-
psnet.ahrq.gov/node/46780/psn-pdf
January 31, 2018 - benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review
https://psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose
-
psnet.ahrq.gov/node/46116/psn-pdf
May 24, 2017 - pediatric-prehospital-medication-dosing-errors-mixed-methods-study
https://psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation
-
psnet.ahrq.gov/node/40061/psn-pdf
December 15, 2010 - authors highlight the need for further investigation to
determine if improving safety culture actually leads
-
psnet.ahrq.gov/node/43990/psn-pdf
April 22, 2015 - This behavior is problematic in that it likely leads to clinicians developing
workarounds instead of
-
psnet.ahrq.gov/node/34812/psn-pdf
March 05, 2008 - outlines the steps involved in applying the technique and
how this systematic process provides data that leads
-
psnet.ahrq.gov/node/46153/psn-pdf
May 31, 2017 - The literature suggests
that self-administration of medications is common and often leads to adverse
-
psnet.ahrq.gov/node/48184/psn-pdf
August 14, 2019 - of causality remains unclear—whether physicians with depression commit more harm or
committing harm leads
-
psnet.ahrq.gov/node/837299/psn-pdf
June 01, 2022 - hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
https://psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
-
psnet.ahrq.gov/node/860720/psn-pdf
January 17, 2024 - do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic
https://psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
-
psnet.ahrq.gov/node/45709/psn-pdf
September 01, 2018 - integrated-approach-reduce-perinatal-adverse-events-standardized-processes-
interdisciplinary
Prior research has shown that reducing preventable perinatal harm leads
-
psnet.ahrq.gov/node/46771/psn-pdf
January 30, 2018 - electronic-medical-record-alert-associated-reduced-opioid-and-
benzodiazepine-coprescribing
Opioid and benzodiazepine coprescribing leads
-
psnet.ahrq.gov/node/45501/psn-pdf
October 28, 2016 - This systematic review determined that vital sign
monitoring leads to early identification of patient
-
psnet.ahrq.gov/node/45699/psn-pdf
December 21, 2016 - interpretive-diagnostic-error-reduction-surgical-pathology-and-cytology-guideline-college
https://psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
-
psnet.ahrq.gov/node/35328/psn-pdf
May 19, 2015 - The mapped-out process then leads to identification of potential failures and the development of
strategies
-
psnet.ahrq.gov/node/47370/psn-pdf
October 10, 2018 - overdiagnosis-primary-care-framing-problem-and-finding-solutions
https://psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
-
psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Diffusion of Responsibility Leads to Danger
October 1, 2018
Balcezak TJ, Deshpande O. … Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018. … https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
The Case
A 70-year-old man was … https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
Fortunately, the patient was resuscitated
-
psnet.ahrq.gov/node/73258/psn-pdf
May 12, 2021 - rate-sepsis-hospitalizations-after-misdiagnosis-adult-emergency-department-patients-look
https://psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
-
psnet.ahrq.gov/node/47991/psn-pdf
July 12, 2019 - disclosure-hospital-adverse-events-and-its-association-patients-ratings-quality-care
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
-
psnet.ahrq.gov/node/47812/psn-pdf
April 17, 2019 - https://psnet.ahrq.gov/issue/overtreatment-united-states
https://psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
-
psnet.ahrq.gov/node/49527/psn-pdf
December 01, 2006 - Mismatch of patient identifiers or failure to label the tube leads to test
cancellation and caregiver … Examples of Patient Harm Associated with Laboratory Errors
Error identifying an organism leads to incorrect … Data entry error of a troponin result leads to false diagnosis of myocardial infarction and
unnecessary … Mislabeled blood gas specimen leads to delay in results and mismanagement of a patient who is
coding … Miscommunication of a high INR result leads to near fatal bleeding in an outpatient who has
received