-
psnet.ahrq.gov/node/60662/psn-pdf
January 01, 2022 - Incorrect
doses and omitted medications occurred most frequently.
-
psnet.ahrq.gov/node/50820/psn-pdf
January 22, 2020 - communication, such as hanging up the phone) were noted by more than half of
individuals surveyed and occurred
-
psnet.ahrq.gov/node/848381/psn-pdf
May 03, 2023 - 16b-oracle-cerner-ehr-deployments-indefinitely-address-error-
ridden-early-rollout
Notable problems have occurred
-
psnet.ahrq.gov/node/838136/psn-pdf
September 21, 2022 - The majority of activations occurred in
general medicine units and some patients (approximately 5%)
-
psnet.ahrq.gov/node/850173/psn-pdf
June 07, 2023 - Transportation Safety Board concept, the proposed agency would collect
data on facilities where errors occurred
-
psnet.ahrq.gov/node/45262/psn-pdf
April 01, 2021 - involving parents in the analysis, engaging external experts to gain broader
perspectives about what occurred
-
psnet.ahrq.gov/node/47493/psn-pdf
January 27, 2019 - Despite this, coprescription
occurred in 44% of those prescribed dementia medication, and this medication
-
psnet.ahrq.gov/node/72596/psn-pdf
January 01, 2021 - This study of 254
intensive care patients across Western Europe found that serious adverse events occurred
-
psnet.ahrq.gov/node/38016/psn-pdf
August 27, 2008 - variability-concentrations-intravenous-drug-infusions-prepared-critical-care-unit
This study found that errors frequently occurred
-
psnet.ahrq.gov/node/39304/psn-pdf
February 17, 2010 - pediatric-antidepressant-medication-errors-national-error-reporting-database
This analysis of MEDMARX data found that harmful errors involving antidepressants most commonly
occurred
-
psnet.ahrq.gov/node/36215/psn-pdf
September 30, 2010 - oral-outpatient-chemotherapy-medication-errors-children-acute-lymphoblastic-
leukemia
This small cohort study demonstrated that dosing or administration errors occurred
-
psnet.ahrq.gov/node/35047/psn-pdf
November 04, 2015 - Although no clinical errors occurred, some records were misplaced.
-
psnet.ahrq.gov/node/47176/psn-pdf
June 06, 2018 - This news article reports on serious
medication errors that occurred at Children's Hospital in 2017,
-
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/49624/psn-pdf
May 01, 2011 - 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/854378/psn-pdf
October 11, 2023 - nurses, physicians, and other direct
and indirect healthcare staff, 20% reported illegitimate tasks occurred
-
psnet.ahrq.gov/node/37485/psn-pdf
June 29, 2011 - The same respondents, compared to those without such an experience,
believed that errors occurred more
-
psnet.ahrq.gov/node/36982/psn-pdf
June 11, 2017 - New Jersey Department of Health and Senior Services and that a list of these errors and where they
occurred
-
psnet.ahrq.gov/node/43304/psn-pdf
July 02, 2014 - preventable patient safety events such as pressure ulcers and
catheter-related bloodstream infections occurred
-
psnet.ahrq.gov/node/37957/psn-pdf
August 06, 2008 - surgical-management-and-outcomes-165-colonoscopic-perforations-single-
institution
Bowel perforation after colonoscopy occurred