-
psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - events in anesthesia (1), and the "syringe swap" is the most common of those errors.(2)
Yet they still occur … Changes in anesthetic agents and
associated adjuvant drugs occur at a rate far too high for available … However, the primary point here is that syringe swaps do
occur. … Reduction in drug errors will not occur without careful attention to the system within which anesthesia
-
psnet.ahrq.gov/node/49668/psn-pdf
October 01, 2012 - toxicities related to opioid misuse increased by 134% from 2004
to 2010.(3) Drug-related adverse events occur … Second, pharmacotherapy with opioid medications to treat opioid
addiction requires that an evaluation occur … , the use of an antagonist that
can block the euphoria-producing effects of opioids should relapse occur … agonist effects with
naltrexone will eliminate the potential for respiratory depression that might occur
-
psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
November 01, 2012 - Errors involving heparin occur all too often. … effects on anesthesia care, and 5% reported effects on IV therapies for patients.( 8 )
Drug shortages occur … particular product, or when production quotas have been met for the year.( 9 ) When these drug shortages occur … Although the number of shortages has declined in recent years, they most likely will continue to occur
-
psnet.ahrq.gov/node/34682/psn-pdf
February 10, 2011 - They propose several
mechanisms by which harm can occur, review examples illustrating each, and offer
-
psnet.ahrq.gov/node/34075/psn-pdf
December 23, 2008 - The authors found empirical support that the
act of disclosure to patients doesn't consistently occur
-
psnet.ahrq.gov/node/34777/psn-pdf
February 16, 2011 - prevention with
the valuable educational opportunities for training physicians when personal errors occur
-
psnet.ahrq.gov/node/43438/psn-pdf
February 23, 2018 - reactive rather than proactive, involving a
response to adverse events and near misses after they occur
-
psnet.ahrq.gov/node/34094/psn-pdf
September 27, 2017 - Furthermore, future investigation to better
understand the incidence and nature of such events must occur
-
psnet.ahrq.gov/node/47545/psn-pdf
December 19, 2018 - This review discusses adverse events in pediatric dental patients and
suggests that when they occur,
-
psnet.ahrq.gov/node/39795/psn-pdf
June 06, 2018 - approaches to prospectively identify safety hazards
before patients are harmed and, when errors do occur
-
psnet.ahrq.gov/node/43502/psn-pdf
September 10, 2014 - Catastrophic
payments most frequently arose as a result of a diagnostic error and were more likely to occur
-
psnet.ahrq.gov/node/44322/psn-pdf
June 21, 2016 - these harms, work to understand the severity of harm, and determine accountability when
these events occur
-
psnet.ahrq.gov/node/43319/psn-pdf
July 23, 2014 - Electronic
prescribing was reported to occur in the majority of outpatient clinics and hospitals.
-
psnet.ahrq.gov/node/41958/psn-pdf
April 17, 2013 - Despite public uproar and attention focused on these never events, such
incidents continue to occur
-
psnet.ahrq.gov/node/45830/psn-pdf
June 27, 2018 - subset of learners who did not meet technical
proficiency, among whom patient safety problems could occur
-
psnet.ahrq.gov/node/44104/psn-pdf
July 16, 2015 - the Veterans Health Administration root cause analysis database found that wrong surgery
events can occur
-
psnet.ahrq.gov/node/37995/psn-pdf
September 19, 2016 - Suicide attempts, the majority of which occur on inpatient psychiatric units, are
considered a health
-
psnet.ahrq.gov/node/43595/psn-pdf
November 19, 2014 - under-reported to voluntary
reporting systems and root cause analysis of such incidents does not routinely occur
-
psnet.ahrq.gov/node/47141/psn-pdf
August 17, 2018 - association-postoperative-readmissions-surgical-quality-using-delphi-
consensus-process
Readmissions occur
-
psnet.ahrq.gov/node/45817/psn-pdf
October 25, 2017 - This report estimates
that around 400,000 annual cases of safety incidents will occur in Canada in the