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psnet.ahrq.gov/issue/prescribing-errors-cause-harm
March 30, 2016 - Copy Citation
Related Resources From the Same Author(s)
Medication errors involving … October 7, 2015
Medication errors involving overrides of healthcare technology.
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psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-pennsylvania
April 17, 2017 - December 19, 2016
Medication errors involving healthcare students. … March 30, 2016
Medication errors involving overrides of healthcare technology.
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psnet.ahrq.gov/issue/key-vulnerabilities-surgical-environment-container-mix-ups-and-syringe-swaps
June 10, 2018 - July 8, 2015
Accidental overdoses involving fluorouracil infusions. … February 1, 2023
WebM&M Cases
Multiple High-Risk Events Involving
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hcup-us.ahrq.gov/reports/statbriefs/sb170-Operating-Room-Procedures-United-States-2011.jsp
February 01, 2014 - Patients admitted to the hospital may undergo a variety of treatments, including medical therapy involving … Findings
Characteristics of hospital stays involving operating room procedures, 2011
In 2011, a … Hospital stays involving OR procedures were about half as likely to result in patient death as were stays … Twenty procedures accounted for more than half of all costs for stays involving OR procedures. … Among hospital stays involving an OR procedure, the most common expected primary payers were private
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Patient Safety Events Involving Opioid
Dose Stacking
Source and Credits
• … Summarize strategies that can help address the multifactorial nature of pain
3
PATIENT SAFETY EVENTS INVOLVING … OPIOID DOSE STACKING
Two cases involving patients who experienced adverse
events due to perioperative … treating her ischemic heart disease and did not
administer naloxone.
9
PATIENT SAFETY EVENTS INVOLVING … ://doi.org/10.3892/etm.2019.7915
Spotlight
Source and Credits
Objectives
Patient Safety events involving
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psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - Multiple High-Risk Events Involving Workflow for Wasting
of Medications Used by Anesthesia
July 29, … Multiple High-Risk Events Involving Workflow for Wasting of Medications
Used by Anesthesia. … https://psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used- … https://psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia … prior to a procedure are all viable strategies to reduce overall waste.1
Medication Labeling
Errors involving
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psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
January 12, 2022 - December 16, 2015
A mixed-methods analysis of patient safety incidents involving opioid … December 16, 2020
Learning from patient safety incidents involving acutely sick adults
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psnet.ahrq.gov/issue/causes-adverse-events-home-mechanical-ventilation-nursing-perspective
November 10, 2021 - May 17, 2023
More than algorithms: an analysis of safety events involving ML-enabled … March 24, 2021
Reporting incidents involving the use of advanced medical technologies
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psnet.ahrq.gov/issue/high-delayed-and-missed-injury-rate-after-inter-hospital-transfer-severely-injured-trauma
December 02, 2020 - November 3, 2021
Medical malpractice lawsuits involving trainees in obstetrics and gynecology … February 5, 2020
Involving patients and carers in patient safety in primary care: a qualitative
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psnet.ahrq.gov/issue/i-am-administering-medication-please-do-not-interrupt-me-red-tabards-preventing-interruptions
May 12, 2021 - May 12, 2021
Critical incidents involving the medical emergency team: a 5-year retrospective … March 27, 2013
Oncology nurses' perceptions about involving patients in the prevention
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psnet.ahrq.gov/issue/influences-physical-layout-and-space-patient-safety-and-communication-ambulatory-oncology
August 25, 2021 - Related Resources From the Same Author(s)
Learning from patient safety incidents involving … October 27, 2021
A mixed-methods analysis of patient safety incidents involving opioid
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psnet.ahrq.gov/issue/evolution-intravenous-medication-errors-and-preventive-systemic-defenses-hospital-settings
July 01, 2020 - March 27, 2024
Medication errors and error chains involving high-alert medications in … December 8, 2021
Human-based errors involving smart infusion pumps: a catalog of error
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psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study
August 26, 2020 - November 3, 2021
Medical malpractice lawsuits involving trainees in obstetrics and gynecology … December 1, 2021
Involving patients and carers in patient safety in primary care: a qualitative
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psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
November 18, 2020 - December 11, 2024
Root cause analysis of cases involving diagnosis. … July 2, 2019
Medical malpractice lawsuits involving surgical residents.
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cdsic.ahrq.gov/cdsic/patient-centered-cds-postpartum-hypertension-monitor
September 28, 2022 - Decision Support Explained
May 1, 2024
Trust and Patient-Centeredness Workgroup: Methods for Involving … Patient-Centered CDS Workflow and Lifeflow Impact Executive Summary
July 1, 2023
Chartbook: Involving
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psnet.ahrq.gov/issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey
May 18, 2022 - October 10, 2012
Predictors of prescription errors involving anticancer chemotherapy … December 1, 2011
Fatality involving vinblastine overdose as a result of a complex medical
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psnet.ahrq.gov/issue/online-patient-feedback-safety-valve-automated-language-analysis-unnoticed-and-unresolved
August 05, 2020 - November 9, 2022
Learning from patient safety incidents involving acutely sick adults … September 19, 2018
A mixed-methods analysis of patient safety incidents involving opioid
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psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
May 19, 2021 - March 24, 2021
Learning from patient safety incidents involving acutely sick adults in … October 12, 2022
Reporting incidents involving the use of advanced medical technologies
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digital.ahrq.gov/ahrq-funded-projects/implementation-ddinteract-shared-decision-making-tool-anticoagulant-drug-drug
August 15, 2023 - Project Description
This research has the potential to reduce drug-drug interactions involving … multisystem trial to evaluate the effectiveness of DDInteract to mitigate exposure to drug interactions involving
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psnet.ahrq.gov/issue/association-past-and-future-paid-medical-malpractice-claims
February 01, 2023 - August 26, 2020
An examination of medical malpractice claims involving physician trainees … August 3, 2020
A description of medical malpractice claims involving advanced practice