Results

Total Results: 4,038 records

Showing results for "occur".

3061. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40600/psn-pdf
      September 09, 2011 - Quality Forum first defined a set of never events to highlight significant errors that should never occur

3062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47876/psn-pdf
      March 27, 2019 - Inadequate communication during handoffs that occur as part of care transitions can contribute to adverse

3063. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45425/psn-pdf
      December 22, 2018 - an excessive number of safety warnings that prescribers must manually override, alert fatigue  may occur

3064. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47058/psn-pdf
      August 20, 2018 - for improving the safety and quality of health care, consistent use of known best practices does not occur

3065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42900/psn-pdf
      September 19, 2016 - The majority of inpatient suicides occur in psychiatric units, but a prior Joint Commission sentinel

3066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39822/psn-pdf
      February 17, 2011 - what information to share and how to share it; of course, discussions about individual disclosure occur

3067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37462/psn-pdf
      January 06, 2017 - medication-errors-associated-code-situations-us-hospitals-direct-and- collateral-damage This study describes medication error types that occur

3068. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47711/psn-pdf
      June 14, 2019 - Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated as type 2 diabetes. June 14, 2019 Thomas NJ, Lynam AL, Hill A, et al. Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated as type 2 diabetes. Diabetologia.…

3069. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74086/psn-pdf
      November 17, 2021 - Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. November 17, 2021 Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. J Patien…

3070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838307/psn-pdf
      October 12, 2022 - Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients. October 12, 2022 Arnaoutakis GJ, Ogami T, Aranda?Michel E, et al. Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an…

3071. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60159/psn-pdf
      March 25, 2020 - Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. March 25, 2020 Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement pro…

3072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38649/psn-pdf
      May 20, 2009 - Managing the adverse event occurring during elective, ambulatory pediatric surgery. May 20, 2009 Skarsgard ED. Managing the adverse event occurring during elective, ambulatory pediatric surgery. Semin Pediatr Surg. 2009;18(2):122-4. doi:10.1053/j.sempedsurg.2009.02.013. https://psnet.ahrq.gov/issue/managing-advers…

3073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60980/psn-pdf
      January 01, 2022 - Analysis of risk factors for patient safety events occurring in the emergency department. October 7, 2020 Alsabri M, Boudi Z, Zoubeidi T, et al. Analysis of risk factors for patient safety events occurring in the emergency department. J Patient Saf. 2022;18(1):e124-e135. doi:10.1097/pts.0000000000000715. https://p…

3074. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37533/psn-pdf
      April 22, 2011 - Systematic evaluation of errors occurring during the preparation of intravenous medication. April 22, 2011 Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.061743. https://psnet.ahrq.gov/issue/sys…

3075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35876/psn-pdf
      June 18, 2013 - External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. June 18, 2013 Toft B. London, UK; Crown Copyright: 2001. https://psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham- 4th-january-2001 This UK Department o…

3076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42993/psn-pdf
      March 19, 2014 - Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. March 19, 2014 Noland CM. Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. J Nurs Educ. 2014;53(3):S34-7. doi:10.392…

3077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37156/psn-pdf
      October 06, 2011 - Preventable harm occurring to critically ill children. October 6, 2011 Larsen G, Donaldson AE, Parker HB, et al. Preventable harm occurring to critically ill children. Pediatr Crit Care Med. 2007;8(4):331-336. https://psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children This retrospective cohort…

3078. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39743/psn-pdf
      October 13, 2010 - Anatomy and pathophysiology of errors occurring in clinical radiology practice. October 13, 2010 Brook OR, O'Connell AM, Thornton E, et al. Quality initiatives: anatomy and pathophysiology of errors occurring in clinical radiology practice. Radiographics. 2010;30(5):1401-10. doi:10.1148/rg.305105013. https://psnet…

3079. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37155/psn-pdf
      October 06, 2011 - Classification of adverse events occurring in a surgical intensive care unit. October 6, 2011 Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care unit. Am J Surg. 2007;194(3):328-32. https://psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgi…

3080. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38360/psn-pdf
      March 18, 2010 - Medication errors occurring with the use of bar-code administration technology. March 18, 2010 PA-PSRS Patient Saf Advis. December 2008;5:122-126. https://psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology This article describes errors associated with bar coded medication admin…