-
psnet.ahrq.gov/node/74018/psn-pdf
October 27, 2021 - reporting-death-us-food-and-drug-administration-medical-device-adverse-event-reports
https://psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments
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psnet.ahrq.gov/node/37048/psn-pdf
September 29, 2011 - physician author recounts the story of her father's death—a death that she feels was preventable and
caused
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psnet.ahrq.gov/node/38609/psn-pdf
April 29, 2009 - hospital's decision to temporarily close its pediatric cardiac surgery
program following errors that caused
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psnet.ahrq.gov/issue/how-nurses-and-physicians-judge-their-own-quality-care-deteriorating-patients-medical-wards
November 20, 2015 - February 14, 2024
Adverse drug events caused by three high-risk drug-drug interactions … November 27, 2012
Adverse drug events caused by serious medication administration errors
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psnet.ahrq.gov/node/35895/psn-pdf
August 24, 2018 - /issue/building-case-medication-reconciliation
This article presents examples of medication errors caused
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psnet.ahrq.gov/node/60159/psn-pdf
March 25, 2020 - Nearly half (48%) of events caused major or
catastrophic harm.
-
psnet.ahrq.gov/node/60753/psn-pdf
August 05, 2020 - the authors
suggest that patient safety in mental health services could be expanded to include harm caused
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psnet.ahrq.gov/node/838145/psn-pdf
September 21, 2022 - charlie-bourg-was-lookout-veterans-harmed-new-va-computer-system-he-didnt-expect-be-one-them
https://psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-harm
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psnet.ahrq.gov/node/47360/psn-pdf
June 02, 2019 - of medication errors documented in a
Dutch national database, and that human behavior most commonly caused
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psnet.ahrq.gov/node/862125/psn-pdf
February 07, 2024 - Ultimately these experiences caused long-term harm to their mental health,
decreased trust in healthcare
-
psnet.ahrq.gov/node/35642/psn-pdf
January 18, 2006 - reports suggest that some patients actually received incorrect prescriptions due to printing
errors caused
-
psnet.ahrq.gov/node/36704/psn-pdf
March 28, 2011 - qualitatively analyzed error reports from the primary care setting in which an error had
been caught before it caused
-
psnet.ahrq.gov/node/37243/psn-pdf
December 16, 2011 - raising-awareness-inpatient-nursing-staff-about-medication-errors
https://psnet.ahrq.gov/issue/medication-safety-education-program-reduce-risk-harm-caused-medication-errors
-
psnet.ahrq.gov/node/36844/psn-pdf
January 22, 2017 - demonstrate how bar-code medication administration (BCMA)
systems prevented errors in some cases but caused
-
psnet.ahrq.gov/node/35695/psn-pdf
February 23, 2015 - surveyed anesthesiologists and found that cell phone use is associated with a reduction
of errors caused
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psnet.ahrq.gov/node/866055/psn-pdf
May 29, 2024 - Because of this finding, Ascension, as a health
system, sought to eliminate the harm caused by RSIs … After
implementation, the average number of days between a patient harm caused by an RSI increased from … demonstrates that a systemwide
bundle-based approach may be beneficial in decreasing patient harms caused … human factors principles is more effective than single technology-based interventions at reducing harm
caused … Results
Carmack et al specifies, the number of consecutive days without harm caused by an RSI increased
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psnet.ahrq.gov/node/72593/psn-pdf
January 01, 2021 - training in personal protective
equipment (PPE) donning), and supervision factors (such as those caused
-
psnet.ahrq.gov/node/845638/psn-pdf
March 08, 2023 - In this study, surgeons describe their preferences for and experiences with a device which
caused widespread
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psnet.ahrq.gov/node/74028/psn-pdf
November 03, 2021 - Of 781
respondents, 80% perceived the titration standards caused delays in patient care and 68% reported
-
psnet.ahrq.gov/node/50798/psn-pdf
January 15, 2020 - testing-alertness-emergency-physicians-novel-quantitative-measure-alertness-
and
Cognitive errors caused