | Frequency of the 154 "never events" reported to the Minnesota Department of Health in 2005-2006 |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_v8qHR_3Ty-VoVKZ0-tMg0tzOw0o36rdNdPwYy0TSOEuoNTv1RGaIxYFqIGqKjXoJTmnn8Q2k3MD3CcS0K_sGlmKpQ8dJOTbPtcLlr8pNvktA=s0-d) | Most physicians think serious and minor errors should be disclosed |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vQj86u9eI8yA0UPtoqdzjbCOzDO8VbryGeEv7GSWsPzsBadYTGHy7ZnfRsJUIwL24HwcShOTUm9ZG-Yw_MqQd7KG4Z9LfwhMjhhk0N5j6g2w=s0-d) | More than half of consumers don't have personal set of medical records |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_uZogrjXTnW0lCkcfyucVvb5h1AVbX19s5FyVK_1lvk6Da-UHPyZUc9FynRrBptHghYzBV4YC9_uew91fLsENM388n_7REpY89Hhywlpq04Ow=s0-d) | Categories of missing clinical information during primary care visits |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_upqt8tPDJbXRFndElWr_ElFv_ka1AbZWS3bIrbmjYxqu5MsL8IN_dpAEFUSUI_tYHXnLStD0LPq2H3AizjCx7yLuYs_mqEP4Yes9FX9Xg9Gb8=s0-d) | Classification of incident reports submitted electronically |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tBDnxjsSvDA7mXaw7MsCxBSFd-KLSnVC5bkFR2ewpe8jePhhh_Sq_QstTfplsRAeSzkeK0MFYE2cBK3gXiXQfubt2DZjFM63XNS4fAQE0gWA=s0-d) | Risk of error almost doubled when nurses worked ≥12.5 consecutive hours |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_u4lmK85AGlf99A2KhYoghve3OPtA8Xm4O57w6JNSPfs6bgPyfm-fnYufQTLnSU0af6vCLUbu1Ne8FxWDj5f6PVl207wzRHi8N1dP4rEcewuA=s0-d) | Degree of EHR implementation in all practices |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_uthwBMzkV2VQTiMv1C6McJvprcuAeIsFZqtoT_aMH6MmNQwdkf0D81ta_WF_Kct-0YJfGL-EgHnwXV5ZnSkmJ5aDzVdoUq0m-7650TNuK5sw=s0-d) | Table showing top 5 self-perceived barriers to incident reporting for doctors. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_ud5CwtSx7NPwXGdtGnxLdw1vooUqA5gdsiKXbZafeyAQEjMNMNn0Wh9d-nv90vbw92NHicH4MFZ0bO3_h7dOHUUoj0jOrRA8ldbefKv-dp89ah=s0-d) | Table showing voluntarily reported errors. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sTAKwtrZJIlotRqJa15MXY10TmZkiUdbnL0LyxUcUF8tofSzvA179gonxfs2362DYi8txGDkQdmKkDDNTkUUemM5ArVuSlFJ4DcOvL3a46rmZb5g=s0-d) | Table showing incident reporting usage. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sL34tlYF_fVpdJvtNX7OmfImSVTnMorK64jlwf9aarvS2RZ4P8xj-0nTBwkRdj-RDC61qdHMKJV2SQ6EweSBU8PgmKUoybZQ4JviYhYHYpplGj=s0-d) | Quality of CPR during in-hospital cardiac arrest is poor |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_u7F5_oRtTT2I8Y5QJN_6HEu-9vNDbrMxvMJKee1rILQdUboReCrtFKKZKtddf_f4LXn_wc2mqdEYUPAgRn4UUxKSFb8QSXCOm3FlpcjCBS4gba=s0-d) | Nurses’ perceptions of overall medication safety in their hospital since the IOM report |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_uOPbE4OuA7WLgzyec7Fikt-6-jSBZ3hxHb0nvUCRohr8u7K3KXM5a1yCpLCVbcJWaa9DBcVbv8IkRGppWdWr_Ut_h-buliJQi40bAcvIJSYW8s2g=s0-d) | Top seven barriers to implementing patient safety system |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_uWE0ZO5joiBl98_zs5XGDLGRi0Js7PhxvuJsh_1X77qQhyiW1yZ-lURomNMRvHUyKMZTgWH1-XVBOk5X9qy294Q_XhITEVWEAYwBROwXDTfXkqiw=s0-d) | More than half of patients have ≥ 1 unintended medication discrepancy at hospital admission |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vpmj7f1s7IJnZIWIgQtUwAaB7MzGFo3PajsoVrR6s1MNSFB978GgdiTb5mYNJWt4Wrxv3sznh-bROufQ0_ajnzIbAJ1rowMkiciJZosDmoz-GMxQ=s0-d) | Most common prescribing errors in long-term care facilities |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_uWnMMgeSvWaFIBAyKD-VeTuQlgeKFNLbUqF4dhZWAb7BvX-xpDtJFC10XyVRUdNOysUeLuqot9P8JnaE2bxM_WUdK733tl7RhBLH-JyQYFmhEh=s0-d) | Percentage of trainees