-
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/47473/psn-pdf
December 05, 2018 - offers recommendations for clinicians to
demonstrate their concern and improve practice when problems occur
-
psnet.ahrq.gov/taxonomy/term/3451
Active errors occur at the point of contact between a human and some aspect of a larger system (e.g.,
-
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/33986/psn-pdf
March 07, 2005 - distributing-cognition-icu-handoffs-conform-grices-maxims
A recap of ongoing research studying the important transitions, or "handoffs" of care, that occur
-
psnet.ahrq.gov/node/42726/psn-pdf
November 13, 2013 - mistakes-even-good-doctors-make
This article reveals commonly misdiagnosed conditions, why diagnostic errors occur
-
psnet.ahrq.gov/node/43405/psn-pdf
August 14, 2014 - hospitalized for acute coronary
syndromes or congestive heart failure, with errors more likely to occur
-
psnet.ahrq.gov/node/37680/psn-pdf
April 09, 2008 - psnet.ahrq.gov/issue/10-derm-mistakes-you-dont-want-make
This article describes common errors that occur
-
psnet.ahrq.gov/issue/analysis-risk-factors-patient-safety-events-occurring-emergency-department
January 26, 2022 - Study
Analysis of risk factors for patient safety events occurring in the emergency department.
Citation Text:
Alsabri M, Boudi Z, Zoubeidi T, et al. Analysis of risk factors for patient safety events occurring in the emergency department. J Patient Saf. 2022;18(1):e124-e135. doi:10.1097…
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psnet.ahrq.gov/node/847043/psn-pdf
April 05, 2023 - evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-
solutions
Multiple handoffs occur
-
psnet.ahrq.gov/node/836721/psn-pdf
March 09, 2022 - sources-medication-omissions-among-hospitalized-older-adults-polypharmacy
Medication reconciliations, including conducting a best possible medication history (BPMH), may occur
-
psnet.ahrq.gov/node/844791/psn-pdf
September 18, 2019 - review-alternatives-root-cause-analysis-developing-robust-system-incident-
report-analysis
Root cause analysis is a fundamental approach to understanding how failures occur
-
psnet.ahrq.gov/node/73469/psn-pdf
July 07, 2021 - barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-
meta-synthesis
Handovers between providers occur
-
psnet.ahrq.gov/node/849123/psn-pdf
May 17, 2023 - maximizing-student-potential-lessons-pharmacy-programs-patient-safety-
movement
The patient safety movement recognizes that most errors 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/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/850353/psn-pdf
June 14, 2023 - perioperative-handoff-enhancement-opportunities-through-technology-and-
artificial
Multiple handoffs can 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/47439/psn-pdf
January 17, 2019 - prevalence-and-factors-associated-patient-nondisclosure-medically-relevant-
information
Diagnostic errors and delays may 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