Results

Total Results: 4,038 records

Showing results for "occurred".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46366/psn-pdf
     September 27, 2017 - medical records of patients diagnosed with spinal epidural abscess and found that a delay in diagnosis occurred

182. 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

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46444/psn-pdf
     December 19, 2017 - This case discussion reviews an incident that occurred due to an NPO status order for a patient prior

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40530/psn-pdf
     September 25, 2011 - patient-safety-factors-children-dying-paediatric-intensive-care-unit-picu-case- notes-review This study found that adverse events occurred

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38804/psn-pdf
     July 22, 2009 - Most of the dosing errors occurred at home and in children younger than 12 months.

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38177/psn-pdf
     March 02, 2011 - This study adds to those concerns by finding that failures in behavioral practice occurred in nearly

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43244/psn-pdf
     June 18, 2014 - The majority of clinical deteriorations occurred within 48 hours of admission, often while the patient

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41952/psn-pdf
     January 16, 2013 - After the system improvements were implemented, no similar errors occurred and multiple near misses

189. Total systems safety supports practitioners in partnering with families to protect patients. | PSNet
     psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
     April 17, 2024 - This article summarizes a case where problems were not responded to, and harm occurred.

190. 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

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836774/psn-pdf
     March 23, 2022 - Out-of-hours discharges often occurred prematurely, without adequate handovers, and involved patients

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852746/psn-pdf
     August 23, 2023 - Diagnostic errors occurred most often in the testing, assessment, and follow-up phases, with human factors

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/764396/psn-pdf
     March 02, 2022 - a mobile health tool, pediatric patients and families were encouraged to report safety events that occurred

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44915/psn-pdf
     January 01, 2020 - Although research suggests that EHRs have had an overall positive effect, unexpected consequences have occurred

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47502/psn-pdf
     June 02, 2019 - retrospective study of critical events in inpatient anesthesiology practice found that debriefing occurred

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850161/psn-pdf
     June 07, 2023 - Overall, most incidents occurred at the prescribing stage, but varied by patient age group.

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39303/psn-pdf
     February 17, 2010 - Errors occurred in all three states of the test cycle.

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44559/psn-pdf
     April 15, 2016 - Researchers determined that diagnostic errors occurred in 35 of 100 reviewed cases, with the majority

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44015/psn-pdf
     September 09, 2015 - safety-clinical-and-non-clinical-decision-makers-telephone-triage-narrative- review This narrative review of safety in telephone triage found that the lowest error rates occurred

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42781/psn-pdf
     December 04, 2013 - simulator-based study observed trauma teams and found that proven techniques, such as closed-loop communication, occurred