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psnet.ahrq.gov/node/73168/psn-pdf
April 21, 2021 - ://psnet.ahrq.gov/web-mm/another-fall
https://psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away
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psnet.ahrq.gov/node/37354/psn-pdf
November 21, 2007 - fires-during-surgeries-bigger-risk-thought
This article reports data suggesting that the number of surgical fires that occur
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psnet.ahrq.gov/node/42725/psn-pdf
November 13, 2013 - audit-missed-or-delayed-antimicrobial-drugs
This record review study found that omitted doses of antimicrobial medications occur
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psnet.ahrq.gov/node/49393/psn-pdf
April 01, 2003 - consisted of failure to identify the appropriate limb of colon to bring up for
colostomy, which can occur … This error is not confined to laparoscopy; it can occur during open
surgery, especially when multiple … psnet.ahrq.gov//#references
Any time error prevention relies solely on vigilance, errors will eventually occur—due … It is important to note
that mechanical obstruction can occur for reasons other than the error described
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psnet.ahrq.gov/node/39756/psn-pdf
August 11, 2010 - which an oral medication, nimodipine, was administered
intravenously and describes how such errors occur
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psnet.ahrq.gov/node/37578/psn-pdf
May 02, 2018 - /issue/keeping-patients-safe-iatrogenic-methadone-overdoses
This article describes errors that can occur
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psnet.ahrq.gov/node/35491/psn-pdf
July 12, 2018 - author emphasizes the complexity of decision making in obstetric care to illustrate how mistakes can
occur
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psnet.ahrq.gov/node/38730/psn-pdf
June 24, 2009 - errors-clinical-reasoning-causes-and-remedial-strategies
This commentary analyzes how cognitive errors occur
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psnet.ahrq.gov/node/865873/psn-pdf
May 15, 2024 - review-medication-errors-and-second-victim-pediatric-pharmacy
Even with technology designed to prevent them, medication errors continue to occur
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psnet.ahrq.gov/node/33986/psn-pdf
March 07, 2005 - distributing-cognition-icu-handoffs-conform-grices-maxims
A recap of ongoing research studying the important transitions, or "handoffs" of care, that occur
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psnet.ahrq.gov/node/42726/psn-pdf
November 13, 2013 - mistakes-even-good-doctors-make
This article reveals commonly misdiagnosed conditions, why diagnostic errors occur
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psnet.ahrq.gov/node/43405/psn-pdf
August 14, 2014 - hospitalized for acute coronary
syndromes or congestive heart failure, with errors more likely to occur
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psnet.ahrq.gov/node/865483/psn-pdf
April 03, 2024 - risks-analogue-and-digitally-supported-medication-process-and-potential-
solutions-increase
Medication errors can occur
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digital.ahrq.gov/location/usa-il-evanston
January 01, 2023 - Indication Alerts in CPOE Systems
Description
This research implemented indication alerts, which occur
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psnet.ahrq.gov/node/74726/psn-pdf
February 02, 2022 - Findings suggest that factors influencing effective disclosure occur on three levels:
interpersonal
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psnet.ahrq.gov/node/845652/psn-pdf
March 14, 2023 - tactics to minimize controlled substance diversion, and track, document and
take action when it does occur
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psnet.ahrq.gov/node/852464/psn-pdf
August 16, 2023 - notice-intent-publish-funding-opportunity-announcements-understand-and-
improve-diagnostic
Diagnostic errors occur
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psnet.ahrq.gov/node/73487/psn-pdf
July 14, 2021 - Results suggest robust resident training programs can limit errors that may otherwise occur during this
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psnet.ahrq.gov/node/838009/psn-pdf
September 07, 2022 - high-risk-medication-home-care-nursing-delphi-study
Medication errors and other adverse events are thought to occur
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psnet.ahrq.gov/node/72794/psn-pdf
March 03, 2021 - otolaryngologists, surgical safety checklists were widely used, but intraoperative adverse
events continue to occur