Results

Total Results: 4,231 records

Showing results for "occurred".

181. 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

182. 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

183. 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

184. 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

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47529/psn-pdf
     January 21, 2019 - This post-hoc analysis of the intervention found that most medication-related harm occurred in the community

186. 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

187. 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

188. 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 (

189. What a new doctor learned about medical mistakes from her Mom's death. | PSNet
     psnet.ahrq.gov/issue/what-new-doctor-learned-about-medical-mistakes-her-moms-death
     March 03, 2021 - article reveals lessons a medical student learned about patient safety while dealing with errors that occurred

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44402/psn-pdf
     January 22, 2016 - communication-amc-va-end-shift This qualitative analysis found that anticipatory management conversation occurred

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35175/psn-pdf
     June 23, 2009 - overnight-and-postcall-errors-medication-orders This study examined the incidence of prescribing errors that occurred

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40745/psn-pdf
     September 07, 2011 - However, direct verbal communication occurred in only a small minority of cases, and several preventable

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43726/psn-pdf
     September 01, 2016 - This qualitative study found alert overrides occurred most frequently in the emergency department, and

194. 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

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37151/psn-pdf
     January 02, 2017 - dissemination of the Joint Commission's “do not use” abbreviation list, errors involving these abbreviations occurred

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

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41215/psn-pdf
     September 04, 2013 - A case of an ultimately fatal adverse event that occurred while a patient was being transported from

198. 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

199. 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

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46717/psn-pdf
     April 16, 2018 - , the average number of opioid pills per prescription declined, but no increase in refill requests occurred