-
psnet.ahrq.gov/node/38689/psn-pdf
June 10, 2009 - This study discovered that drug omissions and unjustified medications listed in discharge summaries occur
-
psnet.ahrq.gov/node/49845/psn-pdf
October 01, 2018 - Errors involving heparin occur all too often. … effects on anesthesia care, and 5% reported effects on IV therapies for
patients.(8)
Drug shortages occur … particular product, or when production quotas
have been met for the year.(9) When these drug shortages occur … Although the
number of shortages has declined in recent years, they most likely will continue to occur
-
psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - have addressed this problem, it is
clear from anecdotal reports that this type of error can and does occur … a ward may initially distract one
from appreciating the many ways that “wrong patient” errors can occur … that these 'flukes' do happen, and the thousands of medication
administrations and procedures that occur … Table
How Wrong Patient Medication Errors Occur
Stage at Which
Error Is Introduced
Example Error
-
psnet.ahrq.gov/node/35915/psn-pdf
May 10, 2006 - for medical malpractice litigation and discusses what, from the legal
perspective, should ideally occur
-
psnet.ahrq.gov/node/44354/psn-pdf
August 05, 2015 - children for occult fractures—in several
clinically indicated situations, and found that such errors occur
-
psnet.ahrq.gov/node/37265/psn-pdf
May 02, 2018 - potassium-may-no-longer-be-stocked-patient-care-units-serious-threats-still-
exist
This article describes how errors involving potassium chloride still occur
-
psnet.ahrq.gov/node/43381/psn-pdf
July 30, 2014 - For instance, wrong-site surgeries continue to occur despite
garnering major attention over the past
-
psnet.ahrq.gov/node/39262/psn-pdf
March 04, 2011 - issue/unintended-errors-ehr-based-result-management-case-series
The authors identify errors that may occur
-
psnet.ahrq.gov/node/44917/psn-pdf
November 30, 2016 - canadian-incident-analysis-framework
Performing incident analysis can help organizations understand why adverse events occur
-
psnet.ahrq.gov/node/44007/psn-pdf
April 01, 2015 - pressure as a factor in diagnostic error, this magazine article describes efforts to
understand why they occur
-
psnet.ahrq.gov/node/36388/psn-pdf
June 12, 2013 - using-patient-safety-science-explore-strategies-improving-safety-intravenous-
medication
The author describes types of errors that occur
-
psnet.ahrq.gov/node/35933/psn-pdf
July 26, 2010 - He concludes that, because adverse events occur infrequently in
individual institutions, large-scale
-
psnet.ahrq.gov/node/43215/psn-pdf
May 28, 2014 - medical students to be educated about how to disclose
errors to patients and families when mistakes occur
-
psnet.ahrq.gov/node/44873/psn-pdf
March 21, 2016 - communication breakdowns led to patient harm, this report explores selected specialties where such
failures occur
-
psnet.ahrq.gov/node/47435/psn-pdf
November 07, 2018 - This commentary reviews
examples of bias that commonly occur in medical practice and describes debiasing
-
psnet.ahrq.gov/node/37649/psn-pdf
September 27, 2017 - anesthesia-machine-cause-intraoperative-code-red-labor-and-delivery-suite
https://psnet.ahrq.gov/issue/clinicians-guide-surgical-fires-how-they-occur-how-prevent-them-how-put-them-out
-
psnet.ahrq.gov/node/45093/psn-pdf
September 04, 2016 - Discussing how
patient harm can still occur even with these elements in place, this article highlights
-
psnet.ahrq.gov/node/43238/psn-pdf
June 04, 2014 - issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients-
unprotected
Errors occur
-
effectivehealthcare.ahrq.gov/sites/default/files/s13.pdf
October 01, 2007 - Indi-
rect associations occur because of confounding, which
happens when the presence of a variable other … databases, which track
whether a drug was dispensed, misclassification of the
amount of drug used can occur … Some drug effects (eg,
carcinogenesis) occur only after long duration and cumulative
exposure, whereas … Also, depletion of susceptibles can occur in a study
of prevalent users. … so
unless the indication can be measured in detail, uncontrolled
confounding and selection bias may occur
-
digital.ahrq.gov/sites/default/files/docs/page/delrahim-howlett-podcast-transcript.pdf
June 16, 2021 - Fetal Alcohol Spectrum Disorders result from prenatal exposure to alcohol and occur in about
one in