-
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
-
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/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/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/issue/2022-2023-biannual-report-ismp-national-vaccine-errors-reporting-program-verp
December 14, 2022 - The data highlight various clinical settings where the errors occurred, the types of errors, and show
-
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/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/39675/psn-pdf
January 19, 2011 - This review of rapid response system calls to an inpatient hemodialysis unit found that many events
occurred
-
psnet.ahrq.gov/node/37132/psn-pdf
June 14, 2011 - Most errors occurred at the transcription stage, and a substantial proportion were attributed to
poor
-
psnet.ahrq.gov/node/38869/psn-pdf
August 19, 2009 - Approximately 1 in 60 prescriptions for parenteral nutrition resulted in a medication error, most of which
occurred
-
psnet.ahrq.gov/node/42071/psn-pdf
February 27, 2013 - measure the impact of such misidentification, the findings raise concern that diagnostic
errors may have occurred
-
psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - Two clinician reviewers judged misdiagnosis to have occurred in 5% of these
children presenting with … Major discrepancies
occurred in 41 shifts over a 13-month period. … Significantly more diagnostic errors occurred with salient distracting features, especially for
complex … examination showed that, for cases involving
diagnosis, changing an answer from incorrect to correct occurred
-
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/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/837793/psn-pdf
August 10, 2022 - The most common preventable ADE both before
and after implementation occurred during the prescribing
-
psnet.ahrq.gov/node/73070/psn-pdf
March 24, 2021 - Missed opportunities occurred most
commonly in outpatient settings.
-
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/841141/psn-pdf
December 07, 2022 - Among 320 referrals occurring in 2018, 38% of evaluations occurred
31 days or more after the referral