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psnet.ahrq.gov/node/866436/psn-pdf
August 07, 2024 - many strategies to improve medication safety, such as tall man lettering, but serious errors still
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
-
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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digital.ahrq.gov/ahrq-funded-projects/novel-it-create-patient-integrated-quality-improvement
January 01, 2023 - An estimated 400,000 premature deaths occur annually due to preventable harm, and adverse events 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/73139/psn-pdf
April 14, 2021 - medication and wrong dosage errors, and wrong patient, wrong form, and ambiguous
dispenser errors did not 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/74862/psn-pdf
February 23, 2022 - a crucial role in intravenous medication administration errors, and
deviations were more likely to occur
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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
-
psnet.ahrq.gov/node/72794/psn-pdf
March 03, 2021 - otolaryngologists, surgical safety checklists were widely used, but intraoperative adverse
events continue to 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/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/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/39756/psn-pdf
August 11, 2010 - which an oral medication, nimodipine, was administered
intravenously and describes how such errors occur
-
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/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/850933/psn-pdf
June 21, 2023 - prevalence-second-victim-syndrome-and-emotional-distress-pediatric-
intensive-care-providers
Preventable harm continues to occur
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psnet.ahrq.gov/node/50750/psn-pdf
January 01, 2020 - yr-experience-cross-national-anaesthesia-
incident-reporting
Medication-related adverse events (MRE) occur
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psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - Though not well appreciated by many clinicians, POVL may occur in relatively healthy patients, even when … AION has been associated primarily with cardiac bypass procedures but can occur during prone spine operations … Peripheral vision is frequently affected, but total blindness may occur as well. … Visual loss secondary to AION has been reported to occur anytime from the immediate postoperative period … count fingers does not preclude the possibility of scotoma or discrete visual field deficits as may occur