-
psnet.ahrq.gov/node/38072/psn-pdf
February 15, 2011 - even with an existing computerized provider order entry system, defects in
chemotherapy orders do occur
-
psnet.ahrq.gov/node/45503/psn-pdf
October 29, 2017 - testing of a
toolkit designed to help prepare organizations for downtime to reduce risks that may occur
-
psnet.ahrq.gov/node/40050/psn-pdf
September 24, 2016 - going-blank-factors-contributing-interruptions-nurses-work-and-related-
outcomes
This mixed-methods study characterized the types of interruptions that occur
-
psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - nutritional supplements are often overlooked by providers and patients. 7 Medication errors may occur … The Joint Commission Center for Transforming Healthcare reports that communication breakdowns occur … Breakdowns in patient education can occur when conflicting recommendations are made. … Accountability breakdowns occur when there is no primary provider to take responsibility for assuring … a decrease in both actual and potential adverse drug events. 17 Medication reconciliation should occur
-
hcup-us.ahrq.gov/reports/methods/2004_6_appendix_D.pdf
January 01, 2004 - . *
/// - Injury did not occur in the databases. … Applicable
// - Estimates based on a small sample size have been surpressed. *
/// - Injury did not occur … Applicable
// - Estimates based on a small sample size have been surpressed. *
/// - Injury did not occur … Applicable
// - Estimates based on a small sample size have been surpressed. *
/// - Injury did not occur … * This type of injury did not occur in the database.
-
psnet.ahrq.gov/node/46974/psn-pdf
April 04, 2018 - psnet.ahrq.gov/issue/guideline-order-set-patient-harm
This editorial discusses how adverse events can occur
-
psnet.ahrq.gov/node/42985/psn-pdf
February 26, 2014 - confusion-specimen-mix-dermatopathology-and-measures-prevent-and-detect-
it
This review outlines the types of failures that can occur
-
psnet.ahrq.gov/node/45332/psn-pdf
August 27, 2018 - guideline-implementation-prevention-retained-surgical-items
Although incidents involving retained surgical items are rare, they continue to occur
-
psnet.ahrq.gov/node/42913/psn-pdf
January 29, 2014 - enhance their usefulness, including prioritizing and examining incidents to identify
which events occur
-
psnet.ahrq.gov/node/42896/psn-pdf
February 23, 2015 - This hazard is well publicized, but accidental
administration of intrathecal vincristine continues to occur
-
psnet.ahrq.gov/node/43455/psn-pdf
December 15, 2014 - issue/what-about-doctors-impact-medical-errors
Patients are the first victims when medical mistakes occur
-
psnet.ahrq.gov/node/43639/psn-pdf
October 29, 2014 - progress has been made in improving patient safety over the past decade, many
medical errors continue to occur
-
psnet.ahrq.gov/node/45094/psn-pdf
May 04, 2016 - scheduling problems among patients seeking primary care from Veterans Affairs
health systems continue to occur
-
psnet.ahrq.gov/node/44967/psn-pdf
March 16, 2016 - wrong-site-surgery-critical-incident-analysis-near-miss
Despite efforts to prevent wrong-site surgeries, they continue to occur
-
psnet.ahrq.gov/node/39834/psn-pdf
July 02, 2014 - improving-resident-education-and-patient-safety-method-balance-initial-
caseloads-academic
This study describes a process to better manage transitions that occur
-
psnet.ahrq.gov/node/44389/psn-pdf
August 19, 2015 - raise awareness of look-alike and sound-alike medication confusion by
reporting mistakes when they occur
-
psnet.ahrq.gov/node/44860/psn-pdf
June 29, 2016 - Neurosurgery
patients were more likely to have PSIs occur than other surgical patients.
-
psnet.ahrq.gov/node/45318/psn-pdf
September 28, 2016 - https://psnet.ahrq.gov/issue/medication-errors-outpatient-pediatrics
Medication errors occur in various
-
psnet.ahrq.gov/node/38083/psn-pdf
September 24, 2008 - sources-and-types-discrepancies-between-electronic-medical-records-and-
actual-outpatient
This study highlights the discrepancies that may occur
-
psnet.ahrq.gov/node/45406/psn-pdf
November 01, 2016 - Researchers found both to occur in the same population and suggest that
family and health system interventions