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Total Results: 4,038 records

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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838023/psn-pdf
    September 07, 2022 - postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive- care-unit Post-discharge events, such as medication errors, can occur
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50895/psn-pdf
    February 12, 2020 - Little is known about deviations from best practices in administration of intravenous infusions that occur
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72495/psn-pdf
    November 25, 2020 - Adverse events were more likely to occur in nursing homes with higher bed capacities, increased use
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849127/psn-pdf
    May 17, 2023 - effects-multimodal-transitional-care-intervention-patients-high-risk- readmission-target-read Adverse events and unplanned, preventable readmissions occur
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848811/psn-pdf
    May 10, 2023 - web-based survey of 1,594 emergency medicine physicians, missed diagnostic opportunities most frequently occur
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47932/psn-pdf
    August 21, 2019 - represent a vulnerable time for patients, as failure to communicate important clinical information may occur
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38767/psn-pdf
    April 18, 2011 - with spinal anesthesia and describes strategies to minimize errors and address failures when they occur
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42294/psn-pdf
    May 22, 2013 - pervasive problem of diagnostic errors and reveals insights from clinicians and patients on why they occur
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34828/psn-pdf
    January 15, 2009 - profiles-patient-safety-medication-errors-emergency-department Through case studies, this article characterizes the types of medication errors that may occur
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35685/psn-pdf
    February 01, 2006 - Pharmacopeia's voluntary reporting program that found medication errors are seven times more likely to occur
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73109/psn-pdf
    April 07, 2021 - common-general-surgical-never-events-analysis-nhs-england-never-event- data Never events, a significant type of adverse event, should never occur
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35396/psn-pdf
    September 11, 2009 - The authors analyzed the drug administration process and where in the process errors are likely to occur
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38124/psn-pdf
    October 08, 2008 - missed-injuries-trauma-patients-literature-review This review found that missed injuries and delayed diagnoses occur
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866583/psn-pdf
    August 28, 2024 - assessing-stops-framework-coping-intraoperative-errors-evidence-efficacy- hints-hubris-and When intraoperative errors occur
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866517/psn-pdf
    August 14, 2024 - This article raises the issue of data-driven feedback loop failures which occur when disease incidence
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866580/psn-pdf
    August 28, 2024 - organizational guidelines, federal reports, and equipment redesign, tubing misconnections continue to occur
  17. psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
    November 13, 2024 - But emergencies still do occur. … However, it may occur in 1% to 2% of hospital admissions for thyrotoxicosis.( 1 ) Burch and Wartofsky … million per year.( 1 ) It typically presents in older women—frequently in the winter months—but it can occur … of care, or poor usability of the EHR.( 13 ) Follow-up failures (missed results) are more prone to occur … However, the cases presented here are examples that this situation may also occur in the inpatient setting
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35780/psn-pdf
    July 20, 2010 - paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems The investigators found that errors occur
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38689/psn-pdf
    June 10, 2009 - This study discovered that drug omissions and unjustified medications listed in discharge summaries occur
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38402/psn-pdf
    February 11, 2009 - used information from nurses, pharmacists, and patients to classify the types of near misses that occur

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