-
psnet.ahrq.gov/node/42559/psn-pdf
May 28, 2014 - analyze nursing students' perceptions of their
responsibilities when a medication administration error occurred
-
psnet.ahrq.gov/node/865336/psn-pdf
March 27, 2024 - Most reported errors were near misses and
occurred during sample collection, sample handling, and product
-
psnet.ahrq.gov/node/50892/psn-pdf
February 12, 2020 - Of respondents who reported a medical error occurred 3-6 years
ago, 51% reported at least one emotional
-
psnet.ahrq.gov/node/837793/psn-pdf
August 10, 2022 - The most common preventable ADE both before
and after implementation occurred during the prescribing
-
psnet.ahrq.gov/node/60231/psn-pdf
April 15, 2020 - preventable harm to patients (e.g., regular blood glucose tests may
have prevented a stroke that likely occurred
-
psnet.ahrq.gov/node/841141/psn-pdf
December 07, 2022 - Among 320 referrals occurring in 2018, 38% of evaluations occurred
31 days or more after the referral
-
psnet.ahrq.gov/node/50750/psn-pdf
January 01, 2020 - Of the 1970
MRE identified, the highest number (42%) occurred during the administration phase, and a
-
psnet.ahrq.gov/node/851200/psn-pdf
July 05, 2023 - In addition,
post-event process gaps occurred, impacting learning and resolution such as a delay in
-
psnet.ahrq.gov/node/73070/psn-pdf
March 24, 2021 - Missed opportunities occurred most
commonly in outpatient settings.
-
psnet.ahrq.gov/node/850346/psn-pdf
June 14, 2023 - Positive response strategies included
announcing that an error has occurred and the plan for managing
-
psnet.ahrq.gov/node/72743/psn-pdf
February 17, 2021 - Preventable medication harm
occurred most frequently during medication prescribing and monitoring.
-
psnet.ahrq.gov/node/866644/psn-pdf
September 04, 2024 - and subjective nature of event reporting, the
study was unable to determine if actual patient harm occurred
-
psnet.ahrq.gov/node/866908/psn-pdf
October 09, 2024 - Errors
predominantly occurred at hospitals (86%, vs 14% at ambulatory surgery centers).
-
psnet.ahrq.gov/node/867087/psn-pdf
January 01, 2025 - resulted in poor patient outcomes, had severe consequences for the patient, and when the
complication occurred
-
psnet.ahrq.gov/node/45427/psn-pdf
October 19, 2016 - desire for more resources devoted to ensuring patient safety
and more feedback after adverse events occurred
-
psnet.ahrq.gov/node/39375/psn-pdf
March 24, 2010 - discrepancies—differences between the medical record and patient self-report of
their antihypertensive medications—occurred
-
psnet.ahrq.gov/node/39954/psn-pdf
November 26, 2014 - psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-japan-jade-study
Adverse drug events occurred
-
psnet.ahrq.gov/node/40708/psn-pdf
March 02, 2012 - For specified
events, the influence of perceived barriers was dependent on whether an error actually occurred
-
psnet.ahrq.gov/node/49420/psn-pdf
October 01, 2003 - Fortunately,
no long-term sequelae occurred as a consequence of the errors in care suffered by this … Four distinct errors occurred in this case. … The errors in execution made by the original provider likely would not have occurred in
less hectic … laboratory could have been more proactive about clarifying
information, but had errors one and two not occurred
-
psnet.ahrq.gov/node/854818/psn-pdf
October 25, 2023 - from one medical center in the Netherlands and found that
diagnostic testing errors most commonly occurred