-
psnet.ahrq.gov/node/36344/psn-pdf
February 17, 2011 - psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription
This case involves an iatrogenic reaction that occurred
-
psnet.ahrq.gov/node/38494/psn-pdf
January 31, 2011 - administration's efforts to computerize medical records, this news story
describes problems and errors that have occurred
-
psnet.ahrq.gov/node/42753/psn-pdf
November 20, 2013 - dealing-medical-mistake-should-physicians-apologize-patients
This article discusses how apologies address patients' needs when a medical mistake has occurred
-
psnet.ahrq.gov/node/854378/psn-pdf
October 11, 2023 - nurses, physicians, and other direct
and indirect healthcare staff, 20% reported illegitimate tasks occurred
-
psnet.ahrq.gov/node/855098/psn-pdf
November 08, 2023 - Falls requiring hospitalization more often occurred in residents’
bedrooms or communal areas.
-
psnet.ahrq.gov/node/41136/psn-pdf
February 15, 2012 - adverse-events-after-screening-and-follow-colonoscopy
This study of more than 45,000 colonoscopies found that 4.7 serious adverse events occurred
-
psnet.ahrq.gov/node/37941/psn-pdf
July 30, 2008 - finding-blunders-thyroid-testing-experience-newborns
Inconsistent and possibly erroneous results of thyroid tests for newborns occurred
-
psnet.ahrq.gov/node/43405/psn-pdf
August 14, 2014 - psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors
Postdischarge medication errors occurred
-
psnet.ahrq.gov/node/38403/psn-pdf
February 11, 2009 - psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing-
errors
Errors occurred
-
psnet.ahrq.gov/node/40863/psn-pdf
October 19, 2011 - family became involved with patient safety,
serving on an advisory council at the hospital where it occurred
-
psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - This case highlights two important issues, namely how to talk with a patient or family when the error occurred … cases, this case has numerous dimensions of uncertainty, making it difficult to know whether an error occurred … Therefore, in cases where a potential error occurred under other providers, the critical first step is … In addition, if it was determined that an error occurred, a collaborative approach to disclosure, in … If they determined that a clear error occurred, providers should have found a way to disclose the error
-
psnet.ahrq.gov/node/837029/psn-pdf
May 04, 2022 - Underrecognition of at least one symptom occurred in more than 50% of patients.
-
psnet.ahrq.gov/node/60848/psn-pdf
January 01, 2022 - resulting in an adverse event among
children younger than 6 years old were potentially related to CMM and occurred
-
psnet.ahrq.gov/node/74098/psn-pdf
January 01, 2023 - Over a nine-year period, 520 emergency events were identified; 25% were cardiac
arrest events and 60% occurred
-
psnet.ahrq.gov/node/48096/psn-pdf
June 19, 2019 - These workarounds
occurred frequently and prompted the authors to conclude that existing electronic
-
psnet.ahrq.gov/node/48161/psn-pdf
January 01, 2021 - This
observational study of critical care rounds found that more safety events occurred when technology
-
psnet.ahrq.gov/node/847541/psn-pdf
April 12, 2023 - Researchers found that most errors occurred during the
medication administration step rather than the
-
psnet.ahrq.gov/node/839826/psn-pdf
November 09, 2022 - This qualitative study involving physicians and medical trainees found that distress most often occurred
-
psnet.ahrq.gov/node/73887/psn-pdf
September 29, 2021 - thickness was not significantly associated with missed fractures; however, missed and late diagnosis
occurred
-
psnet.ahrq.gov/node/74059/psn-pdf
January 01, 2022 - These errors occurred due to lack of proper safeguards to
intercept prescribing errors, stress, and