-
psnet.ahrq.gov/node/45454/psn-pdf
September 04, 2016 - Discussing a controversial study that reported more
than 250,000 deaths attributable to medical error occur
-
psnet.ahrq.gov/node/38072/psn-pdf
February 15, 2011 - even with an existing computerized provider order entry system, defects in
chemotherapy orders do occur
-
psnet.ahrq.gov/node/45503/psn-pdf
October 29, 2017 - testing of a
toolkit designed to help prepare organizations for downtime to reduce risks that may occur
-
psnet.ahrq.gov/node/43737/psn-pdf
January 07, 2015 - There are many advantages to this technology, but prescribing errors still occur at alarming
rates.
-
psnet.ahrq.gov/node/40050/psn-pdf
September 24, 2016 - going-blank-factors-contributing-interruptions-nurses-work-and-related-
outcomes
This mixed-methods study characterized the types of interruptions that occur
-
psnet.ahrq.gov/node/42747/psn-pdf
November 20, 2013 - drug-related-problems-and-pharmacist-interventions-geriatric-unit-employing-
electronic
Potential adverse drug events (ADEs) continued to occur
-
psnet.ahrq.gov/node/38416/psn-pdf
February 18, 2009 - preanalytical-errors-primary-healthcare-questionnaire-study-information-
search-procedures
Most errors in laboratory medicine occur
-
psnet.ahrq.gov/node/44058/psn-pdf
July 03, 2016 - /metric-units-and-preferred-dosing-orally-administered-liquid-medications
Accidental overdoses can occur
-
psnet.ahrq.gov/node/44838/psn-pdf
February 10, 2016 - infographic provides information about adverse drug events, including how frequently and where they
occur
-
psnet.ahrq.gov/node/45387/psn-pdf
August 15, 2016 - medication error and reviews conditions in long-term care that increase the potential for
similar errors to occur
-
psnet.ahrq.gov/node/37583/psn-pdf
March 03, 2011 - Patient Safety Indicators, this study discovered that events expected to be random in nature
in fact occur
-
psnet.ahrq.gov/node/44358/psn-pdf
September 24, 2016 - https://psnet.ahrq.gov/issue/interruptions-and-medication-administration-critical-care
Interruptions occur
-
psnet.ahrq.gov/node/864368/psn-pdf
March 13, 2024 - Surgical and
Medical Care, where the authors defined misadventures as "the fatal medical errors that occur
-
psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - have addressed this problem, it is
clear from anecdotal reports that this type of error can and does occur … a ward may initially distract one
from appreciating the many ways that “wrong patient” errors can occur … that these 'flukes' do happen, and the thousands of medication
administrations and procedures that occur … Table
How Wrong Patient Medication Errors Occur
Stage at Which
Error Is Introduced
Example Error
-
psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - optimal methods to identify underlying system defects before patients are harmed and, when errors do occur … is a team-based process that begins by identifying all the steps required for a given process to occur … databases have also yielded useful information regarding the types of adverse events that frequently 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/33582/psn-pdf
September 15, 2024 - optimal methods to identify underlying system defects before patients are harmed and, when errors do
occur … FMEA is a team-based process that begins by identifying all the steps required
for a given process to occur … databases have also yielded useful information regarding
the types of adverse events that frequently occur
-
psnet.ahrq.gov/node/46974/psn-pdf
April 04, 2018 - psnet.ahrq.gov/issue/guideline-order-set-patient-harm
This editorial discusses how adverse events can occur
-
psnet.ahrq.gov/node/42985/psn-pdf
February 26, 2014 - confusion-specimen-mix-dermatopathology-and-measures-prevent-and-detect-
it
This review outlines the types of failures that can occur
-
psnet.ahrq.gov/node/45094/psn-pdf
May 04, 2016 - scheduling problems among patients seeking primary care from Veterans Affairs
health systems continue to occur