-
psnet.ahrq.gov/node/42216/psn-pdf
June 28, 2013 - describes one hospital's development of a simulation ward and its experience designing
scenarios, involving
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psnet.ahrq.gov/node/39902/psn-pdf
December 29, 2014 - clinical-handover-incident-reporting-one-uk-general-hospital
Analysis of incident reports revealed a lower than expected number of reports involving
-
psnet.ahrq.gov/node/47318/psn-pdf
October 12, 2018 - psnet.ahrq.gov/issue/ismp-survey-iv-push-medication-practices
https://psnet.ahrq.gov/issue/medication-errors-involving-intravenous-administration-route-characteristics-voluntarily
-
psnet.ahrq.gov/node/45517/psn-pdf
March 01, 2017 - https://psnet.ahrq.gov/issue/lost-voice
Reporting on an incident involving a patient who died after
-
psnet.ahrq.gov/node/37265/psn-pdf
May 02, 2018 - potassium-may-no-longer-be-stocked-patient-care-units-serious-threats-still-
exist
This article describes how errors involving
-
psnet.ahrq.gov/node/44226/psn-pdf
November 03, 2015 - A past AHRQ WebM&M perspective
highlighted the importance of involving patients in safety.
-
psnet.ahrq.gov/node/43738/psn-pdf
December 03, 2014 - issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences
Reviewing an incident involving
-
psnet.ahrq.gov/node/42236/psn-pdf
May 01, 2013 - nursing-student-medication-errors-case-study-using-root-cause-analysis
This commentary examines a medication error involving
-
psnet.ahrq.gov/node/37163/psn-pdf
May 04, 2015 - developed a computer-based program to educate nurses about medication safety and
preventing errors involving
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psnet.ahrq.gov/node/44980/psn-pdf
April 27, 2016 - In this small study involving six staff surgeons at a
teaching hospital, surgeons who assumed the care
-
psnet.ahrq.gov/node/35878/psn-pdf
April 26, 2006 - report shares the results of an inspection into two mistakes at a Veterans Affairs (VA) health
facility involving
-
psnet.ahrq.gov/node/41528/psn-pdf
May 07, 2018 - mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-
data-entry-errors
This newsletter article discusses an error involving
-
psnet.ahrq.gov/node/41978/psn-pdf
January 16, 2013 - surgical-complications-disclosing-adverse-events-and-medical-errors
This commentary presents a scenario involving
-
psnet.ahrq.gov/node/44566/psn-pdf
October 14, 2015 - /psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa
Describing incidents involving
-
psnet.ahrq.gov/node/44108/psn-pdf
November 06, 2015 - https://psnet.ahrq.gov/issue/service-members-are-left-dark-health-errors
Reporting on a case involving
-
psnet.ahrq.gov/node/36862/psn-pdf
August 30, 2011 - cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-
and-forgiveness
The researchers presented 32 scenarios involving
-
psnet.ahrq.gov/node/44478/psn-pdf
September 09, 2015 - ismps-list-high-alert-medications-acute-care-settings
https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
-
psnet.ahrq.gov/node/44363/psn-pdf
May 05, 2018 - In
response to an incident involving a chemotherapy administration error as a result of utilizing the
-
psnet.ahrq.gov/node/45938/psn-pdf
September 29, 2017 - This
commentary explores an incident involving medical overuse, discusses whether overuse should be
-
psnet.ahrq.gov/node/37196/psn-pdf
June 06, 2018 - fold-overdoses-can-occur-particularly-neonates-transposing-mcg-
and-mg
This article analyzes a lethal error involving