-
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/45431/psn-pdf
November 22, 2017 - interpretation errors associated with chest radiographs of
children to illustrate common mistakes that can occur
-
psnet.ahrq.gov/web-mm/one-ace-too-many
June 21, 2016 - worrisome adverse effects (hypotension, renal insufficiency, angioedema, and hyperkalemia) tend to occur … Points The addition of a new medication requires monitoring for adverse drug events, which typically occur … overdose) Hyperkalemia following acute overdose predicts poor outcome Heparin Can occur … supplements Potassium-sparing diuretics (amiloride, triamterene) Hyperkalemia can occur
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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
-
psnet.ahrq.gov/node/841799/psn-pdf
August 14, 2023 - diagnostic-errors-emergency-department-systematic-review
Although diagnostic accuracy in the emergency department (ED) is high, diagnostic errors still occur
-
psnet.ahrq.gov/node/74030/psn-pdf
November 03, 2021 - Most respondents indicated they were likely to use the program if a
future clinical event were to occur
-
psnet.ahrq.gov/node/60246/psn-pdf
April 22, 2020 - health-administration
Retained surgical items (RSI) are considered ‘never events’ but continue to occur
-
psnet.ahrq.gov/node/50793/psn-pdf
January 15, 2020 - Interruptions are common in busy clinical settings but carry patient safety concerns, particularly if they
occur
-
psnet.ahrq.gov/node/855057/psn-pdf
October 31, 2023 - perspective/addressing-workplace-violence-and-creating-safer-workplace
While violence in the workplace can occur … attitudes, actions, words, or other behaviors such as bullying,
incivility, or hazing.13 While this can occur … individual levels are
crucial to prevent workplace violence and better understand incidents when they do occur … battery, stalking, and sexual harassment.5
Perpetrators of workplace violence can vary, and violence can occur
-
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
-
psnet.ahrq.gov/node/46713/psn-pdf
April 12, 2019 - The authors found that unsolicited patient complaints occur less
frequently among older ophthalmologists
-
psnet.ahrq.gov/node/47387/psn-pdf
September 12, 2018 - received increased attention in health care, miscommunications that affect
patient safety continue to occur
-
psnet.ahrq.gov/node/46316/psn-pdf
August 02, 2017 - operating room environment that increase risks, and reviews legal responses for
when such incidents occur
-
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
-
psnet.ahrq.gov/node/44298/psn-pdf
July 08, 2015 - as preparation of insulin and use of ampules to illustrate situations in which scanning errors
may occur
-
psnet.ahrq.gov/node/42360/psn-pdf
April 16, 2018 - submitted to the Pennsylvania Patient Safety Authority discusses why wrong-
patient medication errors occur
-
psnet.ahrq.gov/node/42212/psn-pdf
April 17, 2013 - reducing-risk-adverse-drug-events-older-adults
This commentary outlines types of adverse drug events that occur
-
psnet.ahrq.gov/node/42995/psn-pdf
September 12, 2016 - mortality rates have been attributed to failure to rescue patients when
postoperative complications occur
-
psnet.ahrq.gov/node/46876/psn-pdf
August 15, 2018 - organizations prioritize proactive risk identification in addition
to root cause analysis after safety events occur
-
psnet.ahrq.gov/node/35961/psn-pdf
May 24, 2006 - https://psnet.ahrq.gov/issue/bbc-news-wrong-guy-revealed
As evidence that identification errors occur