-
psnet.ahrq.gov/node/38017/psn-pdf
May 02, 2018 - proper-positioning-pharmacy-label-hospira-pca-vials-will-avoid-interference-
scanning
This article reports on an overdose caused
-
psnet.ahrq.gov/node/44917/psn-pdf
November 30, 2016 - framework to help organizations gather insights from staff, patients,
and family members regarding what caused
-
psnet.ahrq.gov/node/39751/psn-pdf
August 11, 2010 - of the adverse drug events identified by the United Kingdom's National Patient Safety Agency
system caused
-
psnet.ahrq.gov/node/862600/psn-pdf
February 14, 2024 - improving-specificity-drug-drug-interaction-alerts-can-it-be-done
https://psnet.ahrq.gov/issue/adverse-drug-events-caused-three-high-risk-drug-drug-interactions-patients-admitted-intensive
-
psnet.ahrq.gov/node/47025/psn-pdf
April 11, 2018 - https://psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
-
psnet.ahrq.gov/node/39774/psn-pdf
July 03, 2014 - health-care-associated-invasive-mrsa-infections-2005-2008
The overall rate of health care–associated infections caused
-
psnet.ahrq.gov/node/37649/psn-pdf
September 27, 2017 - anesthesia-machine-cause-intraoperative-code-red-labor-and-delivery-suite
A case of an intraoperative fire caused
-
psnet.ahrq.gov/node/73399/psn-pdf
June 16, 2021 - Preventable adverse events were commonly caused by technical,
organizational, and human causes; technical
-
psnet.ahrq.gov/node/854818/psn-pdf
October 25, 2023 - testing errors most commonly occurred during the pre-analytic phase (77%), and were
predominantly caused
-
psnet.ahrq.gov/node/38421/psn-pdf
December 31, 2014 - outbreaks of hepatitis B and C virus in outpatient settings and found that
transmission was uniformly caused
-
psnet.ahrq.gov/node/37661/psn-pdf
June 12, 2008 - antiretroviral medications experienced at least one medication error
, the majority of which could have caused
-
psnet.ahrq.gov/node/837857/psn-pdf
August 17, 2022 - implementing-patient-and-family-involvement-interventions-promoting-patient-safety-systematic
https://psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-death-process
-
psnet.ahrq.gov/node/849329/psn-pdf
May 24, 2023 - interorganizational-health-information-exchange-related-patient-safety-
incidents-descriptive
Insufficient or incorrect transfer of patient information, whether caused
-
psnet.ahrq.gov/node/44608/psn-pdf
October 28, 2015 - https://psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
-
psnet.ahrq.gov/node/43813/psn-pdf
January 20, 2015 - emergency department visits within 7 days of an initial visit to
determine if the second visit was caused
-
psnet.ahrq.gov/node/37389/psn-pdf
January 30, 2008 - A similar error captured headlines in 2006 when it caused the deaths of three
infants.
-
psnet.ahrq.gov/node/44172/psn-pdf
September 28, 2016 - independent-double-checks-high-alert-medications-essential-practice
https://psnet.ahrq.gov/issue/mitigating-errors-caused-interruptions-during-medication-verification-and-administration
-
psnet.ahrq.gov/node/38802/psn-pdf
March 04, 2011 - impact of CPOE systems on clinical workflow, including the noted impact
on efficiency and limitations caused
-
psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - distractions, or fatigue, whereas failures of
attentional behavior are termed mistakes and often are caused … In health care, as in other industries, most errors are caused by slips rather than mistakes, and checklists
-
psnet.ahrq.gov/node/72467/psn-pdf
November 18, 2020 - preventable
AEs were significantly higher in isolated patients compared to non-isolated patients, primarily caused