-
psnet.ahrq.gov/node/34973/psn-pdf
September 29, 2017 - respect for patient autonomy plays in
developing disclosure policies, and the culture change that must occur
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psnet.ahrq.gov/node/45431/psn-pdf
November 22, 2017 - interpretation errors associated with chest radiographs of
children to illustrate common mistakes that can occur
-
psnet.ahrq.gov/node/44184/psn-pdf
June 24, 2015 - to this retrospective chart review study, clinically significant prescription errors continued to
occur
-
psnet.ahrq.gov/node/47309/psn-pdf
August 22, 2018 - for patient safety as it applies to inpatient psychiatry, define the types of
adverse events that occur
-
psnet.ahrq.gov/node/41896/psn-pdf
December 12, 2012 - bar-code-verification-reducing-not-eliminating-medication-errors
This simulation study identified several mechanisms by which medication errors could occur
-
digital.ahrq.gov/ahrq-funded-projects/improving-sickle-cell-transitions-care-through-health-information-technology/annual-summary/2012
January 01, 2012 - Care transitions occur when either the setting (e.g., from home-based to hospital-based care), or the … When care transitions occur, it is necessary to share medical history and other types of health information
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psnet.ahrq.gov/node/40745/psn-pdf
September 07, 2011 - verbal communication
occurred in only a small minority of cases, and several preventable errors did occur
-
psnet.ahrq.gov/node/45254/psn-pdf
February 01, 2012 - working
successive 12-hour shifts accrue significant sleep debt, regardless of whether these shifts occur
-
psnet.ahrq.gov/node/44983/psn-pdf
April 20, 2016 - heightened awareness of hazards associated with retained surgical items, this never event
continues to occur
-
psnet.ahrq.gov/node/42360/psn-pdf
April 16, 2018 - submitted to the Pennsylvania Patient Safety Authority discusses why wrong-
patient medication errors occur
-
psnet.ahrq.gov/node/44298/psn-pdf
July 08, 2015 - as preparation of insulin and use of ampules to illustrate situations in which scanning errors
may occur
-
psnet.ahrq.gov/node/44243/psn-pdf
November 09, 2015 - concept-analysis-wrong-site-surgery
Despite large-scale efforts to prevent wrong-site surgeries, they continue to occur
-
psnet.ahrq.gov/node/34904/psn-pdf
February 27, 2009 - This AHRQ-funded study illustrates potentially harmful drug-drug and drug-disease combinations that occur
-
psnet.ahrq.gov/node/37258/psn-pdf
March 23, 2011 - observational technique with
expert input in estimating that 120,000-190,000 preventable adverse events occur
-
psnet.ahrq.gov/node/42995/psn-pdf
September 12, 2016 - mortality rates have been attributed to failure to rescue patients when
postoperative complications occur
-
psnet.ahrq.gov/node/42212/psn-pdf
April 17, 2013 - reducing-risk-adverse-drug-events-older-adults
This commentary outlines types of adverse drug events that occur
-
psnet.ahrq.gov/node/35961/psn-pdf
May 24, 2006 - https://psnet.ahrq.gov/issue/bbc-news-wrong-guy-revealed
As evidence that identification errors occur
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psnet.ahrq.gov/node/36191/psn-pdf
September 30, 2010 - worldwide and found
that problems with medications, indwelling lines, airway, and equipment failures occur
-
psnet.ahrq.gov/node/39050/psn-pdf
January 04, 2010 - that identifies
deviations from safe practice, and focuses on potential nursing errors before they occur
-
psnet.ahrq.gov/node/47387/psn-pdf
September 12, 2018 - received increased attention in health care, miscommunications that affect
patient safety continue to occur