-
psnet.ahrq.gov/node/73605/psn-pdf
August 18, 2021 - registered-nurses-perceptions-safe-care-overcrowded-emergency-departments
https://psnet.ahrq.gov/issue/maximum-emergency-department-overcrowding-correlated-occurrence-unexpected-cardiac-arrest
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psnet.ahrq.gov/node/39816/psn-pdf
September 01, 2010 - us-inaction-lets-look-alike-tubes-kill-patients
https://psnet.ahrq.gov/issue/tubing-misconnections-persistent-and-potentially-deadly-occurrence
-
psnet.ahrq.gov/node/33999/psn-pdf
March 07, 2005 - center-consumer-health-care-information-patient-safety-center
The Center's efforts for patient safety are highlighted, including New York's Patient Occurrence
-
psnet.ahrq.gov/node/33978/psn-pdf
December 18, 2008 - identification-errors-pathology-and-laboratory-medicine
This article examines how identification errors are discovered, as well as frequency of their occurrence
-
psnet.ahrq.gov/node/36096/psn-pdf
September 28, 2010 - illustrates how therapeutic duplication can lead to harm and provides several strategies to
minimize its occurrence
-
psnet.ahrq.gov/node/851461/psn-pdf
July 19, 2023 - and analysis in lieu of the employment of actions that serve to reduce the potential for
accident occurrence
-
psnet.ahrq.gov/node/35465/psn-pdf
January 05, 2017 - Reporting Program to illustrate
look-alike/sound-alike errors and provide strategies to minimize their occurrence
-
psnet.ahrq.gov/node/865929/psn-pdf
May 22, 2024 - This article
summarizes diagnostic stewardship strategies to reduce the occurrence of HAIs and contrasts
-
psnet.ahrq.gov/node/35844/psn-pdf
April 22, 2011 - cases of postdischarge adverse drug events, as well as actions physicians can take
to minimize their occurrence
-
psnet.ahrq.gov/node/36001/psn-pdf
June 07, 2006 - Medmarx database, what factors contributed to those errors, and what can be done to minimize their
occurrence
-
psnet.ahrq.gov/node/38775/psn-pdf
April 16, 2018 - risk factors associated with retention of foreign objects and suggests several tactics to
prevent its occurrence
-
psnet.ahrq.gov/node/39738/psn-pdf
June 10, 2018 - preventing-cathetertubing-misconnections-much-needed-help-way
https://psnet.ahrq.gov/issue/tubing-misconnections-persistent-and-potentially-deadly-occurrence
-
psnet.ahrq.gov/node/48134/psn-pdf
August 14, 2019 - cause
analysis approach to determine physical, process, and systems factors that contribute to the occurrence
-
psnet.ahrq.gov/node/38315/psn-pdf
October 24, 2018 - tools for health care managers to
develop awareness initiatives and policies to reduce the impact and occurrence
-
psnet.ahrq.gov/node/38709/psn-pdf
June 17, 2009 - enteral-feeding-misconnections-update
https://psnet.ahrq.gov/issue/tubing-misconnections-persistent-and-potentially-deadly-occurrence
-
psnet.ahrq.gov/node/35613/psn-pdf
June 22, 2010 - suggests automation, cognitive forcing strategies, and metacognition as strategies to minimize
its occurrence
-
psnet.ahrq.gov/node/49463/psn-pdf
October 14, 2004 - fact that a
sophisticated computer system expected to prevent such errors likely contributed to its occurrence … factors are
overlooked in planning, information technology may automate a bad practice or accelerate the occurrence … coding could be considered in the intermediate term, several short-term approaches can reduce
the occurrence … work with its software vendor
to develop a forcing function in its computer system to prevent such an occurrence
-
psnet.ahrq.gov/node/72672/psn-pdf
January 27, 2021 - that
a smart phone app providing just-in-time medication administration information could
reduce the occurrence
-
psnet.ahrq.gov/node/837000/psn-pdf
May 06, 2022 - lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-
fatal-medication
Organizational factors can contribute to the occurrence
-
psnet.ahrq.gov/node/60359/psn-pdf
May 20, 2020 - libraries when programing pumps and assessed
equipment competency as actions to mitigate similar incident occurrence