-
psnet.ahrq.gov/node/60878/psn-pdf
January 01, 2021 - intervention-study-reduction-medication-errors-elderly-trauma-patients
Researchers analyzed medication errors occurring
-
psnet.ahrq.gov/node/850913/psn-pdf
June 21, 2023 - This retrospective review of 154 intraoperative deaths
occurring between March 2010 and August 2022
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
June 01, 2021 - solving
Solves one problem in one particular instance
Generally does not help prevent future harm from occurring … adaptive interventions to change culture and beliefs
Identifies system opportunities to prevent them from occurring
-
psnet.ahrq.gov/node/37990/psn-pdf
August 13, 2008 - wrong site surgeries in Massachusetts and describes complex
factors that may contribute to such errors occurring
-
psnet.ahrq.gov/node/867340/psn-pdf
December 11, 2024 - Approximately 72% described harms with breakdowns
occurring in three processes: monitoring and supply
-
psnet.ahrq.gov/node/41286/psn-pdf
April 11, 2012 - prevention-medical-accidents-caused-defective-surgical-instruments
Near misses or adverse events due to defective surgical equipment were rare, occurring
-
psnet.ahrq.gov/node/42204/psn-pdf
June 10, 2013 - prospective study found that the rate of adverse events in outpatient dermatologic surgery was very
low, occurring
-
www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
January 01, 2024 - Current knowledge about the number and types of errors and adverse events occurring
within emergency … Less than 1%
of the total number of visits occurring during the data collection period had a reported … An effective control measure
eliminates or significantly reduces the likelihood of the failure occurring … system down, affecting
all patients
(Hazard Score 9 – severity of effect
is major, probability of occurring … staff
type
Order entered incorrectly
(Hazard Score 4 – severity of effect
is minor, probability of occurring
-
psnet.ahrq.gov/node/42385/psn-pdf
June 26, 2013 - identifying-and-addressing-preventable-process-errors-trauma-care
Most preventable errors in trauma care were errors of omission, often occurring
-
psnet.ahrq.gov/node/837428/psn-pdf
June 15, 2022 - This study reviewed serious surgical incidents occurring
at large teaching hospitals in one National
-
psnet.ahrq.gov/node/845350/psn-pdf
March 01, 2023 - has the potential to mitigate failures by designing workspaces and processes to
prevent errors from occurring
-
psnet.ahrq.gov/node/60846/psn-pdf
January 01, 2021 - safety-climate-associated-adverse-events-nursing-homes-national-va-study
This cross-sectional study examined the impact of safety climate on adverse events occurring
-
psnet.ahrq.gov/node/60619/psn-pdf
June 24, 2020 - Systems from 2000 to 2017 in order to characterize errors attributed to healthcare professionals or
occurring
-
psnet.ahrq.gov/node/73323/psn-pdf
May 26, 2021 - any difference in adverse events such as healthcare-acquired infections
or unplanned reintubation occurring
-
psnet.ahrq.gov/node/60353/psn-pdf
May 20, 2020 - event
during the transition from the intensive care unit (ICU) to the hospital ward, with most (62%) occurring
-
psnet.ahrq.gov/node/849134/psn-pdf
May 17, 2023 - Patient Safety data, this
retrospective study characterized patient safety events related to COVID-19 occurring
-
psnet.ahrq.gov/node/72479/psn-pdf
November 18, 2020 - This study surveyed 9,206 adults across the United States about their perceptions of medical errors
occurring
-
psnet.ahrq.gov/node/866589/psn-pdf
August 28, 2024 - the multidisciplinary panel
identified actual harm in 89 cases, with three-quarters of actual harm occurring
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ptsafety.html
September 01, 2015 - much more commonly treated at visits to outpatient settings, with more than 12 million such visits occurring … Events treated in ambulatory settings may be less severe than those occurring in inpatient settings.
-
psnet.ahrq.gov/node/38102/psn-pdf
April 15, 2019 - epidemiology-adverse-events-air-medical-transport
Air transport of patients is generally safe, with possible patient harm occurring