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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37462/psn-pdf
    January 06, 2017 - medication-errors-associated-code-situations-us-hospitals-direct-and- collateral-damage This study describes medication error types that occur
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42693/psn-pdf
    December 23, 2016 - Despite being long recognized as a critical—and preventable—error, RFOs continue to occur, with nearly
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42103/psn-pdf
    January 07, 2015 - electronic medical records, errors such as entering notes or ordering medications for the wrong patient may occur
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33811/psn-pdf
    June 01, 2016 - the use of SBAR (situation, background, assessment, recommendation), yet medical errors continue to occur … They are truly affected by the tragedies that occur in the literature.
  5. Psn-Pdf (pdf file)

    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…
  6. psnet.ahrq.gov/issue/potentially-severe-incidents-during-interhospital-transport-critically-ill-patients
    October 26, 2022 - Study Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but rarely reported: a prospective study. Citation Text: Eiding H, Røise O, Kongsgaard UE. Potentially severe incidents during interhospital transport of critically ill pati…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. psnet.ahrq.gov/web-mm/inside-time-out
    March 01, 2004 - be the review of a checklist, some have argued that asking open-ended questions, such as those that occur … While the Universal Protocol currently mandates that a time out occur immediately prior to the procedure … , some have suggested that a debriefing occur after the procedure as well.( 1 ) Finally, documentation … Furthermore, in hospitals where time outs occur regularly and with meaning, it is the attending surgeon
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45814/psn-pdf
    March 22, 2017 - emergency-medical-services-responders-perceptions-effect-stress-and- anxiety-patient-safety Prehospital emergencies are time critical, and they occur
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47605/psn-pdf
    January 17, 2019 - nonpayment for the procedures themselves and any consequent care, these serious surgical errors continue to occur
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43589/psn-pdf
    November 17, 2014 - Diagnosis-related concerns were estimated to occur in 0.5% of all hospital admissions.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44881/psn-pdf
    August 16, 2017 - - tertiary-care The surgical safety checklist has generally been evaluated based on outcomes that occur
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46245/psn-pdf
    June 28, 2017 - associations-between-patient-factors-and-adverse-events-home-care-setting- secondary-data Adverse events occur
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39743/psn-pdf
    October 13, 2010 - Anatomy and pathophysiology of errors occurring in clinical radiology practice. October 13, 2010 Brook OR, O'Connell AM, Thornton E, et al. Quality initiatives: anatomy and pathophysiology of errors occurring in clinical radiology practice. Radiographics. 2010;30(5):1401-10. doi:10.1148/rg.305105013. https://psnet…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37155/psn-pdf
    October 06, 2011 - Classification of adverse events occurring in a surgical intensive care unit. October 6, 2011 Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care unit. Am J Surg. 2007;194(3):328-32. https://psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867137/psn-pdf
    November 13, 2024 - Enteral nutrition: an underappreciated source of patient safety events. November 13, 2024 Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events. Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153. https://psnet.ahrq.gov/issue/enteral-nutrition-underapprec…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73067/psn-pdf
    March 24, 2021 - Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. March 24, 2021 LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38360/psn-pdf
    March 18, 2010 - Medication errors occurring with the use of bar-code administration technology. March 18, 2010 PA-PSRS Patient Saf Advis. December 2008;5:122-126. https://psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology This article describes errors associated with bar coded medication admin…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73603/psn-pdf
    August 18, 2021 - The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. August 18, 2021 Bryant J, Carey M, Sanson-Fisher R, et al. The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. J Patient Saf. 2021;17(5):e387-e392. doi:10.10…

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