-
psnet.ahrq.gov/node/39193/psn-pdf
April 21, 2011 - of errors, only 15% of radiologists said they would discuss the
specifics of the error and how it occurred
-
psnet.ahrq.gov/node/35855/psn-pdf
October 25, 2013 - than $9 billion in excess cost during 2002-2004, and more than 250,000 potentially
preventable deaths occurred
-
psnet.ahrq.gov/node/41963/psn-pdf
February 01, 2013 - of all errors were disclosed to
patients, regardless of the error's severity or setting in which it occurred
-
psnet.ahrq.gov/node/41327/psn-pdf
November 27, 2012 - Patient Safety Indicators as a screening tool, the authors found that multiple patient safety events occurred
-
psnet.ahrq.gov/node/41876/psn-pdf
December 04, 2016 - An AHRQ WebM&M case discusses a
preventable adverse event that occurred in a palliative care patient
-
psnet.ahrq.gov/node/38205/psn-pdf
November 12, 2008 - Overall, errors requiring pharmacy intervention occurred at a rate comparable to prior studies,
but
-
psnet.ahrq.gov/node/36154/psn-pdf
September 29, 2010 - errors, the classes of medications frequently associated with
error, and the types of errors that occurred
-
psnet.ahrq.gov/node/42721/psn-pdf
December 12, 2014 - This observational study within a tertiary hospital in urban India found that errors occurred
in 13.6%
-
psnet.ahrq.gov/node/41192/psn-pdf
November 26, 2014 - This study found that reconciliation errors occurred frequently at both these transition
times; 42%
-
psnet.ahrq.gov/node/36807/psn-pdf
October 25, 2013 - nearly $9 billion in excess cost during 2003-2005, and nearly 250,000 potentially preventable
deaths occurred
-
psnet.ahrq.gov/node/42208/psn-pdf
April 17, 2013 - A high-profile fatal medication error that occurred while a nurse
was working a double shift previously
-
psnet.ahrq.gov/node/39123/psn-pdf
April 30, 2014 - Errors occurred in virtually all specialties that perform
procedures.
-
psnet.ahrq.gov/node/34689/psn-pdf
February 10, 2011 - The authors break down ADEs by drug
class and by the stage at which the error occurred (ordering, transcription
-
psnet.ahrq.gov/node/36334/psn-pdf
October 26, 2010 - As in the outpatient arena,
errors generally occurred due to failure to order diagnostic tests or interpret
-
psnet.ahrq.gov/node/40636/psn-pdf
November 21, 2011 - As in the earlier report, half of the incorrect procedures occurred outside of the
operating room.
-
psnet.ahrq.gov/issue/each-baby-counts-key-messages-2015
July 26, 2017 - involving parents in the analysis, engaging external experts to gain broader perspectives about what occurred
-
psnet.ahrq.gov/node/46578/psn-pdf
April 29, 2018 - The taxonomy includes the origin of the error, which most commonly occurred with introduction of a
new
-
psnet.ahrq.gov/node/38621/psn-pdf
February 18, 2011 - Investigators targeted those cases where a delay of at least 90 days occurred between
symptom onset
-
psnet.ahrq.gov/node/37499/psn-pdf
January 10, 2017 - such events were not “present on admission”—a
new coding category to identify patients whose events occurred
-
psnet.ahrq.gov/node/37096/psn-pdf
June 24, 2010 - Furthermore, cases where an in-hospital complication occurred did not receive
significantly higher financial