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psnet.ahrq.gov/node/42900/psn-pdf
September 19, 2016 - The majority of inpatient suicides
occur in psychiatric units, but a prior Joint Commission sentinel
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psnet.ahrq.gov/node/39822/psn-pdf
February 17, 2011 - what
information to share and how to share it; of course, discussions about individual disclosure occur
-
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
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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
-
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
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psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
August 20, 2018 - 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 … treatment, 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
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psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - Preanalytic error, as occurred in this case, typically involves the steps of laboratory testing
that occur … Discovery of preanalytic error can occur at any stage of health care delivery. … will be lost or misprocessed are listed in the Table
.(5) Laboratory errors including specimen loss occur
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psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - Despite the introduction of the Universal Protocol, wrong-site errors or near misses continue to occur … Site verification and marking
should occur by reconciling all critical information including history … wrong-site error.(10,11) In the context of a
regional anesthesia procedure, a team or block time-out should occur
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psnet.ahrq.gov/node/49437/psn-pdf
March 01, 2004 - Describe methods for preventing complications and for promptly identifying complications when they
occur … such as bleeding, hematoma formation, pneumothorax, and arterial puncture
and cannulation, typically occur … Bleeding complications occur more
commonly in patients with coagulation abnormalities or elevated central … right atrium or right ventricle, arrhythmias or, less commonly, perforation of
the myocardium can occur
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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - Some physicians may even feel "permanently
wounded" as a result.(9) These feelings appear to occur regardless … support, however, a key question is what other means of support are available for
providers after errors occur … surprising that there
are relatively few formal support programs available for providers after errors occur … Suggested forums for processing errors include case reviews, which may occur informally in small groups
-
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
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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
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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…
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psnet.ahrq.gov/node/37533/psn-pdf
April 22, 2011 - Systematic evaluation of errors occurring during the
preparation of intravenous medication.
April 22, 2011
Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of
intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.061743.
https://psnet.ahrq.gov/issue/sys…
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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…
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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…
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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/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…
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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…
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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…