-
psnet.ahrq.gov/node/37000/psn-pdf
September 15, 2011 - Approximately 30 unexpected deaths occurred per 100,000 ED discharges, and a potential error or
misdiagnosis
-
psnet.ahrq.gov/node/45250/psn-pdf
July 27, 2016 - hospital's automated IV compounding workflow
management system, this study found that IV compounding errors occurred
-
psnet.ahrq.gov/node/38046/psn-pdf
September 10, 2008 - clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-
analysis-100
This study discovered that autopsy-detected diagnostic errors occurred
-
psnet.ahrq.gov/node/36900/psn-pdf
April 18, 2011 - Agency for Healthcare
Research and Quality (AHRQ) WebM&M commentary discusses a devastating error that occurred
-
psnet.ahrq.gov/node/43981/psn-pdf
April 22, 2015 - The investigators found
that errors occurred in nearly half of all operations and frequently manifested
-
psnet.ahrq.gov/node/46869/psn-pdf
April 11, 2018 - The sharpest rise occurred among 11–18 year olds, and nearly one-
third of opioid prescriptions were
-
psnet.ahrq.gov/node/43289/psn-pdf
July 09, 2014 - According to this study, a lower proportion of cardiac arrests occurred outside the intensive care unit
-
psnet.ahrq.gov/node/34779/psn-pdf
December 21, 2014 - uses a multidisciplinary conference format to discuss cases in which a postoperative
complication occurred
-
psnet.ahrq.gov/node/45455/psn-pdf
June 29, 2017 - practices for error disclosure include being honest about what happened,
explicitly stating that an error occurred
-
psnet.ahrq.gov/node/45640/psn-pdf
September 01, 2018 - The majority of cases did not
involve substandard care, and disclosure occurred in more than 90% of
-
psnet.ahrq.gov/node/43710/psn-pdf
October 06, 2016 - medication administration safe
practices approximately 11% per encounter, and administration errors occurred
-
psnet.ahrq.gov/node/44256/psn-pdf
October 06, 2016 - made more errors
when distractions were present in the operating room compared to when no distraction occurred
-
psnet.ahrq.gov/issue/family-woman-who-died-after-medical-error-joins-hospitals-safety-panel
May 13, 2020 - family became involved with patient safety, serving on an advisory council at the hospital where it occurred
-
psnet.ahrq.gov/node/841772/psn-pdf
December 21, 2022 - readmission could not be addressed by prior in-hospital medication
reviews because the medication error occurred
-
psnet.ahrq.gov/node/60348/psn-pdf
May 20, 2020 - The researchers found that 5.1 adverse
drug events occurred per 100 overrides.
-
psnet.ahrq.gov/node/837202/psn-pdf
May 25, 2022 - This analysis focused on patient safety incidents in Swedish prehospital care that
occurred after 2015
-
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/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
April 17, 2024 - This article summarizes a case where problems were not responded to, and harm occurred.
-
psnet.ahrq.gov/issue/vincristine-learning-error-workshop
April 26, 2006 - Citation
Related Resources
External Inquiry into the adverse incident that occurred
-
psnet.ahrq.gov/node/46188/psn-pdf
June 21, 2017 - 7 days of discharge from inpatient mental
health facilities determined that most cases of suicide occurred