Results

Total Results: 4,038 records

Showing results for "occurred".

201. 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

202. 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

203. 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

204. 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

205. 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

206. 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

207. 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

208. 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

209. 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

210. 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

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

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841772/psn-pdf
     December 21, 2022 - readmission could not be addressed by prior in-hospital medication reviews because the medication error occurred

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837202/psn-pdf
     May 25, 2022 - This analysis focused on patient safety incidents in Swedish prehospital care that occurred after 2015

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60348/psn-pdf
     May 20, 2020 - The researchers found that 5.1 adverse drug events occurred per 100 overrides. 

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46030/psn-pdf
     March 29, 2017 - comparable to civilian hospitals, with the exception of catheter-associated urinary tract infections, which occurred

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45609/psn-pdf
     November 16, 2016 - organization, analyze the ways in which processes can fail, and take corrective action before failures have occurred

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47758/psn-pdf
     April 17, 2019 - Adverse events occurred in more than a quarter of patients who died in the hospital, a significantly

218. 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.

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47156/psn-pdf
     November 28, 2018 - associated with the use of antidepressant or antipsychotic medications outside of health facilities occurred

220. 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