-
psnet.ahrq.gov/node/838023/psn-pdf
September 07, 2022 - postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-
care-unit
Post-discharge events, such as medication errors, can occur
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psnet.ahrq.gov/node/50895/psn-pdf
February 12, 2020 - Little is known about deviations from best practices in administration of intravenous infusions that occur
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psnet.ahrq.gov/node/72495/psn-pdf
November 25, 2020 - Adverse events were more likely to occur in nursing homes with higher bed capacities,
increased use
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psnet.ahrq.gov/node/849127/psn-pdf
May 17, 2023 - effects-multimodal-transitional-care-intervention-patients-high-risk-
readmission-target-read
Adverse events and unplanned, preventable readmissions occur
-
psnet.ahrq.gov/node/848811/psn-pdf
May 10, 2023 - web-based survey of 1,594 emergency medicine physicians, missed
diagnostic opportunities most frequently occur
-
psnet.ahrq.gov/node/47932/psn-pdf
August 21, 2019 - represent a vulnerable time for patients, as failure to communicate important
clinical information may occur
-
psnet.ahrq.gov/node/38767/psn-pdf
April 18, 2011 - with spinal anesthesia and describes strategies to minimize
errors and address failures when they occur
-
psnet.ahrq.gov/node/42294/psn-pdf
May 22, 2013 - pervasive problem of diagnostic errors and reveals insights from
clinicians and patients on why they 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
-
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/73109/psn-pdf
April 07, 2021 - common-general-surgical-never-events-analysis-nhs-england-never-event-
data
Never events, a significant type of adverse event, should never occur
-
psnet.ahrq.gov/node/35396/psn-pdf
September 11, 2009 - The authors analyzed the drug administration process and where in the process errors are likely to
occur
-
psnet.ahrq.gov/node/38124/psn-pdf
October 08, 2008 - missed-injuries-trauma-patients-literature-review
This review found that missed injuries and delayed diagnoses occur
-
psnet.ahrq.gov/node/866583/psn-pdf
August 28, 2024 - assessing-stops-framework-coping-intraoperative-errors-evidence-efficacy-
hints-hubris-and
When intraoperative errors occur
-
psnet.ahrq.gov/node/866517/psn-pdf
August 14, 2024 - This article raises the issue of data-driven feedback loop failures which occur when disease
incidence
-
psnet.ahrq.gov/node/866580/psn-pdf
August 28, 2024 - organizational guidelines, federal reports, and equipment redesign, tubing misconnections continue
to occur
-
psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - But emergencies still do occur. … However, it may occur in 1% to 2% of hospital admissions for thyrotoxicosis.( 1 ) Burch and Wartofsky … million per year.( 1 ) It typically presents in older women—frequently in the winter months—but it can occur … of care, or poor usability of the EHR.( 13 ) Follow-up failures (missed results) are more prone to occur … However, the cases presented here are examples that this situation may also occur in the inpatient setting
-
psnet.ahrq.gov/node/35780/psn-pdf
July 20, 2010 - paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems
The investigators found that errors occur
-
psnet.ahrq.gov/node/38689/psn-pdf
June 10, 2009 - This study discovered that drug omissions and unjustified medications listed in discharge summaries occur
-
psnet.ahrq.gov/node/38402/psn-pdf
February 11, 2009 - used information from nurses, pharmacists, and patients to classify the types of
near misses that occur