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Total Results: 4,231 records

Showing results for "occurred".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37000/psn-pdf
    September 15, 2011 - Approximately 30 unexpected deaths occurred per 100,000 ED discharges, and a potential error or misdiagnosis
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45250/psn-pdf
    July 27, 2016 - hospital's automated IV compounding workflow management system, this study found that IV compounding errors occurred
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38046/psn-pdf
    September 10, 2008 - clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital- analysis-100 This study discovered that autopsy-detected diagnostic errors occurred
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36900/psn-pdf
    April 18, 2011 - Agency for Healthcare Research and Quality (AHRQ) WebM&M  commentary discusses a devastating error that occurred
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43981/psn-pdf
    April 22, 2015 - The investigators found that errors occurred in nearly half of all operations and frequently manifested
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46869/psn-pdf
    April 11, 2018 - The sharpest rise occurred among 11–18 year olds, and nearly one- third of opioid prescriptions were
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43289/psn-pdf
    July 09, 2014 - According to this study, a lower proportion of cardiac arrests occurred outside the intensive care unit
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34779/psn-pdf
    December 21, 2014 - uses a multidisciplinary conference format to discuss cases in which a postoperative complication occurred
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45455/psn-pdf
    June 29, 2017 - practices for error disclosure include being honest about what happened, explicitly stating that an error occurred
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45640/psn-pdf
    September 01, 2018 - The majority of cases did not involve substandard care, and disclosure occurred in more than 90% of
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43710/psn-pdf
    October 06, 2016 - medication administration safe practices approximately 11% per encounter, and administration errors occurred
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44256/psn-pdf
    October 06, 2016 - made more errors when distractions were present in the operating room compared to when no distraction occurred
  13. psnet.ahrq.gov/issue/family-woman-who-died-after-medical-error-joins-hospitals-safety-panel
    May 13, 2020 - family became involved with patient safety, serving on an advisory council at the hospital where it occurred
  14. 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
  15. 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. 
  16. 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
  17. psnet.ahrq.gov/issue/preventing-infection-misuse-vials
    September 11, 2023 - Most outbreaks occurred in hospitals, but a large number of cases also came from outpatient pain management
  18. 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.
  19. psnet.ahrq.gov/issue/vincristine-learning-error-workshop
    April 26, 2006 - Citation Related Resources External Inquiry into the adverse incident that occurred
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46188/psn-pdf
    June 21, 2017 - 7 days of discharge from inpatient mental health facilities determined that most cases of suicide occurred

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