Results

Total Results: 4,231 records

Showing results for "occurred".

221. 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

222. 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

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49420/psn-pdf
     October 01, 2003 - Fortunately, no long-term sequelae occurred as a consequence of the errors in care suffered by this … Four distinct errors occurred in this case. … The errors in execution made by the original provider likely would not have occurred in less hectic … laboratory could have been more proactive about clarifying information, but had errors one and two not occurred

224. 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

225. 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

226. 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

227. 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.

228. 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

229. Detection of Safety Hazards | PSNet
     psnet.ahrq.gov/primer/detection-safety-hazards
     March 30, 2022 - prospectively identifying hazards before patients are harmed and analyzing events that have already occurred … events so they can review the medical record to determine if an actual or potential adverse event has occurred … Although voluntary reporting systems are most often used to report errors that have already occurred,

230. Guardians of grafts: reducing medication errors in transplant recipients. | PSNet
     psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients
     July 17, 2024 - on an analysis of 520 transplant medication-related errors to summarize the types of mistakes that occurred

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49512/psn-pdf
     May 01, 2006 - 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. … such 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

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40028/psn-pdf
     December 01, 2010 - The safety events occurred at higher rates in both black and white patients at these hospitals.

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35817/psn-pdf
     July 21, 2010 - dialogue between an attending physician, an intern, and a patient in disclosing news about an error that occurred

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46877/psn-pdf
     March 14, 2018 - Information revealed by the data include impacts on length of stay, average costs, and whether the ADE occurred

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36999/psn-pdf
     September 15, 2011 - nature-and-occurrence-registration-errors-emergency-department This study describes several instances of near misses that occurred

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46538/psn-pdf
     February 21, 2018 - They found that adverse events occurred frequently, were mostly preventable, and often led to patient

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40093/psn-pdf
     May 25, 2011 - retrospective-review-emergency-response-activations-during-13-year-period- tertiary-care This study found that 39% of emergency response activations occurred

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47426/psn-pdf
     October 13, 2018 - patient complaints submitted to England's National Health Service to identify stages of care where harm occurred

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44663/psn-pdf
     September 27, 2016 - physician–nurse agreement about the care plan did not significantly change after this regionalization occurred

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45686/psn-pdf
     January 18, 2017 - data found that the decrease in readmissions following the Hospital Readmission Reduction Program occurred