-
psnet.ahrq.gov/node/46275/psn-pdf
March 27, 2018 - errors-originating-hospital-and-health-system-outpatient-pharmacies
According to this analysis of more than 1000 reports of errors occurring
-
psnet.ahrq.gov/node/836808/psn-pdf
March 30, 2022 - Between January 1, 2011, and December 31, 2020, 250 serious
medication errors occurring in the ED were
-
psnet.ahrq.gov/node/72469/psn-pdf
November 18, 2020 - weekend-effect-hospital-mortality-ischemic-and-hemorrhagic-stroke-us-rural-
and-urban
The ”weekend effect” refers to worse patient outcomes occurring
-
psnet.ahrq.gov/node/72546/psn-pdf
December 09, 2020 - This analysis of incident reports occurring at one hospital in Sweden found that
the handling, causes
-
psnet.ahrq.gov/node/50775/psn-pdf
January 01, 2021 - A prior
WebM&M describes a medication error occurring during an intrahospital transfer between the ICU
-
psnet.ahrq.gov/node/844050/psn-pdf
February 08, 2023 - Machine learning was often used to detect errors
occurring in laboratory test results, prescriptions
-
psnet.ahrq.gov/node/845637/psn-pdf
March 08, 2023 - least one critical step identified, and
actions were developed to reduce the likelihood of the error occurring
-
psnet.ahrq.gov/node/74864/psn-pdf
February 23, 2022 - changes in care processes (e.g.,
reduced patient surveillance, use of personal protective equipment) occurring
-
psnet.ahrq.gov/node/60029/psn-pdf
March 11, 2020 - prevalence-nature-and-predictors-omitted-medication-doses-mental-health-
hospitals-multi
This study described medication omission errors occurring
-
hcup-us.ahrq.gov/reports/statbriefs/sb240-Co-occurring-Physical-Mental-Substance-Conditions-Hospital-Stays.jsp
February 01, 2018 - STATISTICAL BRIEF #240
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impmaterials.html
December 01, 2017 - help nursing home staff review how they screen for pressure ulcer risk, prevent pressure ulcers from occurring
-
psnet.ahrq.gov/node/46085/psn-pdf
July 12, 2017 - developmental abnormalities—was the most common reason for a malpractice suit, with
more than half of claims occurring
-
psnet.ahrq.gov/node/34033/psn-pdf
April 11, 2011 - event rates
(1% and 0.6%, respectively) were similar to those seen in adult populations, with most occurring
-
digital.ahrq.gov/ahrq-funded-projects/assessing-impact-patient-centered-medical-home-mn
January 01, 2023 - Identify trends in quality, satisfaction, and resource use occurring within HPMG clinics. … whether any identified trends within HPMG clinics differ significantly from the general secular trend occurring
-
psnet.ahrq.gov/node/41853/psn-pdf
October 08, 2013 - reported-medication-events-paediatric-emergency-research-network-sharing-
improve-patient
This study characterizes the types of medication errors occurring
-
psnet.ahrq.gov/node/46697/psn-pdf
January 10, 2018 - qualitative study, researchers
interviewed 26 primary care providers to characterize errors of omission occurring
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx
November 01, 2019 - of the negative contributing factors from above and discuss how you will prevent these factors from occurring
-
psnet.ahrq.gov/issue/shakespeare-was-target-dont-be-borrower-or-lender
May 11, 2022 - March 18, 2010
Medication errors occurring with the use of bar-code administration technology
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - Slide 18
Say:
Once the CANDOR system is activated, two processes are occurring at the same
time: … Investigation: to determine how the event occurred, and how to mitigate that
event or even prevent it from occurring … organization as a whole, with
feedback on the investigation and its plans to prevent the adverse harm from
occurring … for clarification and improvement of the
CANDOR processes and preventing similar harm events from occurring … along with information as to what action the organization
is taking to prevent a similar event from occurring
-
psnet.ahrq.gov/node/44505/psn-pdf
January 22, 2016 - benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review
https://psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit