-
psnet.ahrq.gov/node/60231/psn-pdf
April 15, 2020 - preventable harm to patients (e.g., regular blood glucose tests may
have prevented a stroke that likely occurred
-
psnet.ahrq.gov/node/841141/psn-pdf
December 07, 2022 - Among 320 referrals occurring in 2018, 38% of evaluations occurred
31 days or more after the referral
-
psnet.ahrq.gov/node/73070/psn-pdf
March 24, 2021 - Missed opportunities occurred most
commonly in outpatient settings.
-
psnet.ahrq.gov/node/50750/psn-pdf
January 01, 2020 - Of the 1970
MRE identified, the highest number (42%) occurred during the administration phase, and a
-
psnet.ahrq.gov/node/850346/psn-pdf
June 14, 2023 - Positive response strategies included
announcing that an error has occurred and the plan for managing
-
psnet.ahrq.gov/node/72743/psn-pdf
February 17, 2021 - Preventable medication harm
occurred most frequently during medication prescribing and monitoring.
-
psnet.ahrq.gov/node/50892/psn-pdf
February 12, 2020 - Of respondents who reported a medical error occurred 3-6 years
ago, 51% reported at least one emotional
-
psnet.ahrq.gov/node/837793/psn-pdf
August 10, 2022 - The most common preventable ADE both before
and after implementation occurred during the prescribing
-
psnet.ahrq.gov/node/43304/psn-pdf
July 02, 2014 - preventable patient safety events such as pressure ulcers and
catheter-related bloodstream infections occurred
-
psnet.ahrq.gov/node/37485/psn-pdf
June 29, 2011 - The same respondents, compared to those without such an experience,
believed that errors occurred more
-
psnet.ahrq.gov/node/37095/psn-pdf
September 04, 2010 - elective-neurosurgical-
cases
This analysis of cases performed by a single neurosurgeon found that errors occurred
-
psnet.ahrq.gov/node/37957/psn-pdf
August 06, 2008 - surgical-management-and-outcomes-165-colonoscopic-perforations-single-
institution
Bowel perforation after colonoscopy occurred
-
psnet.ahrq.gov/node/42559/psn-pdf
May 28, 2014 - analyze nursing students' perceptions of their
responsibilities when a medication administration error occurred
-
psnet.ahrq.gov/node/42560/psn-pdf
September 18, 2013 - In this study,
one alarm occurred every 2.9 minutes during the surgical procedures observed, implying
-
psnet.ahrq.gov/node/38705/psn-pdf
June 17, 2009 - While events occurred mostly during unloading of the
stretcher from the ambulance, injuries ranged from
-
psnet.ahrq.gov/node/36982/psn-pdf
June 11, 2017 - New Jersey Department of Health and Senior Services and that a list of these errors and where they
occurred
-
psnet.ahrq.gov/node/867087/psn-pdf
January 01, 2025 - resulted in poor patient outcomes, had severe consequences for the patient, and when the
complication occurred
-
psnet.ahrq.gov/node/866908/psn-pdf
October 09, 2024 - Errors
predominantly occurred at hospitals (86%, vs 14% at ambulatory surgery centers).
-
psnet.ahrq.gov/node/865336/psn-pdf
March 27, 2024 - Most reported errors were near misses and
occurred during sample collection, sample handling, and product
-
psnet.ahrq.gov/node/40708/psn-pdf
March 02, 2012 - For specified
events, the influence of perceived barriers was dependent on whether an error actually occurred