-
psnet.ahrq.gov/node/39913/psn-pdf
October 13, 2010 - Interpretation errors occurred more frequently in
children and very elderly patients (older than 85
-
psnet.ahrq.gov/node/35716/psn-pdf
July 10, 2008 - Data collection occurred
through review of electronic health records that offered limited clinical decision
-
psnet.ahrq.gov/node/37226/psn-pdf
December 15, 2011 - Parents also did not consistently inform clinicians of ameliorable ADEs when they occurred,
leading
-
psnet.ahrq.gov/node/44672/psn-pdf
October 11, 2017 - wrong medication to prescribe due to confusing menus) but also
exacerbated errors that had previously occurred
-
psnet.ahrq.gov/node/44122/psn-pdf
January 01, 2016 - The extent of
patient harm which occurred or was averted was not reported.
-
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
-
psnet.ahrq.gov/node/34712/psn-pdf
February 18, 2011 - The authors found that adverse events occurred in 3.7% of
hospitalizations; 27% of these were due to
-
psnet.ahrq.gov/node/42238/psn-pdf
July 02, 2014 - psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review
When an error has occurred
-
psnet.ahrq.gov/node/37113/psn-pdf
March 24, 2011 - However, 19 "potentially avoidable" arrests occurred during one calendar year, most of which were
attributable
-
psnet.ahrq.gov/node/47204/psn-pdf
July 18, 2018 - Overdose deaths
occurred more among men than women and were most prevalent in patients aged 15 to 34
-
psnet.ahrq.gov/node/49726/psn-pdf
March 01, 2015 - The second error occurred during the patient
transfer, when only the records, but not the imaging, accompanied … The third error occurred as
the patient was posted for the surgical suite without preoperative imaging … These three errors occurred
before the patient was rolled into the surgical suite. … The fourth error occurred once in the operating room—implementation of the Universal Protocol could have
-
psnet.ahrq.gov/node/35050/psn-pdf
May 27, 2011 - The majority of errors
that resulted in an ADE occurred in the medication ordering phase.
-
psnet.ahrq.gov/node/35134/psn-pdf
June 22, 2009 - However, the authors point out that even at hospitals with
METs in place, inadequate utilization occurred
-
psnet.ahrq.gov/node/46359/psn-pdf
September 21, 2017 - reported miscommunications, and those
parents were more likely to also perceive that an adverse event occurred
-
psnet.ahrq.gov/node/36784/psn-pdf
February 24, 2011 - many-faces-error-disclosure-common-set-elements-and-definition
When medical errors occur, patients desire full disclosure about the error and why it occurred
-
psnet.ahrq.gov/node/43173/psn-pdf
June 04, 2014 - A past AHRQ
WebM&M commentary discussed a serious error that occurred after a liposuction procedure
-
psnet.ahrq.gov/node/40921/psn-pdf
November 16, 2011 - Joint
Commission and for failing to monitor long-term safety performance at hospitals where errors occurred
-
psnet.ahrq.gov/node/42933/psn-pdf
July 03, 2014 - critical-events-during-land-based-interfacility-transport
In this retrospective cohort study, critical events occurred
-
psnet.ahrq.gov/node/38758/psn-pdf
July 08, 2009 - overall incidence of errors
appears low, most reported errors were considered preventable, as they occurred
-
psnet.ahrq.gov/node/44165/psn-pdf
May 27, 2015 - examined a retrospective case series of orthopedic and trauma surgeries in which a
revision procedure occurred