Results

Total Results: 4,038 records

Showing results for "occurred".

121. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60848/psn-pdf
     January 01, 2022 - resulting in an adverse event among children younger than 6 years old were potentially related to CMM and occurred

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37941/psn-pdf
     July 30, 2008 - finding-blunders-thyroid-testing-experience-newborns Inconsistent and possibly erroneous results of thyroid tests for newborns occurred

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38403/psn-pdf
     February 11, 2009 - psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing- errors Errors occurred

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40863/psn-pdf
     October 19, 2011 - family became involved with patient safety, serving on an advisory council at the hospital where it occurred

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43405/psn-pdf
     August 14, 2014 - psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors Postdischarge medication errors occurred

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41136/psn-pdf
     February 15, 2012 - adverse-events-after-screening-and-follow-colonoscopy This study of more than 45,000 colonoscopies found that 4.7 serious adverse events occurred

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49420/psn-pdf
     October 01, 2003 - Fortunately, no long-term sequelae occurred as a consequence of the errors in care suffered by this … Four distinct errors occurred in this case. … The errors in execution made by the original provider likely would not have occurred in less hectic … laboratory could have been more proactive about clarifying information, but had errors one and two not occurred

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49512/psn-pdf
     May 01, 2006 - The first error (or series of errors) occurred 2 weeks prior to admission when the staff in the ED who … The next group of errors occurred when the patient was admitted. … The final set of errors occurred prior to the patient receiving spinal anesthesia. … such as cardiac arrest and neurological complications.(9) The institution at which this adverse event occurred … process of identifying and labeling radiographs should be reviewed to discover exactly how the errors occurred

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36215/psn-pdf
     September 30, 2010 - oral-outpatient-chemotherapy-medication-errors-children-acute-lymphoblastic- leukemia This small cohort study demonstrated that dosing or administration errors occurred

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39304/psn-pdf
     February 17, 2010 - pediatric-antidepressant-medication-errors-national-error-reporting-database This analysis of MEDMARX data found that harmful errors involving antidepressants most commonly occurred

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47176/psn-pdf
     June 06, 2018 - This news article reports on serious medication errors that occurred at Children's Hospital in 2017,

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35047/psn-pdf
     November 04, 2015 - Although no clinical errors occurred, some records were misplaced.

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38016/psn-pdf
     August 27, 2008 - variability-concentrations-intravenous-drug-infusions-prepared-critical-care-unit This study found that errors frequently occurred

134. Guardians of grafts: reducing medication errors in transplant recipients. | PSNet
     psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients
     July 17, 2024 - on an analysis of 520 transplant medication-related errors to summarize the types of mistakes that occurred

135. Right? Left? Neither! | PSNet
     psnet.ahrq.gov/web-mm/right-left-neither
     November 16, 2022 - The first error (or series of errors) occurred 2 weeks prior to admission when the staff in the ED who … The next group of errors occurred when the patient was admitted. … The final set of errors occurred prior to the patient receiving spinal anesthesia. … as cardiac arrest and neurological complications.( 9 ) The institution at which this adverse event occurred … process of identifying and labeling radiographs should be reviewed to discover exactly how the errors occurred

136. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851200/psn-pdf
     July 05, 2023 - In addition, post-event process gaps occurred, impacting learning and resolution such as a delay in

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60231/psn-pdf
     April 15, 2020 - preventable harm to patients (e.g., regular blood glucose tests may have prevented a stroke that likely occurred

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841141/psn-pdf
     December 07, 2022 - Among 320 referrals occurring in 2018, 38% of evaluations occurred 31 days or more after the referral

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73070/psn-pdf
     March 24, 2021 - Missed opportunities occurred most commonly in outpatient settings.

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50750/psn-pdf
     January 01, 2020 - Of the 1970 MRE identified, the highest number (42%) occurred during the administration phase, and a