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psnet.ahrq.gov/issue/scope-drug-related-problems-home-care-setting
February 16, 2011 - review sought to characterize medication errors in home care patients and found that the most common type … November 21, 2016
Frequency, type and clinical importance of medication history errors
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psnet.ahrq.gov/node/49436/psn-pdf
February 26, 2004 - She and her husband did not share the same blood type (she was Type O and he Type A). … The alert
technologist in the blood bank noticed the change in blood type and inferred that a mistake … transfusion matched for her
husband's blood type (A) and not her own (O). … samples rejected
because of mislabeling showed that these samples had a 40-fold higher rate of blood type … do not release blood, other than group O, for routine
transfusion without a prior consistent blood type
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psnet.ahrq.gov/issue/narrowing-mindware-gap-medicine
July 31, 2013 - In dual process thinking, Type 1 decisions are made rapidly, but can result in diagnostic error. … Type 2 processing is slower and more deliberate, and typically where novice clinicians begin practice
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psnet.ahrq.gov/node/837695/psn-pdf
July 20, 2022 - https://psnet.ahrq.gov/issue/narrowing-mindware-gap-medicine
In dual process thinking, Type 1 decisions … Type 2
processing is slower and more deliberate, and typically where novice clinicians begin practice
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psnet.ahrq.gov/issue/determining-medication-errors-adult-intensive-care-unit
February 15, 2017 - The most common error type was omission, accounting for half of all errors. … Additionally, some medication doses contained more than one error type, driving up costs even further
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
April 01, 2015 - lumen within the middle layer
Aortic dissections are classified by the area of aortic involvement
Type … A: involving the ascending aorta
Type B: all other dissections
*
Thrumurthy SG, Karthikesalingam … If undiagnosed and untreated, acute aortic dissection can have a very high mortality
For untreated type … mortality is estimated to be 1%−2% per hour for the first
48 hours, with a 50% mortality by day 3
Type … A dissections, while 11% show no abnormality
The comparable values in type B dissections were 56% and
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psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
June 28, 2023 - The Case A 31-year-old nulliparous woman with a history of type 1 diabetes, managed successfully with … Boe, MD This case describes a 31-year-old pregnant patient with type 1 diabetes on an insulin pump who … 1 DM, euglycemic DKA can also occur in patients with type 2 DM. … a dopamine receptor antagonist, and then switched to ondansetron, a serotonin 5-hydroxytryptamine (type … Level of glycemic control and pregnancy outcome in type 1 diabetes: a comparison between multiple daily
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psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
March 01, 2005 - The Case A 62-year-old man with type 1 diabetes mellitus was admitted to the hospital for coronary … duration of diabetes of the 35 patients were 55 and 32 years, respectively; 66% were women, and 91% had type … To avoid the type of error illustrated by the case, hospitals should have in place a policy and set of … subcutaneous insulin infusion at 25 years: evidence base for the expanding use of insulin pump therapy in type … Presence of insulin pump, brand of pump, and insulin type are identified.
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psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective-observational-study
April 08, 2011 - adverse event reports in an integrated health system found that error rates vary widely by surgery type … The authors suggest that tracking specific adverse event rates by surgical type and patient characteristics
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - Laboratory studies confirmed a new diagnosis of type 1 diabetes mellitus without ketoacidosis, for which … For a patient with type 1 diabetes mellitus, underdosing insulin can cause severe hyperglycemia, which … In cases of this type, the medical and nursing staff are often under pressure to discharge patients quickly … Medication errors at hospital admission and discharge in type 1 and 2 diabetes.
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psnet.ahrq.gov/node/866692/psn-pdf
September 11, 2024 - to identify when in the medication process the error occurred and
was identified, the consequences, type … The type of error varied widely across medication types (e.g.,
high-alert, psychotropic).
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psnet.ahrq.gov/node/854628/psn-pdf
October 18, 2023 - The most common error type was omission,
accounting for half of all errors. … Additionally, some medication doses contained more than one error type,
driving up costs even further
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psnet.ahrq.gov/node/38795/psn-pdf
April 08, 2011 - the most frequent medications reported in
pediatric errors, and improper dosing was the most common type … However, error
severity did not differ significantly by age or medication type.
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psnet.ahrq.gov/issue/hazards-hospitalization
December 29, 2014 - The author studied the type and frequency of hospital complications during a given hospitalization and … Download Citation
Related Resources From the Same Author(s)
The impact of type
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psnet.ahrq.gov/node/848810/psn-pdf
May 10, 2023 - Communication, the number and type of staff present, and the type and length of surgery were identified
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psnet.ahrq.gov/issue/national-study-frequency-types-causes-and-consequences-voluntarily-reported-emergency
April 15, 2014 - The administration phase was the most error-prone, and the most common error type was improper dose/quantity
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psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department
October 30, 2019 - Study
Types of diagnostic errors in neurological emergencies in the emergency department.
Citation Text:
Dubosh NM, Edlow JA, Lefton M, et al. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis (Berl). 2015;2(1):21-28. doi:10.1515/dx-2014-0040. …
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psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors
April 26, 2023 - reporting system involving neuromuscular blocking agents and shares strategies to minimize errors with this type
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psnet.ahrq.gov/node/846448/psn-pdf
March 22, 2023 - The most common type of clinician-reported NRE
was process deficiencies, while failures in communication … between clinicians and patients or family
members was the most common type of patient-reported NRE.
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psnet.ahrq.gov/node/844044/psn-pdf
January 01, 2024 - managed-physicians-same
Context, such as patient, clinician, location, or specialty, can affect the type … indicate, that among clinicians in the same specialty, it may be contextual factors (i.e., referral type