-
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
-
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/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/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/844050/psn-pdf
February 08, 2023 - Machine learning was often used to detect errors
occurring in laboratory test results, prescriptions
-
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
-
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/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/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
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-ut-tachysystole.html
July 01, 2023 - Contractions are now lasting 60 seconds and occurring every 90 seconds with very little return to baseline … Pulse 110
BP 140/85
Resp Rate 20
FHR: 130; late decelerations are occurring with each contraction … Contractions are now lasting 60 seconds and occurring every 90 seconds with very little return to baseline … assessment after trigger #2
Pulse 110
BP 140/85
Resp Rate 20
FHR: 130; late decelerations are occurring
-
psnet.ahrq.gov/node/46961/psn-pdf
June 06, 2018 - A previous
WebM&M commentary discussed a preventable adverse event occurring in part due to less intensive
-
psnet.ahrq.gov/node/46760/psn-pdf
January 24, 2018 - medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/systematic-evaluation-errors-occurring-during-preparation-intravenous-medication
-
psnet.ahrq.gov/node/44149/psn-pdf
June 03, 2015 - This commentary examines the
literature on dialysis-related incidents occurring in the home setting
-
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
-
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.
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0207-technical-specifications.pdf
January 30, 2020 - These time periods are assessed
cumulatively, such that readmissions occurring within prior time periods
-
psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - champions, and (v) providing the necessary education to try to prevent these
types of events from occurring … and, through this understanding, potentially prevent a disruptive event or
communication mishap from occurring … sessions
mentioned above are designed to improve understanding and responses to prevent the event from
occurring … After the event, the issue must be addressed to prevent it from
occurring again. … assumptions about the event lead to a better
understanding, which is enough to prevent the event 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