-
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/865483/psn-pdf
April 03, 2024 - risks-analogue-and-digitally-supported-medication-process-and-potential-
solutions-increase
Medication errors can occur
-
psnet.ahrq.gov/node/49845/psn-pdf
October 01, 2018 - Errors involving heparin occur all too often. … effects on anesthesia care, and 5% reported effects on IV therapies for
patients.(8)
Drug shortages occur … particular product, or when production quotas
have been met for the year.(9) When these drug shortages occur … Although the
number of shortages has declined in recent years, they most likely will continue to occur
-
psnet.ahrq.gov/node/37506/psn-pdf
March 12, 2019 - providers to the potential danger of unretrieved device fragments (UDFs), types of
adverse events that may 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/node/49387/psn-pdf
February 01, 2003 - have addressed this problem, it is
clear from anecdotal reports that this type of error can and does occur … a ward may initially distract one
from appreciating the many ways that “wrong patient” errors can occur … that these 'flukes' do happen, and the thousands of medication
administrations and procedures that occur … Table
How Wrong Patient Medication Errors Occur
Stage at Which
Error Is Introduced
Example Error
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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/39414/psn-pdf
March 31, 2010 - The authors also identify responsibilities after such instances 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/60849/psn-pdf
January 01, 2021 - double-checking was not mandated but was performed, medication administration errors were less
likely to occur
-
psnet.ahrq.gov/node/47691/psn-pdf
June 02, 2019 - The authors discuss
how problems can occur during various stages in the transfusion process and result
-
psnet.ahrq.gov/node/837730/psn-pdf
January 01, 2023 - respiratory and airway events,
communication, etc.), there have been few studies of medication errors that occur
-
psnet.ahrq.gov/node/73580/psn-pdf
August 11, 2021 - prevalence-nature-severity-and-preventability-adverse-drug-events-mental-
health-settings
Adverse drug events (ADE) can occur
-
psnet.ahrq.gov/node/60526/psn-pdf
May 27, 2020 - were more likely to lead to a
retained item, and many retained items, such as drains or catheters, occur
-
psnet.ahrq.gov/node/74206/psn-pdf
December 22, 2021 - oral anticoagulants (DOAC) are considered safer than warfarin, DOAC-related medication
errors still occur
-
psnet.ahrq.gov/node/73285/psn-pdf
May 19, 2021 - medication-administration
Despite system-level interventions, medication administration errors (MAE) continue to occur
-
psnet.ahrq.gov/node/72579/psn-pdf
January 01, 2021 - Findings
indicate that registration errors most commonly occur in outpatient areas and emergency departments
-
psnet.ahrq.gov/node/72848/psn-pdf
March 17, 2021 - development-and-piloting-ambulatory-electronic-health-record-evaluation-tool-
lessons-learned
Medication errors occur
-
psnet.ahrq.gov/node/60726/psn-pdf
January 01, 2021 - systematic-evidence-review-rates-and-burden-harm-intravenous-admixture-drug-preparation
https://psnet.ahrq.gov/issue/where-errors-occur-preparation-and-administration-intravenous-medicines-systematic-review-and