reporting routine use of safe prescribing practices |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_uTO9x0SZosREK78vwkBX_08qXUb0TzvmCaE2nfxAwVuPNGn0SeDGbHlN7QPSa_x5Z1R1qZ237XmYL5QL5NhhUQtlYHWHqesbAoEPcqxWggD9iwbg=s0-d) | Types of iatrogenic events causing patients to be admitted to ICU |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sOp5TThO3XqOEPF8naUnpuFAIKPOXVnPvj76GxlWiD-rIEv0lhOTIQIu83MjqdFfMq3HcRNFUXLIroPVTOpiKg1-Flw7YNZ5hDMAUQQWRVv3yUjQ=s0-d) | Some hospitals asking patients to remove or cover rubber wristbands |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_unnPDMvF57XdB0TMojReeQHQpC9qbeEf449GpIHWnIqPyX1FhalslyjKm5SC8r_Ul9Ehx1mCtKmd-eqfQ_Ke8qIunOfuVR-tWGsyM8i6XfZ7mGuw=s0-d) | Adverse drug events in long-term care facilities. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vi6j2UEAHsLe0Uhl-skeRy8UdJmIwdCl2HK6bJIrMFJYERTqJZ1GTNBoYPuJzA6XsxYl4wMhFJgSt_fO7f_VrQ2n083dy8H1ShMWmogU6LryrdhQ=s0-d) | Health care providers rarely confront colleagues on mistakes in patient care. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_scigvuSnB4iDJFnYX8tx_OjJaFwvRqtlF7FZxEct-Db89kCfyor4oDNa95BDS9zn5wazK_qgfZ5NgiFU_GDILYyjMfTKnX2QF9RKG81nvqQxHy=s0-d) | Health care facilities attribute medication errors to multiple causes. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_ut5e28xwNErIs4_MQZCmD0YUbhN8tCF4GSw8sArOKhcermp7sSblH_MetFHNu6-L7c9N0ism5aLZyMJIP10IloAjkoXC60w0WMpzOSbYxjHkfq=s0-d) | Percentage of physicians and general public reporting that they, or a family member, have been a victim of a medical error. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_sGCtRui8PEusJpirf-2ntOR4qe_np8Z0q1lEnc_HuGFGxC7iBfa6wKrRraQtkolmifVNO0tENM_0Ui6-SfcWm3Grfn6l_Ta0ObJOqclYsrCCm2=s0-d) | Among 400 consecutive patients at an academic hospital, 76 (19%) had adverse events soon after discharge, most either preventable or ameliorable. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_v7m6CBmTxBBgpsLeAdDkXnD92NAriVyMmlrcODuPm5DxI7L-11O46NRIsq46mEbXMWkiBCTvXeXsEfblkYcbzFRIkjr8MkE1uCTKufY69Zz3wn=s0-d) | Physicians and nurses disagree on which clinical information technology would benefit patient safety. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tfkbE6JWdmDZpuZBNzWRPAjcwpR81NHOYTl9MzHewS-LxvIBFHeQu1VZpJNmHITRAp6rXGd73p7vkSzMtbYD34UTHf2U2fE21RiKEITdDPTjy0=s0-d) | The vast majority of doctors and nurses believe that decision support technology will change medical practice in the next 5 years, but few actually use it now. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_v9wZ60SttFdLN8AGIGykuJ-QuNjzEp8ZvXNy_0zyIu28caEIDlPK-PGZFPXQTDOxVgHJIHfo1kf2opZd-fhVzyJ19Uwx1I8W3Fyol9XKVadgs=s0-d) | Without interpreter services, non-English speaking patients often don't understand medication instructions. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tcXXhgpaT0mIwhXi1YuZqFj6UZIDzy0lb3Vwqus2Nzb2sj3Cq7ot19yX6T2J36XFLPdUJdl15Vq0MqHk8pi9t2oOXSbKGnEwFyTULO_GWt5AU=s0-d) | Many adverse events attributed to inadequate nurse staffing. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_tBnC2GYnYSXcUfpcoe2gIQV0-nEISpxAIIq6BKUuyx7WGiVWc7kIBLl4q64hUKe5NjZrkJSL0hlLbqZVk8qEOs0LTfJayIyWnntyB0GZ4b4aXL=s0-d) | Of urban hospitals surveyed, few currently use computerized physician order entry (CPOE) but 30% plan to by 2004. |
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![](https://lh3-testonly.googleusercontent.com/blogger_img_proxy/AEn0k_vv14zHZzOwIaRpLUQIPlOqVlzSiyeOHhPoK-593bo_fORyVAO3UgPRX1Anu8C5KNpoDs_Z3XJiua6o2_nvybkhQGHDZ8AvYRO8tYv52ycOUbnq=s0-d) | Safety hazards and everyday probabilities. |
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