-
psnet.ahrq.gov/node/60895/psn-pdf
September 09, 2020 - radiology fellows working off-hours over a four-
year period and found that interpretation errors occurred
-
psnet.ahrq.gov/node/41218/psn-pdf
March 14, 2012 - medication-errors-when-pharmacy-closed
This newsletter article discusses data on medication errors that occurred
-
psnet.ahrq.gov/node/865479/psn-pdf
April 03, 2024 - Most errors occurred post-operatively (e.g., failure to recognize
clinical deterioration) and were attributed
-
psnet.ahrq.gov/node/72678/psn-pdf
January 27, 2021 - Most errors occurred during ordering/prescribing
(42%).
-
psnet.ahrq.gov/node/850913/psn-pdf
June 21, 2023 - occurring between March 2010 and August 2022 at one academic medical center found that most deaths
occurred
-
psnet.ahrq.gov/node/47967/psn-pdf
May 01, 2019 - patients and found that the trigger tools flagged
many patient records in which no adverse event had occurred
-
psnet.ahrq.gov/node/838240/psn-pdf
October 05, 2022 - studies of potentially inappropriate prescribing (PIP) for
patients with diabetes, several types of PIPs occurred
-
psnet.ahrq.gov/node/838134/psn-pdf
September 21, 2022 - This study analyzed allergic adverse drug events that occurred because of overridden drug allergy
alerts
-
psnet.ahrq.gov/node/72638/psn-pdf
January 13, 2021 - Manipulations most commonly
involved oral liquids and intravenous orders and occurred most often in
-
psnet.ahrq.gov/node/47758/psn-pdf
April 17, 2019 - Adverse events occurred in more than a quarter of patients who died in the hospital, a
significantly
-
psnet.ahrq.gov/node/47237/psn-pdf
January 01, 2020 - laparoscopic procedures, auditory and
cognitive distractions were common, and multiple safety events occurred
-
psnet.ahrq.gov/node/844042/psn-pdf
February 08, 2023 - of a safety culture assessment (SCA) of a helicopter squadron and
investigation of an accident that occurred
-
psnet.ahrq.gov/node/837803/psn-pdf
August 10, 2022 - This claims-based retrospective analysis found
that abortion-related morbidity or adverse events occurred
-
psnet.ahrq.gov/node/36702/psn-pdf
June 30, 2011 - researchers studied adverse events in stroke patients at one academic medical center and found that
errors occurred
-
psnet.ahrq.gov/node/37088/psn-pdf
August 08, 2007 - art-apology-when-and-how-seek-forgiveness
This article offers practical advice on how to determine when an error has occurred
-
psnet.ahrq.gov/node/41988/psn-pdf
January 23, 2013 - article reveals lessons a medical student learned about patient safety while dealing with errors that
occurred
-
psnet.ahrq.gov/node/41269/psn-pdf
October 19, 2012 - characteristics-medication-errors-parenteral-cytotoxic-drugs
This Swedish study found that chemotherapy medication errors occurred
-
psnet.ahrq.gov/node/864369/psn-pdf
March 13, 2024 - A physician-related medication error occurred in 12.5% of participants overall, with no
statistically
-
psnet.ahrq.gov/node/72479/psn-pdf
November 18, 2020 - According to
these findings, patient-perceived medical errors and harms occurred most commonly in women
-
psnet.ahrq.gov/node/836987/psn-pdf
April 27, 2022 - Transfer) events (i.e., cardiopulmonary
arrest and/or ventilation and/or hemodynamic support) which occurred