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psnet.ahrq.gov/node/44184/psn-pdf
June 24, 2015 - to this retrospective chart review study, clinically significant prescription errors continued to
occur
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psnet.ahrq.gov/node/41896/psn-pdf
December 12, 2012 - bar-code-verification-reducing-not-eliminating-medication-errors
This simulation study identified several mechanisms by which medication errors could occur
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psnet.ahrq.gov/web-mm/misread-label
August 28, 2024 - How Often do Errors of This Nature Occur? … Take-Home Points Errors in drug administration occur relatively often.
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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
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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
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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
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psnet.ahrq.gov/node/37533/psn-pdf
April 22, 2011 - Systematic evaluation of errors occurring during the
preparation of intravenous medication.
April 22, 2011
Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of
intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.061743.
https://psnet.ahrq.gov/issue/sys…
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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/40745/psn-pdf
September 07, 2011 - verbal communication
occurred in only a small minority of cases, and several preventable errors did occur
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psnet.ahrq.gov/node/35876/psn-pdf
June 18, 2013 - External Inquiry into the adverse incident that occurred at
Queen's Medical Centre, Nottingham, 4th January 2001.
June 18, 2013
Toft B. London, UK; Crown Copyright: 2001.
https://psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham-
4th-january-2001
This UK Department o…
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psnet.ahrq.gov/node/47387/psn-pdf
September 12, 2018 - received increased attention in health care, miscommunications that affect
patient safety continue to occur
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psnet.ahrq.gov/node/42995/psn-pdf
September 12, 2016 - mortality rates have been attributed to failure to rescue patients when
postoperative complications occur
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psnet.ahrq.gov/node/45254/psn-pdf
February 01, 2012 - working
successive 12-hour shifts accrue significant sleep debt, regardless of whether these shifts occur
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psnet.ahrq.gov/node/44983/psn-pdf
April 20, 2016 - heightened awareness of hazards associated with retained surgical items, this never event
continues to occur
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psnet.ahrq.gov/node/37258/psn-pdf
March 23, 2011 - observational technique with
expert input in estimating that 120,000-190,000 preventable adverse events occur
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psnet.ahrq.gov/node/39050/psn-pdf
January 04, 2010 - that identifies
deviations from safe practice, and focuses on potential nursing errors before they occur
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psnet.ahrq.gov/node/34904/psn-pdf
February 27, 2009 - This AHRQ-funded study illustrates potentially harmful drug-drug and drug-disease combinations that occur