-
psnet.ahrq.gov/node/36650/psn-pdf
January 05, 2017 - analyzed intralipid medication error reports submitted to the Medmarx database and found
that most errors occur
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psnet.ahrq.gov/node/37580/psn-pdf
March 05, 2008 - patient-safety-events-reported-general-practice-taxonomy
This study provides a proposed three-level taxonomy for common events that occur
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psnet.ahrq.gov/node/40312/psn-pdf
June 10, 2018 - oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-
just-bedside
This piece identifies situations in which patient verification errors occur
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psnet.ahrq.gov/node/36898/psn-pdf
February 01, 2011 - This shift involves increasing recognition that errors do
occur and that the health care system is flawed
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psnet.ahrq.gov/node/50746/psn-pdf
December 18, 2019 - influence-organizational-culture-climate-and-commitment-speaking-about-
medical-errors
Medical errors occur
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psnet.ahrq.gov/node/50860/psn-pdf
February 05, 2020 - team members collectively reflect on actions and
behaviors, and the context in which these actions occur
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psnet.ahrq.gov/node/848358/psn-pdf
May 03, 2023 - EHR contributes to diagnostic error, the types of errors, and where in the diagnostic
process errors occur
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psnet.ahrq.gov/node/866116/psn-pdf
March 16, 2023 - Nearly three-
quarters considered AI grading and classifying cancer as likely to occur in the next ten
-
psnet.ahrq.gov/node/844990/psn-pdf
February 22, 2023 - numerous strategies to prevent look-
alike/sound-alike medication mix-ups, but these errors continue to occur
-
psnet.ahrq.gov/node/74266/psn-pdf
January 19, 2022 - defined as
two procedures performed concurrently, but where critical surgical portions of each procedure occur
-
psnet.ahrq.gov/node/865309/psn-pdf
May 29, 2024 - Complications of tracheostomy can occur days, months, or even years after placement. … psnet.ahrq.gov//#1
skin breakdown and require a plan for removal.5,7 Obstruction of the tracheostomy tube can occur … surgically placed tubes, due to healing times.1,15 If the type of placement is
unknown, no change should occur … need to be familiar with
what low versus high priority alarms sound like and what to do when these occur … a plan for the next tracheostomy change, an
explanation of complications that have occurred or may occur
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psnet.ahrq.gov/node/47502/psn-pdf
June 02, 2019 - Debriefs were less likely to occur when critical
communication breakdowns were involved, and more than
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psnet.ahrq.gov/node/865522/psn-pdf
April 10, 2024 - identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety
https://psnet.ahrq.gov/issue/review-medication-errors-are-new-or-likely-occur-more-frequently-electronic-medication
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psnet.ahrq.gov/node/35915/psn-pdf
May 10, 2006 - for medical malpractice litigation and discusses what, from the legal
perspective, should ideally occur
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psnet.ahrq.gov/node/44917/psn-pdf
November 30, 2016 - canadian-incident-analysis-framework
Performing incident analysis can help organizations understand why adverse events occur
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psnet.ahrq.gov/node/47352/psn-pdf
February 13, 2019 - https://psnet.ahrq.gov/issue/when-surgeon-too-old-operate
Cognitive and functional decline can occur
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psnet.ahrq.gov/node/35933/psn-pdf
July 26, 2010 - He concludes that, because adverse events occur infrequently in
individual institutions, large-scale
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psnet.ahrq.gov/node/43381/psn-pdf
July 30, 2014 - For instance, wrong-site surgeries continue to occur despite
garnering major attention over the past
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psnet.ahrq.gov/node/43215/psn-pdf
May 28, 2014 - medical students to be educated about how to disclose
errors to patients and families when mistakes occur
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psnet.ahrq.gov/node/44007/psn-pdf
April 01, 2015 - pressure as a factor in diagnostic error, this magazine article describes efforts to
understand why they occur