-
psnet.ahrq.gov/node/38259/psn-pdf
December 03, 2008 - The authors point out that their AE rates mirror those described in Canada and
Australia but are higher
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psnet.ahrq.gov/issue/mris-strong-magnets-cited-accidents
June 08, 2010 - A number of dramatic cases are described (including several that were fatal), as are some of the challenges
-
psnet.ahrq.gov/issue/inquiry-reporters-death-finds-multiple-failures-care
March 30, 2016 - The investigation uncovered a range of failures in emergency care and is described in a report available
-
psnet.ahrq.gov/issue/medication-errors-and-professional-practice-registered-nurses
November 21, 2018 - This Australian study identified and described the incidence of medication errors among registered nurses
-
psnet.ahrq.gov/node/49767/psn-pdf
August 21, 2016 - work with other systems or products
without special effort on the part of the user.(1) In the case described … What's notable about the case described is that it takes place within one health care delivery system … Why might the health system described still lack interoperability between its inpatient and outpatient
-
psnet.ahrq.gov/node/46411/psn-pdf
April 12, 2019 - A past WebM&M commentary described how lack of access to
prescribing information led to an adverse drug
-
psnet.ahrq.gov/node/41371/psn-pdf
May 29, 2012 - This systematic
review found 68 articles that either described interventions to engage patients in safety
-
psnet.ahrq.gov/node/37590/psn-pdf
April 13, 2018 - This tension was notably described early on in the
context of resident training programs. Dr.
-
psnet.ahrq.gov/node/44114/psn-pdf
September 27, 2016 - advancing-future-patient-safety-oncology-implications-patient-safety-
education-cancer-care
A seminal report described
-
psnet.ahrq.gov/node/38692/psn-pdf
March 04, 2015 - errare-humanum-est-frequency-laterality-errors-radiology-reports
Errors that occur in clinical settings away from the bedside have been described
-
psnet.ahrq.gov/node/38454/psn-pdf
January 02, 2017 - This study categorized more
than 2200 incident reports into whether they described aberrant care processes
-
psnet.ahrq.gov/node/34656/psn-pdf
May 27, 2011 - conclude that communication failures between physicians and nurses
play a significant role in the described
-
psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-primary-care-implementing-patient-safety-curriculum
January 15, 2020 - Patient safety has been described as an unmet need in physician training.
-
psnet.ahrq.gov/issue/lacerations-and-embedded-needles-caused-epinephrine-autoinjector-use-children
September 23, 2020 - The injuries described in this case series underscore the need to improve medical device design and
-
psnet.ahrq.gov/issue/wake-safe-usa-international-patient-safety
August 23, 2023 - Barriers, enablers, and potential collaborations between nations are described.
-
psnet.ahrq.gov/issue/improving-diagnosis-adding-context-cognition
July 12, 2023 - Potential uses and testing of the framework are described.
-
psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see
August 14, 2024 - A WebM&M commentary described best practices for opioid prescribing.
-
psnet.ahrq.gov/node/867676/psn-pdf
February 26, 2025 - Event reporting, investigation, and data tracking have been described in other primers.
Figure. … As described in the CANDOR toolkit,
components of an apology should include acknowledging the gaps in
-
psnet.ahrq.gov/issue/2019-update-medical-overuse-review
May 05, 2021 - Medical overuse has been described as a patient safety problem among both adult and pediatric patients
-
psnet.ahrq.gov/issue/understanding-role-facility-design-acquisition-and-prevention-healthcare-associated
March 28, 2018 - Design interventions described include air filtration systems, decontamination of water sources, and