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Total Results: 4,038 records

Showing results for "occurred".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34829/psn-pdf
    April 06, 2011 - METs, which included development and dissemination of objective activation criteria, a 17% decrease occurred
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43799/psn-pdf
    January 07, 2015 - The investigation found that more than half of errors occurred during the administration process, and
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36947/psn-pdf
    September 09, 2011 - Patients were at substantial risk of serious ADEs such as bleeding complications, which occurred at
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39913/psn-pdf
    October 13, 2010 - Interpretation errors occurred more frequently in children and very elderly patients (older than 85
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35716/psn-pdf
    July 10, 2008 - Data collection occurred through review of electronic health records that offered limited clinical decision
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37226/psn-pdf
    December 15, 2011 - Parents also did not consistently inform clinicians of ameliorable ADEs when they occurred, leading
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44672/psn-pdf
    October 11, 2017 - wrong medication to prescribe due to confusing menus) but also exacerbated errors that had previously occurred
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44122/psn-pdf
    January 01, 2016 - The extent of patient harm which occurred or was averted was not reported.
  9. 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
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34712/psn-pdf
    February 18, 2011 - The authors found that adverse events occurred in 3.7% of hospitalizations; 27% of these were due to
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42238/psn-pdf
    July 02, 2014 - psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review When an error has occurred
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37113/psn-pdf
    March 24, 2011 - However, 19 "potentially avoidable" arrests occurred during one calendar year, most of which were attributable
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47204/psn-pdf
    July 18, 2018 - Overdose deaths occurred more among men than women and were most prevalent in patients aged 15 to 34
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49726/psn-pdf
    March 01, 2015 - The second error occurred during the patient transfer, when only the records, but not the imaging, accompanied … The third error occurred as the patient was posted for the surgical suite without preoperative imaging … These three errors occurred before the patient was rolled into the surgical suite. … The fourth error occurred once in the operating room—implementation of the Universal Protocol could have
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33568/psn-pdf
    June 15, 2024 - then analyze the sequence of events leading to the error, with the goals of identifying how the event occurred … (through identification of active errors) and why the event occurred (through systematic identification
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35050/psn-pdf
    May 27, 2011 - The majority of errors that resulted in an ADE occurred in the medication ordering phase.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35134/psn-pdf
    June 22, 2009 - However, the authors point out that even at hospitals with METs in place, inadequate utilization occurred
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46359/psn-pdf
    September 21, 2017 - reported miscommunications, and those parents were more likely to also perceive that an adverse event occurred
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36784/psn-pdf
    February 24, 2011 - many-faces-error-disclosure-common-set-elements-and-definition When medical errors occur, patients desire full disclosure about the error and why it occurred
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43173/psn-pdf
    June 04, 2014 - A past AHRQ WebM&M commentary discussed a serious error that occurred after a liposuction procedure

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