-
psnet.ahrq.gov/node/45688/psn-pdf
February 08, 2017 - Less is known
about the types of errors that may occur in the home setting and the role caregivers play
-
psnet.ahrq.gov/node/45112/psn-pdf
July 01, 2016 - surgical-count-process-prevention-retained-surgical-items-integrative-review
Retained surgical items are considered a never event, but they continue to occur
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psnet.ahrq.gov/node/45799/psn-pdf
May 09, 2017 - They found that dosing errors are
rare and are most likely to occur in urgent and emergent settings.
-
psnet.ahrq.gov/node/43111/psn-pdf
November 04, 2014 - This direct observation study found that various medication errors related to electronic prescribing occur
-
psnet.ahrq.gov/node/46183/psn-pdf
July 12, 2017 - crico-strategies-national-cbs-report
Medication errors are a persistent challenge in health care that can occur
-
psnet.ahrq.gov/node/47439/psn-pdf
January 17, 2019 - prevalence-and-factors-associated-patient-nondisclosure-medically-relevant-
information
Diagnostic errors and delays may occur
-
psnet.ahrq.gov/node/46983/psn-pdf
April 25, 2018 - assessment-emergency-department-antibiotic-discharge-prescription-dosing-
errors-pediatric
Prescribing errors occur
-
psnet.ahrq.gov/node/43498/psn-pdf
October 06, 2016 - of a simulation program to help students experience the various
interruptions and distractions that occur
-
psnet.ahrq.gov/node/46637/psn-pdf
December 06, 2017 - simulation-enhance
Accidents involving administration of vincristine are rare, but they continue to occur
-
psnet.ahrq.gov/node/37171/psn-pdf
October 06, 2011 - Although medical errors remain disturbingly common, many patients are never informed about errors that
occur
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psnet.ahrq.gov/node/36758/psn-pdf
August 10, 2011 - transfusion
The researchers analyzed transfusion-related near-miss data and found that near misses occur
-
psnet.ahrq.gov/node/44593/psn-pdf
November 04, 2015 - meta-analysis interpreted qualitative CDSS studies to better understand why these
varied results may occur
-
psnet.ahrq.gov/node/44996/psn-pdf
June 29, 2016 - Computerized provider order entry can improve medication safety, but numeric entry errors may still occur
-
psnet.ahrq.gov/node/45130/psn-pdf
July 18, 2018 - surgical-fires-decreasing-incidence-relies-continued-prevention-efforts
Although surgical fires are considered never events, they continue to occur
-
psnet.ahrq.gov/node/46861/psn-pdf
February 28, 2018 - anesthesia
Anesthesiologists often administer medications that can result in serious patient harm if errors occur
-
psnet.ahrq.gov/node/46503/psn-pdf
January 31, 2018 - The authors explore how and when these
biases occur in opthalmology.
-
psnet.ahrq.gov/node/40884/psn-pdf
October 26, 2011 - get-clue-it-can-be-all-too-easy-make-assessment-errors-field-heres-some-tips-
prevent-you
This article describes how misdiagnosis can occur
-
psnet.ahrq.gov/node/45202/psn-pdf
October 08, 2016 - towards-international-consensus-patient-harm-perspectives-pressure-injury-
policy
Pressure ulcers are never events that continue to 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
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psnet.ahrq.gov/node/44599/psn-pdf
December 09, 2015 - association-between-day-delivery-and-obstetric-outcomes-observational-study
The weekend effect, in which adverse events occur