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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - likely to give rise to human error and change the underlying systems of care in order to reduce the occurrence
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - The purpose of REMS is to reduce the occurrence or severity of serious known risks.
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psnet.ahrq.gov/node/50930/psn-pdf
February 21, 2020 - While the occurrence of an
adverse drug event (ADE) is not always the result of medication error, it
-
psnet.ahrq.gov/node/49504/psn-pdf
March 01, 2006 - But is location a factor in the
occurrence of the complication reported in the aforementioned case?
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psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
April 24, 2024 - July 29, 2020
Maximum emergency department overcrowding is correlated with occurrence
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - Review of Existing System Structures using a Quality Improvement Lens
The occurrence of this error and
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psnet.ahrq.gov/node/49620/psn-pdf
February 01, 2011 - between 0.1%-1.5%.(8-10) No definite perioperative
risk factors have been identified to predict the occurrence
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psnet.ahrq.gov/node/33675/psn-pdf
October 01, 2008 - 13) Although smaller hospitals had
more discharges with all secondary diagnoses labeled as POA, the occurrence
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psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - potential complications, along with specific training in the techniques necessary to
prevent their occurrence
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - Occurrence and timing of subsequent severe acute respiratory syndrome coronavirus 2 reverse-transcription … July 1, 2020
Occurrence, prevention, and management of the psychological effects of emerging
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - Natural language software uses statistical inference to look at the frequency, occurrence, and relationship … Is it trying to see which articles or which chapters in books have the most frequent occurrence of all
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psnet.ahrq.gov/web-mm/insert-omission
May 09, 2014 - Insert Omission
Citation Text:
Darney P. Insert Omission. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - Turn the Other Cheek
March 1, 2012
Starling J. Turn the Other Cheek. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/turn-other-cheek
The Case
A 56-year-old man underwent two skin biopsies to evaluate clinically concerning lesions. The first biopsy
was diagnostic for squamous cell carcinoma (SCC) and docume…
-
psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - Errors and Near Misses: What Health Care Could Learn
From Aviation
December 1, 2016
Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
Perspective
Some of the most urg…
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psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
January 01, 2020 - Spotlight
Spotlight
Inpatient Stroke Management in a Patient
with Type 1 Diabetes and Home Insulin
Pump
Source and Credits
• This presentation is based on the October 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Berit B…
-
psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the
Preventable
April 1, 2017
Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
The Case
An 84-year-old wo…
-
psnet.ahrq.gov/node/46587/psn-pdf
January 23, 2019 - Association between workarounds and medication
administration errors in bar-code-assisted medication
administration in hospitals.
January 23, 2019
van der Veen W, van den Bemt PMLA, Wouters H, et al. Association between workarounds and medication
administration errors in bar-code-assisted medication administration…
-
psnet.ahrq.gov/node/37908/psn-pdf
June 10, 2010 - Incidence and characteristics of potential and actual
retained foreign object events in surgical patients.
June 10, 2010
Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained
foreign object events in surgical patients. J Am Coll Surg. 2008;207(1):80-7.
doi:10.1016/…
-
psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - adverse-drug-event-ade-surveillance-and-pharmacist-counseling
Summary
Adverse events resulting from medications are a common occurrence
-
psnet.ahrq.gov/node/49593/psn-pdf
October 01, 2009 - reports (1-4) and anecdotal
evidence suggest that what happened in the presented case is not a unique occurrence