-
psnet.ahrq.gov/node/848811/psn-pdf
May 10, 2023 - web-based survey of 1,594 emergency medicine physicians, missed
diagnostic opportunities most frequently occur
-
psnet.ahrq.gov/node/849127/psn-pdf
May 17, 2023 - effects-multimodal-transitional-care-intervention-patients-high-risk-
readmission-target-read
Adverse events and unplanned, preventable readmissions occur
-
psnet.ahrq.gov/node/837730/psn-pdf
January 01, 2023 - respiratory and airway events,
communication, etc.), there have been few studies of medication errors that occur
-
psnet.ahrq.gov/node/60849/psn-pdf
January 01, 2021 - double-checking was not mandated but was performed, medication administration errors were less
likely to occur
-
psnet.ahrq.gov/node/72848/psn-pdf
March 17, 2021 - development-and-piloting-ambulatory-electronic-health-record-evaluation-tool-
lessons-learned
Medication errors occur
-
psnet.ahrq.gov/node/72579/psn-pdf
January 01, 2021 - Findings
indicate that registration errors most commonly occur in outpatient areas and emergency departments
-
psnet.ahrq.gov/node/50895/psn-pdf
February 12, 2020 - Little is known about deviations from best practices in administration of intravenous infusions that occur
-
psnet.ahrq.gov/node/73580/psn-pdf
August 11, 2021 - prevalence-nature-severity-and-preventability-adverse-drug-events-mental-
health-settings
Adverse drug events (ADE) can occur
-
psnet.ahrq.gov/node/73285/psn-pdf
May 19, 2021 - medication-administration
Despite system-level interventions, medication administration errors (MAE) continue to occur
-
psnet.ahrq.gov/node/838023/psn-pdf
September 07, 2022 - postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-
care-unit
Post-discharge events, such as medication errors, can occur
-
psnet.ahrq.gov/node/47691/psn-pdf
June 02, 2019 - The authors discuss
how problems can occur during various stages in the transfusion process and result
-
psnet.ahrq.gov/node/60726/psn-pdf
January 01, 2021 - systematic-evidence-review-rates-and-burden-harm-intravenous-admixture-drug-preparation
https://psnet.ahrq.gov/issue/where-errors-occur-preparation-and-administration-intravenous-medicines-systematic-review-and
-
psnet.ahrq.gov/node/60526/psn-pdf
May 27, 2020 - were more likely to lead to a
retained item, and many retained items, such as drains or catheters, occur
-
psnet.ahrq.gov/node/38124/psn-pdf
October 08, 2008 - missed-injuries-trauma-patients-literature-review
This review found that missed injuries and delayed diagnoses occur
-
psnet.ahrq.gov/node/36898/psn-pdf
February 01, 2011 - This shift involves increasing recognition that errors do
occur and that the health care system is flawed
-
psnet.ahrq.gov/node/35780/psn-pdf
July 20, 2010 - paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems
The investigators found that errors occur
-
psnet.ahrq.gov/node/37580/psn-pdf
March 05, 2008 - patient-safety-events-reported-general-practice-taxonomy
This study provides a proposed three-level taxonomy for common events that occur
-
psnet.ahrq.gov/node/40312/psn-pdf
June 10, 2018 - oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-
just-bedside
This piece identifies situations in which patient verification errors occur
-
psnet.ahrq.gov/node/38402/psn-pdf
February 11, 2009 - used information from nurses, pharmacists, and patients to classify the types of
near misses that occur
-
psnet.ahrq.gov/node/36650/psn-pdf
January 05, 2017 - analyzed intralipid medication error reports submitted to the Medmarx database and found
that most errors occur