-
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
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psnet.ahrq.gov/node/73524/psn-pdf
July 21, 2021 - types of errors that compromise the safety of compounding
practices, steps in the process where they occur
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psnet.ahrq.gov/node/39414/psn-pdf
March 31, 2010 - The authors also identify responsibilities after such instances occur.
-
psnet.ahrq.gov/node/35367/psn-pdf
July 20, 2009 - /psnet.ahrq.gov/issue/reducing-adverse-events-blood-transfusion
The authors discuss how errors can occur
-
psnet.ahrq.gov/node/35329/psn-pdf
April 11, 2011 - preventable-adverse-events-infants-hospitalized-bronchiolitis
This study found that medical errors often occur
-
psnet.ahrq.gov/node/48161/psn-pdf
January 01, 2021 - investigating-impact-intensive-care-unit-interruptions-patient-safety-events-
and-electronic
Despite many technological innovations, safety events occur
-
psnet.ahrq.gov/node/73168/psn-pdf
April 21, 2021 - ://psnet.ahrq.gov/web-mm/another-fall
https://psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away
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psnet.ahrq.gov/node/74754/psn-pdf
February 09, 2022 - Results indicate that adverse events can occur in intra-hospital transport, and that frequency of
critical
-
psnet.ahrq.gov/node/866436/psn-pdf
August 07, 2024 - many strategies to improve medication safety, such as tall man lettering, but serious errors still
occur
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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
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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/865873/psn-pdf
May 15, 2024 - review-medication-errors-and-second-victim-pediatric-pharmacy
Even with technology designed to prevent them, medication errors continue to 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/852464/psn-pdf
August 16, 2023 - notice-intent-publish-funding-opportunity-announcements-understand-and-
improve-diagnostic
Diagnostic errors occur
-
psnet.ahrq.gov/node/49485/psn-pdf
August 29, 2024 - Though not well appreciated by many clinicians, POVL may occur in relatively healthy patients, even when … AION has been associated primarily with cardiac bypass procedures but can occur during prone spine
operations … Peripheral vision is
frequently affected, but total blindness may occur as well. … Visual loss secondary to AION has been reported to
occur anytime from the immediate postoperative period … count fingers does not
preclude the possibility of scotoma or discrete visual field deficits as may occur
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - And, perhaps most importantly, how did this series of events occur despite the presence of the warning … Preoperative LMWH Needle placement should occur at least 10-12 hours after the LMWH dose. … avoided in patients administered a dose of LMWH 2 hours preoperatively, because needle placement would occur … The second postoperative dose should occur no sooner than 24 hours after the first dose. … Subsequent LMWH dosing should occur a minimum of 2 hours after catheter removal.
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psnet.ahrq.gov/node/34029/psn-pdf
April 17, 2009 - Inside a closed-loop medication strategy: medication
management targets stages in which errors occur
-
psnet.ahrq.gov/node/35685/psn-pdf
February 01, 2006 - Pharmacopeia's voluntary reporting
program that found medication errors are seven times more likely to occur
-
psnet.ahrq.gov/node/34828/psn-pdf
January 15, 2009 - profiles-patient-safety-medication-errors-emergency-department
Through case studies, this article characterizes the types of medication errors that may occur