-
psnet.ahrq.gov/node/60949/psn-pdf
September 23, 2020 - can assign accountability appropriately while encouraging disclosure and improvement when
mistakes occur
-
psnet.ahrq.gov/node/852803/psn-pdf
August 23, 2023 - potential for data breaches and reduce their impact on care delivery and processes should cyberattacks
occur
-
psnet.ahrq.gov/node/838312/psn-pdf
October 12, 2022 - causes-adverse-events-home-mechanical-ventilation-nursing-perspective
Hospital-level care at home can reduce cost and hospital readmissions, but adverse events still occur
-
psnet.ahrq.gov/node/73295/psn-pdf
May 19, 2021 - bupivacaine-
hydrochloride-injection-usp
Anesthesia medications can be high risk should dosing errors occur
-
psnet.ahrq.gov/node/837974/psn-pdf
August 31, 2022 - healthcare balances organizational and individual responsibility and accountability when
medical errors occur
-
psnet.ahrq.gov/node/837300/psn-pdf
June 01, 2022 - https://psnet.ahrq.gov/issue/surgery-itself-risk-factor-patient
Preventable adverse events (AE) can occur
-
psnet.ahrq.gov/node/846153/psn-pdf
March 15, 2023 - Fires were most likely to occur
during upper aerodigestive tract and head and neck surgeries; these
-
psnet.ahrq.gov/node/846756/psn-pdf
March 29, 2023 - the majority of studies as administration greater than 60 minutes before or after the scheduled time) occur
-
psnet.ahrq.gov/node/73181/psn-pdf
April 28, 2021 - effectiveness of medical emergency teams (MET) has been widely researched, critical incidents
that occur
-
psnet.ahrq.gov/node/865877/psn-pdf
May 15, 2024 - The revised
framework identifies critical points where communication breakdowns are likely to occur
-
psnet.ahrq.gov/node/36604/psn-pdf
June 04, 2024 - 15th-annual-public-report
The National Quality Forum has defined 29 never events—patient safety problems that should never occur
-
psnet.ahrq.gov/node/867142/psn-pdf
November 13, 2024 - AEs were more
likely to occur among patients with longer ED stays.
-
psnet.ahrq.gov/node/867192/psn-pdf
November 20, 2024 - reported medication and other substance events, outlining data such as when in the
process errors occur
-
psnet.ahrq.gov/node/866905/psn-pdf
October 09, 2024 - Errors
typically occur due to lack of access to the appropriate knowledge, and neither system is essential
-
psnet.ahrq.gov/node/867234/psn-pdf
December 04, 2024 - This two-part series examines
characteristics of misconnections, how often they occur, and what can
-
psnet.ahrq.gov/node/44290/psn-pdf
April 10, 2023 - prevention-and
Retained surgical items are rare and potentially catastrophic incidents that continue to occur
-
psnet.ahrq.gov/node/47860/psn-pdf
June 30, 2019 - new-mother-number-14
Rigid adherence to protocols may detract from safety when unexpected critical events occur
-
psnet.ahrq.gov/node/73356/psn-pdf
June 02, 2021 - resonance imaging (MRI) suites harbor unique hazards that can harm patients, should process
missteps occur
-
psnet.ahrq.gov/node/839831/psn-pdf
November 09, 2022 - events serve as triggers to motivate substantive improvement in health care organizations should
they occur
-
psnet.ahrq.gov/node/846764/psn-pdf
March 29, 2023 - health record (EHR) systems are complex efforts that have the potential for
injury, should failure occur