Results

Total Results: 4,231 records

Showing results for "occurred".

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45941/psn-pdf
     March 08, 2017 - Three major insulin administration errors occurred, which led to training and process changes in order

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34799/psn-pdf
     December 23, 2008 - Admissions most frequently occurred in elderly patients and those on diuretics or digoxin.

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41210/psn-pdf
     January 03, 2017 - case-study-safety-impact-implementing-smart-patient-controlled-analgesic- pumps-tertiary-care After adverse events occurred

204. 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

205. 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

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37156/psn-pdf
     October 06, 2011 - Approximately one error occurred for every five patient-days, although more than three-quarters of these

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41887/psn-pdf
     January 07, 2015 - improved teamwork and safety climate, compared with procedures performed when changes in team members occurred

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46276/psn-pdf
     August 02, 2017 - Increased rates of opioid prescribing occurred in areas that are not urban, have a greater proportion

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43087/psn-pdf
     April 02, 2014 - However, clinically significant errors still occurred in nearly half of all medication administrations

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39960/psn-pdf
     September 19, 2016 - organizations to have a comprehensive crisis plan in place rather than reacting after events have occurred

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44979/psn-pdf
     April 06, 2016 - The program includes apology, disclosure, and explanation of what occurred as well as financial compensation

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43715/psn-pdf
     November 26, 2014 - Despite the robust effort, there were no differences in post-discharge adverse events, which occurred

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46226/psn-pdf
     October 29, 2017 - and how such conversations can help restore the patient–physician relationship after an error has occurred

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39124/psn-pdf
     February 18, 2011 - A high proportion of errors occurred at the prescribing stage, and therefore could have been prevented

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42386/psn-pdf
     December 29, 2014 - In particular, time-outs frequently occurred without all team members present.

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34839/psn-pdf
     April 06, 2011 - Problematic communication occurred in nearly one-third of all exchanges between team members, and appeared

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39298/psn-pdf
     June 11, 2010 - reports submitted to this Web-based error reporting system revealed that most of the serious errors occurred

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37737/psn-pdf
     January 06, 2017 - All reported incidents were reviewed by physicians to determine if a true error occurred. 

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34811/psn-pdf
     March 28, 2005 - Although error rates occurred most in inexperienced physicians, no group was error free.

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44001/psn-pdf
     May 06, 2015 - This study found that wrong- site block occurred at a rate of about 1 per 10,000 nerve blocks, and these