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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    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.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43111/psn-pdf
    November 04, 2014 - This direct observation study found that various medication errors related to electronic prescribing occur
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46983/psn-pdf
    April 25, 2018 - assessment-emergency-department-antibiotic-discharge-prescription-dosing- errors-pediatric Prescribing errors occur
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46637/psn-pdf
    December 06, 2017 - simulation-enhance Accidents involving administration of vincristine are rare, but they continue to occur
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    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
  15. Psn-Pdf (pdf file)

    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
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46503/psn-pdf
    January 31, 2018 - The authors explore how and when these biases occur in opthalmology.
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    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
  19. 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
  20. Psn-Pdf (pdf file)

    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