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psnet.ahrq.gov/node/47028/psn-pdf
May 02, 2018 - issue/medication-errors-2018-year-review
Despite considerable effort, medication errors continue to occur
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psnet.ahrq.gov/node/45454/psn-pdf
September 04, 2016 - Discussing a controversial study that reported more
than 250,000 deaths attributable to medical error occur
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psnet.ahrq.gov/node/42747/psn-pdf
November 20, 2013 - drug-related-problems-and-pharmacist-interventions-geriatric-unit-employing-
electronic
Potential adverse drug events (ADEs) continued to occur
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/tuberculosis-infection-screening-immunization-1996
February 11, 2014 - About one third of all reported cases in the U.S. occur in blacks, 20% occur in Hispanics, 14% occur … in Asians and Pacific Islanders, and 1% occur in American Indians and Alaska Natives. 2 About 30% of … new cases occur in foreign-born immigrants. 2 The prevalence in homeless persons is 1-7% for clinically … potential adverse effects of BCG vaccination include prolonged ulceration and local adenitis, which occur … Osteomyelitis and death from disseminated BCG infection are estimated to occur in one case per million
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2007
January 01, 2007 - interventions after CPOE implementations identified increases in duplicate therapy events--presumed to occur … However, some clinically relevant drug-drug interactions will occur and such important messages may be
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psnet.ahrq.gov/web-mm/one-ace-too-many
June 21, 2016 - worrisome adverse effects (hypotension, renal insufficiency, angioedema, and hyperkalemia) tend to occur … Points The addition of a new medication requires monitoring for adverse drug events, which typically occur … overdose) Hyperkalemia following acute overdose predicts poor outcome Heparin Can occur … supplements Potassium-sparing diuretics (amiloride, triamterene) Hyperkalemia can occur
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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
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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
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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
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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
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psnet.ahrq.gov/node/44860/psn-pdf
June 29, 2016 - Neurosurgery
patients were more likely to have PSIs occur than other surgical patients.
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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
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psnet.ahrq.gov/node/45318/psn-pdf
September 28, 2016 - https://psnet.ahrq.gov/issue/medication-errors-outpatient-pediatrics
Medication errors occur in various
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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
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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/42896/psn-pdf
February 23, 2015 - This hazard is well publicized, but accidental
administration of intrathecal vincristine continues to occur