-
psnet.ahrq.gov/issue/patient-safety-public-health
July 19, 2023 - Medical error has been recognized as a serious problem in the United States.
-
psnet.ahrq.gov/issue/operative-team-communication-during-simulated-emergencies-too-busy-respond
March 04, 2020 - Communication failures in the operating room are a well-recognized threat to patient safety .
-
psnet.ahrq.gov/issue/national-physician-survey-diagnostic-error-paediatrics
August 04, 2021 - Diagnostic errors are increasingly recognized as a critical safety issue.
-
psnet.ahrq.gov/issue/why-it-so-hard-talk-about-overuse-pediatrics-and-why-it-matters
March 04, 2020 - Health care overuse has been recognized as a potential contributor to patient harm .
-
psnet.ahrq.gov/issue/fool-me-twice-delayed-diagnoses-radiology-emphasis-perpetuated-errors
July 08, 2020 - radiologic interpretation were often perpetuated across multiple examinations and were attributable to well-recognized
-
psnet.ahrq.gov/issue/novel-approach-cardiac-alarm-management-telemetry-units
October 27, 2021 - The dangers of alarm fatigue are well recognized.
-
psnet.ahrq.gov/issue/ethical-duty-health-care-systems-address-interfacility-medical-error-discovery
September 11, 2019 - Learning from other organizations' errors is a recognized opportunity to engage in safety improvement
-
psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem
April 18, 2019 - Pulse oximeters have long been recognized as a patient safety threat to individuals with darker skin
-
psnet.ahrq.gov/issue/addressing-nursing-shortages-and-patient-safety-using-maslows-hierarchy-needs
April 26, 2023 - Nurse burnout and overwork are recognized motivators for nurse turnover.
-
psnet.ahrq.gov/node/60746/psn-pdf
July 29, 2020 - their evaluation, including a pelvic
examination and repeated pelvic ultrasound at the bedside, they recognized … The sonographer recognized that the ultrasound
examination was technically suboptimal due to obesity … Another potentially serious error is misreporting, such as the failure to report a recognized finding
-
psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - response
16
Causes of Medication Error and Adverse Outcomes (3)
• The night nurse should have
– Recognized … when given for seizures, especially in a
petite women with no recent history of benzodiazepine use
– Recognized … night nurse did not consistently assess the
patient’s response to the medication, or they would have
recognized
-
psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
November 25, 2020 - their evaluation, including a pelvic examination and repeated pelvic ultrasound at the bedside, they recognized … The sonographer recognized that the ultrasound examination was technically suboptimal due to obesity, … Another potentially serious error is misreporting, such as the failure to report a recognized finding
-
psnet.ahrq.gov/node/43140/psn-pdf
October 31, 2014 - frequency-diagnostic-errors-outpatient-care-estimations-three-large-
observational-studies
Diagnostic errors are increasingly recognized
-
psnet.ahrq.gov/node/40038/psn-pdf
December 23, 2016 - follow-report-preventing-suicide-focus-medicalsurgical-units-and-emergency-
department
Suicide among hospitalized patients remains an under-recognized
-
psnet.ahrq.gov/node/39873/psn-pdf
January 22, 2017 - proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-
same-name-physician
Although sound-alike medications are a well-recognized
-
psnet.ahrq.gov/node/41047/psn-pdf
November 26, 2014 - failure-follow-test-results-ambulatory-patients-systematic-review
Following up test results in a timely fashion is a recognized
-
psnet.ahrq.gov/node/45731/psn-pdf
September 29, 2017 - breast-cancer-screening-denmark-cohort-study-tumor-size-and-overdiagnosis
The overuse of medical care is increasingly recognized
-
psnet.ahrq.gov/node/40871/psn-pdf
October 26, 2011 - rethinking-resident-supervision-improve-safety-hierarchical-interprofessional-
models
Inadequate supervision of resident physicians has been recognized
-
psnet.ahrq.gov/node/46197/psn-pdf
September 24, 2017 - implementation-and-evaluation-prototype-consumer-reporting-system-patient-
safety-events
Patient engagement is increasingly recognized
-
psnet.ahrq.gov/issue/engineering-safety-practice-through-implementation-ehr-safer-guides
March 12, 2025 - Download Citation
Related Resources
Errors in the EMR: under-recognized