-
psnet.ahrq.gov/node/46648/psn-pdf
March 14, 2018 - The majority of errors occurred during the
compounding or dispensing and administration stages.
-
psnet.ahrq.gov/node/46366/psn-pdf
September 27, 2017 - medical records of patients diagnosed with spinal epidural abscess and found
that a delay in diagnosis occurred
-
psnet.ahrq.gov/node/41000/psn-pdf
December 14, 2011 - study found that the medication errors identified by an emergency department pharmacist primarily
occurred
-
psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - events so they can review the medical record to determine if an actual or potential
adverse event has occurred … Study and other classic studies used fairly blunt triggers, general indications
that harm may have occurred
-
psnet.ahrq.gov/node/836774/psn-pdf
March 23, 2022 - Out-of-hours discharges often occurred
prematurely, without adequate handovers, and involved patients
-
psnet.ahrq.gov/node/44915/psn-pdf
January 01, 2020 - Although research suggests that EHRs have had an overall positive effect, unexpected
consequences have occurred
-
psnet.ahrq.gov/node/852746/psn-pdf
August 23, 2023 - Diagnostic errors occurred most often in the testing, assessment, and follow-up phases, with
human factors
-
psnet.ahrq.gov/node/850161/psn-pdf
June 07, 2023 - Overall, most incidents occurred at
the prescribing stage, but varied by patient age group.
-
psnet.ahrq.gov/node/764396/psn-pdf
March 02, 2022 - a mobile health tool, pediatric patients and families were encouraged to report safety events that occurred
-
psnet.ahrq.gov/node/47502/psn-pdf
June 02, 2019 - retrospective study of critical events in inpatient anesthesiology practice found
that debriefing occurred
-
psnet.ahrq.gov/issue/preventing-infection-misuse-vials
September 11, 2023 - Most outbreaks occurred in hospitals, but a large number of cases also came from outpatient pain management
-
psnet.ahrq.gov/node/38177/psn-pdf
March 02, 2011 - This study adds to those concerns by finding that failures in behavioral practice occurred in
nearly
-
psnet.ahrq.gov/node/43244/psn-pdf
June 18, 2014 - The majority of clinical deteriorations occurred within 48 hours of
admission, often while the patient
-
psnet.ahrq.gov/node/41952/psn-pdf
January 16, 2013 - After the system improvements were implemented, no similar errors
occurred and multiple near misses
-
psnet.ahrq.gov/node/46444/psn-pdf
December 19, 2017 - This case discussion reviews an
incident that occurred due to an NPO status order for a patient prior
-
psnet.ahrq.gov/node/40530/psn-pdf
September 25, 2011 - patient-safety-factors-children-dying-paediatric-intensive-care-unit-picu-case-
notes-review
This study found that adverse events occurred
-
psnet.ahrq.gov/node/38804/psn-pdf
July 22, 2009 - Most of the dosing
errors occurred at home and in children younger than 12 months.
-
psnet.ahrq.gov/node/43726/psn-pdf
September 01, 2016 - This qualitative study found
alert overrides occurred most frequently in the emergency department, and
-
psnet.ahrq.gov/node/35175/psn-pdf
June 23, 2009 - overnight-and-postcall-errors-medication-orders
This study examined the incidence of prescribing errors that occurred
-
psnet.ahrq.gov/node/34799/psn-pdf
December 23, 2008 - Admissions most frequently occurred in elderly patients and those on diuretics or digoxin.