-
psnet.ahrq.gov/node/44599/psn-pdf
December 09, 2015 - association-between-day-delivery-and-obstetric-outcomes-observational-study
The weekend effect, in which adverse events occur
-
psnet.ahrq.gov/node/43799/psn-pdf
January 07, 2015 - issue/ismps-list-high-alert-medications-acute-care-settings
https://psnet.ahrq.gov/issue/where-errors-occur-preparation-and-administration-intravenous-medicines-systematic-review-and
-
psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - events in anesthesia (1), and the "syringe swap" is the most common of those errors.(2)
Yet they still occur … Changes in anesthetic agents and
associated adjuvant drugs occur at a rate far too high for available … However, the primary point here is that syringe swaps do
occur. … Reduction in drug errors will not occur without careful attention to the system within which anesthesia
-
psnet.ahrq.gov/issue/analysis-risk-factors-patient-safety-events-occurring-emergency-department
January 26, 2022 - Study
Analysis of risk factors for patient safety events occurring in the emergency department.
Citation Text:
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…
-
psnet.ahrq.gov/node/49668/psn-pdf
October 01, 2012 - toxicities related to opioid misuse increased by 134% from 2004
to 2010.(3) Drug-related adverse events occur … Second, pharmacotherapy with opioid medications to treat opioid
addiction requires that an evaluation occur … , the use of an antagonist that
can block the euphoria-producing effects of opioids should relapse occur … agonist effects with
naltrexone will eliminate the potential for respiratory depression that might occur
-
psnet.ahrq.gov/node/49620/psn-pdf
February 01, 2011 - hours after surgery.(5)
However, delayed postoperative hemorrhage resulting in airway compromise can occur … interval for development of hematoma after thyroid
surgery varies, although most symptomatic hematomas occur … to
emphasize that cases of delayed hemorrhage, occurring 24 hours or more after thyroid surgery, do occur … Respiratory-specific symptoms such as stridor, hypoxia, dyspnea,
tachypnea, or tracheal deviation occur
-
psnet.ahrq.gov/node/35899/psn-pdf
January 02, 2017 - particular NPSG, and then
discuss the efforts made in specific clinical areas where sterile procedures occur
-
psnet.ahrq.gov/node/43048/psn-pdf
April 02, 2014 - building-culture-candour-review-threshold-duty-candour-and-incentives-care-
organisations-be
When medical errors occur
-
psnet.ahrq.gov/node/34691/psn-pdf
May 18, 2016 - human error, as has
been traditional in medicine, he advocates systems that assume human errors will occur
-
psnet.ahrq.gov/node/46045/psn-pdf
December 22, 2018 - validating-domains-patient-contextual-factors-essential-preventing-contextual-
errors
Contextual errors can occur
-
psnet.ahrq.gov/node/38224/psn-pdf
February 18, 2011 - When readmissions occur, providing feedback to the team that originally discharged the patient
could
-
psnet.ahrq.gov/node/46455/psn-pdf
April 24, 2018 - High-alert medications have the potential to cause substantial patient harm if administration mistakes
occur
-
psnet.ahrq.gov/node/44657/psn-pdf
November 11, 2015 - commentary discusses
interpretive and perceptual errors in radiology and explores why these failures occur
-
psnet.ahrq.gov/node/41245/psn-pdf
March 29, 2012 - occurrence-wrong-site-surgery-self-reported-candidates-certification-american-
board
This study found that wrong-site surgeries continued to occur
-
psnet.ahrq.gov/node/34657/psn-pdf
June 14, 2011 - catalyzed 7 years of efforts to bring patient safety to the forefront and explain what
future steps must occur
-
psnet.ahrq.gov/node/45810/psn-pdf
May 05, 2017 - The authors of this prospective study
suggest that unexpected life-threatening events that occur within
-
psnet.ahrq.gov/node/49524/psn-pdf
November 01, 2006 - Damage may occur to the recurrent laryngeal nerve, and documented cases of vocal cord paralysis after … In summary, complications from the use of LMAs do occur, even if rare as presented in this case. … Rare complications with any anesthetic technique may occur, mandating careful follow-up with
patients
-
psnet.ahrq.gov/node/33709/psn-pdf
July 01, 2011 - study of critical incidents, Arora and colleagues found that face-to-face communication often did not occur … The
scope of the report included handovers that occur at change of shift, as well as change of service … This may include elements such as a dedicated
time and place for handover to occur, avoidance of interruptions … elements such as code
status, recent events, and anticipated problems (as well as what to do if they occur
-
psnet.ahrq.gov/node/36784/psn-pdf
February 24, 2011 - psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition
When medical errors occur
-
psnet.ahrq.gov/node/40921/psn-pdf
November 16, 2011 - CMS and state agencies to ensure that lasting safety
improvement comes about after serious errors occur