-
psnet.ahrq.gov/node/36191/psn-pdf
September 30, 2010 - worldwide and found
that problems with medications, indwelling lines, airway, and equipment failures 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/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/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/44243/psn-pdf
November 09, 2015 - concept-analysis-wrong-site-surgery
Despite large-scale efforts to prevent wrong-site surgeries, they continue to 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/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/35961/psn-pdf
May 24, 2006 - https://psnet.ahrq.gov/issue/bbc-news-wrong-guy-revealed
As evidence that identification errors occur
-
psnet.ahrq.gov/node/73106/psn-pdf
April 01, 2021 - It graphically depicts the frequency with which various values of a variable occur in a set of data. … Run charts are useful in discovering patterns that occur over time. … inherent in the system) from special cause variation (due to
unexpected and unpredictable causes that occur
-
psnet.ahrq.gov/node/42993/psn-pdf
March 19, 2014 - Baccalaureate nursing students' accounts of medical
mistakes occurring in the clinical setting: implications for
curricula.
March 19, 2014
Noland CM. Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting:
implications for curricula. J Nurs Educ. 2014;53(3):S34-7. doi:10.392…
-
psnet.ahrq.gov/node/60980/psn-pdf
January 01, 2022 - Analysis of risk factors for patient safety events occurring
in the emergency department.
October 7, 2020
Alsabri M, Boudi Z, Zoubeidi T, et al. Analysis of risk factors for patient safety events occurring in the
emergency department. J Patient Saf. 2022;18(1):e124-e135. doi:10.1097/pts.0000000000000715.
https://p…
-
psnet.ahrq.gov/node/37156/psn-pdf
October 06, 2011 - Preventable harm occurring to critically ill children.
October 6, 2011
Larsen G, Donaldson AE, Parker HB, et al. Preventable harm occurring to critically ill children. Pediatr Crit
Care Med. 2007;8(4):331-336.
https://psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children
This retrospective cohort…
-
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/44001/psn-pdf
May 06, 2015 - wrong-site-nerve-blocks-10-yr-experience-large-multihospital-health-care-
system
Wrong-surgery errors continue to occur
-
psnet.ahrq.gov/node/35345/psn-pdf
July 20, 2009 - errors, while providing a series of anecdotes to demonstrate how easy and frequent these
events can occur
-
psnet.ahrq.gov/node/47247/psn-pdf
December 19, 2018 - bloodstream infections (CLASBI) have been a target of safety
improvement efforts, they continue to occur
-
psnet.ahrq.gov/node/60642/psn-pdf
July 01, 2020 - Serious
opioid-related events were 1.4- and 3.6-times more likely to occur among women filling one or
-
psnet.ahrq.gov/node/48123/psn-pdf
August 28, 2019 - Prior research has shown that medication errors occur frequently among patients transferred from
ICU
-
psnet.ahrq.gov/node/44054/psn-pdf
November 16, 2015 - The first article summarizes information about the types of vaccine errors reported
and why they occur
-
psnet.ahrq.gov/node/47028/psn-pdf
May 02, 2018 - issue/medication-errors-2018-year-review
Despite considerable effort, medication errors continue to occur