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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - Why do errors occur in association with hold orders? … Yet errors that arise with hold orders may occur during all phases of the medication-use process. … For example, breakdowns that occur during the transcribing or data entry process, as documented by the … orders are missed by the pharmacy and are not entered into the computer system ( 1 ) Errors that occur
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psnet.ahrq.gov/node/39510/psn-pdf
September 24, 2016 - distractions are common and may be associated with
increased risk for error, particularly if they occur
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psnet.ahrq.gov/node/46587/psn-pdf
January 23, 2019 - association-between-workarounds-and-medication-administration-errors-bar-
code-assisted
Workarounds occur
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psnet.ahrq.gov/node/42350/psn-pdf
June 12, 2013 - designed to provide safe administration of opiate
analgesics, but PCA-related medication errors do still occur
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psnet.ahrq.gov/node/35611/psn-pdf
June 23, 2010 - the full disclosure patients expect and the partial disclosure health
professionals believe should occur
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psnet.ahrq.gov/node/47491/psn-pdf
November 07, 2018 - approach used a retained surgical sponge simulation during
an anatomy course to illustrate how errors can occur
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psnet.ahrq.gov/node/39729/psn-pdf
September 20, 2011 - The latter are those that occur because of
inattention to patient context such as environment, behavior
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psnet.ahrq.gov/node/40539/psn-pdf
June 22, 2011 - errors are common in long-term care facilities, and prior research has shown that many of these
errors occur
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psnet.ahrq.gov/node/39122/psn-pdf
January 03, 2017 - empowering-frontline-nurses-structured-intervention-enables-nurses-improve-
medication
A significant proportion of medication errors occur
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psnet.ahrq.gov/node/47322/psn-pdf
September 12, 2018 - and safety problems, estimating that 134 million adverse events (resulting in
2.5 million deaths) occur
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psnet.ahrq.gov/node/46200/psn-pdf
August 30, 2017 - Prior research has shown that medication errors occur more
frequently in the ICU and are more likely
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psnet.ahrq.gov/node/37260/psn-pdf
January 02, 2017 - While similar benefit did not occur in those
with good understanding of their regimen and the study
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psnet.ahrq.gov/node/49428/psn-pdf
January 01, 2004 - If this were to occur, he would likely die if
heroic measures were not taken. … Nevertheless, these discussions should ideally occur with the patient ? … Take-Home Points
Prospective discussions about what may occur as a patient's illness progresses reduce
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psnet.ahrq.gov/node/49545/psn-pdf
September 01, 2007 - Reactions to the iodinated contrast agents commonly used occur in
approximately 1% of patients.(6) These … Renal failure is one of the more common complications of catheterization.(8) Renal dysfunction can occur … arterial puncture above the inguinal ligament or inadequate hemostasis after the procedure but may
also occur … procedure with relatively low overall rates of major
and minor complications, but complications do occur
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psnet.ahrq.gov/web-mm/chemotherapy-extravasation
September 24, 2010 - Extravasation of the medication into the skin is one of the most dreaded complications that can occur … Fortunately, steps can be taken to reduce the risk of extravasation and limit the consequences if it does occur … ) Despite the best efforts of nurses and health care facilities, extravasation of vesicants does occur … Extravasation from implanted ports may occur when non-coring needles are incompletely inserted or dislodged
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psnet.ahrq.gov/node/47711/psn-pdf
June 14, 2019 - Type 1 diabetes defined by severe insulin deficiency
occurs after 30 years of age and is commonly treated as
type 2 diabetes.
June 14, 2019
Thomas NJ, Lynam AL, Hill A, et al. Type 1 diabetes defined by severe insulin deficiency occurs after
30 years of age and is commonly treated as type 2 diabetes. Diabetologia.…
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psnet.ahrq.gov/node/74086/psn-pdf
November 17, 2021 - Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health
Administration.
November 17, 2021
Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health Administration. J Patien…
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psnet.ahrq.gov/node/838307/psn-pdf
October 12, 2022 - Misdiagnosis of thoracic aortic emergencies occurs
frequently among transfers to aortic referral centers: an
analysis of over 3700 patients.
October 12, 2022
Arnaoutakis GJ, Ogami T, Aranda?Michel E, et al. Misdiagnosis of thoracic aortic emergencies occurs
frequently among transfers to aortic referral centers: an…
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psnet.ahrq.gov/node/60159/psn-pdf
March 25, 2020 - Root cause analyses of reported adverse events
occurring during gastrointestinal scope and tube
placement procedures in the Veterans Health Association.
March 25, 2020
Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during
gastrointestinal scope and tube placement pro…
-
psnet.ahrq.gov/node/38649/psn-pdf
May 20, 2009 - Managing the adverse event occurring during elective,
ambulatory pediatric surgery.
May 20, 2009
Skarsgard ED. Managing the adverse event occurring during elective, ambulatory pediatric surgery. Semin
Pediatr Surg. 2009;18(2):122-4. doi:10.1053/j.sempedsurg.2009.02.013.
https://psnet.ahrq.gov/issue/managing-advers…