-
psnet.ahrq.gov/node/837803/psn-pdf
August 10, 2022 - This claims-based retrospective analysis found
that abortion-related morbidity or adverse events occurred
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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
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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/47237/psn-pdf
January 01, 2020 - laparoscopic procedures, auditory and
cognitive distractions were common, and multiple safety events occurred
-
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/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/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/72678/psn-pdf
January 27, 2021 - Most errors occurred during ordering/prescribing
(42%).
-
digital.ahrq.gov/document-type/data-collection-form
January 01, 2023 - Description
This is a form to classify prescriptions based on type and what adverse events 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
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - This case highlights two important issues, namely how to talk with a patient or family when the error occurred … cases, this case has numerous dimensions of uncertainty, making it difficult to know whether an error occurred … Therefore, in cases where a potential error occurred under other providers, the critical first step is … In addition, if it was determined that an error occurred, a collaborative approach to disclosure, in … If they determined that a clear error occurred, providers should have found a way to disclose the error
-
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/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
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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/853066/psn-pdf
August 30, 2023 - Researchers found
that MOID occurred in 29% of emergency transfer cases and it was associated with higher
-
psnet.ahrq.gov/node/50820/psn-pdf
January 22, 2020 - communication, such as hanging up the phone) were noted by more than half of
individuals surveyed and occurred
-
psnet.ahrq.gov/node/851191/psn-pdf
July 05, 2023 - disclosing-medical-errors-prioritising-needs-patients-and-families
Numerous organizations promote communication with patients and families after harm has occurred
-
psnet.ahrq.gov/node/45262/psn-pdf
April 01, 2021 - involving parents in the analysis, engaging external experts to gain broader
perspectives about what occurred
-
psnet.ahrq.gov/node/837316/psn-pdf
June 01, 2022 - Identified
weaknesses included lack of discussions about misdiagnoses when they occurred.