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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - Milpitas, CA), a web-based national medication error reporting system, received 2567 error
reports involving … Root Causes
Causes of errors involving patients' home medications include (i) failing to bring the medication … As a result,
involving the pharmacist as a resource or using Web-based subscription resources for tablet … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#figure
https://psnet.ahrq.gov//#figure
severity of errors involving
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hcup-us.ahrq.gov/reports/statbriefs/sb233-Operating-Room-Procedures-United-States-2014.jsp
December 01, 2017 - The percentage of all inpatient stays involving operating room (OR) procedures and the percentage of … aggregate costs attributed to inpatient stays involving OR procedures are presented. … Findings
Characteristics of inpatient stays involving operating room procedures, 2014
Figure … Compared with stays without OR procedures, stays involving OR procedures were longer on average (5.1 … In 2014, inpatient stays involving OR procedures averaged 5.1 days in length with an average cost of
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psnet.ahrq.gov/node/35205/psn-pdf
November 30, 2016 - https://psnet.ahrq.gov/issue/not-again
In this editorial, the author responds to an error involving
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psnet.ahrq.gov/node/39593/psn-pdf
June 09, 2010 - //psnet.ahrq.gov/issue/look-alike-sound-alike-drugs-trigger-dangers
This news piece details errors involving
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psnet.ahrq.gov/node/35160/psn-pdf
January 02, 2017 - psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
The authors review selected incidents of harm involving
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psnet.ahrq.gov/node/34905/psn-pdf
February 25, 2009 - issue/quest-six-sigma
This discussion of patient safety from a surgical perspective highlights issues involving
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psnet.ahrq.gov/node/35372/psn-pdf
June 06, 2018 - paralyzed-mistakes-preventing-errors-neuromuscular-blocking-agents
This article provides examples of incidents involving
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psnet.ahrq.gov/node/37720/psn-pdf
June 13, 2011 - deploying-med-reconciliation
This commentary describes how one medical center developed a medication reconciliation program
involving
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psnet.ahrq.gov/node/35683/psn-pdf
April 25, 2018 - ://psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
This article describes problems involving
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psnet.ahrq.gov/node/42865/psn-pdf
January 15, 2014 - This newspaper article reports on
diagnostic errors involving cancer—including common causes and patients
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psnet.ahrq.gov/node/37852/psn-pdf
May 02, 2018 - psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams
This article describes recommendations for involving
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hcup-us.ahrq.gov/reports/statbriefs/sb218-Malnutrition-Readmissions-2013.pdf
January 01, 2013 - Characteristics of Hospital Stays Involving Malnutrition, 2013. HCUP Statistical Brief
#210. … In the United States in 2013, the in-hospital death rate was 12 percent for stays involving cachexia … (i.e., wasting syndrome) and 8 percent for those involving protein-calorie malnutrition, compared with … to thrive, and underweight diagnoses.11 Compared with other types of malnutrition,
hospital stays involving … Characteristics of Hospital Stays Involving
Malnutrition, 2013. HCUP Statistical Brief #210.
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psnet.ahrq.gov/node/40229/psn-pdf
January 01, 2017 - psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
This article reports on a court case of a pharmacy error involving
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psnet.ahrq.gov/node/40831/psn-pdf
October 05, 2011 -
https://psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
Reporting on a patient death involving
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psnet.ahrq.gov/node/36351/psn-pdf
October 27, 2010 - issue/when-bone-flap-hits-floor
The authors discuss the incidence, treatment, and outcomes of cases involving
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psnet.ahrq.gov/node/38580/psn-pdf
April 22, 2009 - practising-safely-foundation-years
Through case scenarios, this commentary examines adverse events involving
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psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
October 12, 2016 - December 16, 2015
Patient safety incidents involving sick children in primary care in … December 15, 2021
A mixed-methods analysis of patient safety incidents involving opioid
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psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
December 21, 2017 - More
Related Resources
More than algorithms: an analysis of safety events involving … July 10, 2017
Medication errors involving overrides of healthcare technology.
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psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
December 18, 2013 - October 5, 2016
A mixed-methods analysis of patient safety incidents involving opioid … November 11, 2020
Patient safety incidents involving sick children in primary care in
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psnet.ahrq.gov/issue/methods-studying-medication-safety-following-electronic-health-record-implementation-acute
February 03, 2011 - December 16, 2020
A mixed-methods analysis of patient safety incidents involving opioid … June 24, 2020
Harm prevalence due to medication errors involving high-alert medications