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Total Results: 4,038 records

Showing results for "occurred".

161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50931/psn-pdf
     February 26, 2020 - However, the rarity of this condition, especially if it involves a subacute presentation—as likely occurred … (nasogastric and pleural space), fluid resuscitation, and early antibiotics, some or all of which occurred … This failure occurred despite several clues suggesting gastrointestinal tract perforation and a prolonged

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866644/psn-pdf
     September 04, 2024 - and subjective nature of event reporting, the study was unable to determine if actual patient harm occurred

163. Hindsight Bias | PSNet
     psnet.ahrq.gov/glossary/hindsight-bias
     September 13, 2021 - the phrase "but for," as in "but for these errors in judgment, this terrible outcome would not have occurred

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854818/psn-pdf
     October 25, 2023 - from one medical center in the Netherlands and found that diagnostic testing errors most commonly occurred

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836854/psn-pdf
     April 06, 2022 - Higher discrepancies occurred with respiratory and analgesic medications, underscoring the importance

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61016/psn-pdf
     October 14, 2020 - Cardiac arrest and respiratory events occurred most frequently and largely affected very young children

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60556/psn-pdf
     June 03, 2020 - smart-pumps; post-implementation 27% of errors were attributed to the technology and would not have occurred

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73066/psn-pdf
     March 24, 2021 - The most common process failures contributing to patient harm occurred during order entry/transcription

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73109/psn-pdf
     April 07, 2021 - This study analyzed 797 surgical never events that occurred from April 2012 to February 2020 in the

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867392/psn-pdf
     December 18, 2024 - AI detected five errors (compared with one error pre- implementation), four of which occurred when the

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42071/psn-pdf
     February 27, 2013 - measure the impact of such misidentification, the findings raise concern that diagnostic errors may have occurred

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39675/psn-pdf
     January 19, 2011 - This review of rapid response system calls to an inpatient hemodialysis unit found that many events occurred

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38869/psn-pdf
     August 19, 2009 - Approximately 1 in 60 prescriptions for parenteral nutrition resulted in a medication error, most of which occurred

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37132/psn-pdf
     June 14, 2011 - Most errors occurred at the transcription stage, and a substantial proportion were attributed to poor

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863747/psn-pdf
     March 06, 2024 - These near-miss events generally occurred in five clinical scenarios – high-risk social situations (

176. To LP or Not LP | PSNet
     psnet.ahrq.gov/web-mm/lp-or-not-lp
     February 01, 2018 - Fortunately, no long-term sequelae occurred as a consequence of the errors in care suffered by this patient … Four distinct errors occurred in this case. … The errors in execution made by the original provider likely would not have occurred in less hectic working … laboratory could have been more proactive about clarifying information, but had errors one and two not occurred

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37224/psn-pdf
     December 15, 2011 - Unintentional medication errors, including taking the prescribed medication at the wrong dose or time, occurred

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34668/psn-pdf
     June 06, 2018 - from the Institute for Safe Medication Practices informing readers of a fatal medication error that occurred

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36027/psn-pdf
     March 28, 2011 - medical-injuries-among-hospitalized-children This AHRQ–funded study applied new screening criteria to capture health care injuries that occurred

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43813/psn-pdf
     January 20, 2015 - An adverse event was present in 12% of return visits that occurred within 72 hours of the initial visit