Results

Total Results: 4,038 records

Showing results for "occurred".

301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40921/psn-pdf
     November 16, 2011 - Joint Commission and for failing to monitor long-term safety performance at hospitals where errors occurred

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42933/psn-pdf
     July 03, 2014 - critical-events-during-land-based-interfacility-transport In this retrospective cohort study, critical events occurred

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38758/psn-pdf
     July 08, 2009 - overall incidence of errors appears low, most reported errors were considered preventable, as they occurred

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44165/psn-pdf
     May 27, 2015 - examined a retrospective case series of orthopedic and trauma surgeries in which a revision procedure occurred

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37346/psn-pdf
     March 28, 2012 - inpatient CPOE did not prevent medication administration discrepancies, and delays of nearly 30 minutes occurred

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34795/psn-pdf
     December 23, 2008 - The authors also present data on the stage at which an ADE occurred, consequences of the preventable

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46134/psn-pdf
     September 24, 2017 - Many of these errors occurred during the transition home after hospital discharge.

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38515/psn-pdf
     March 03, 2011 - Most errors occurred during drug administration. 

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34698/psn-pdf
     January 04, 2017 - process can fail, prioritize those failure modes, and take corrective action before failures have occurred

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36409/psn-pdf
     September 28, 2016 - Using a high-paced emergency department (ED) setting, investigators discovered that interruptions occurred

311. Disclosing medical errors: prioritising the needs of patients and families. | PSNet
     psnet.ahrq.gov/issue/disclosing-medical-errors-prioritising-needs-patients-and-families
     November 11, 2020 - Numerous organizations promote communication with patients and families after harm has occurred due to

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33582/psn-pdf
     September 15, 2024 - 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

313. Dealing with a medical mistake: should physicians apologize to patients? | PSNet
     psnet.ahrq.gov/issue/dealing-medical-mistake-should-physicians-apologize-patients
     February 17, 2016 - This article discusses how apologies address patients' needs when a medical mistake has occurred and

314. Report faults Children's Hospital for medication errors. | PSNet
     psnet.ahrq.gov/issue/report-faults-childrens-hospital-medication-errors
     August 24, 2016 - This news article reports on serious medication errors that occurred at Children's Hospital in 2017,

315. Variation in Patient Safety Outcomes and the Importance of Being Informed. | PSNet
     psnet.ahrq.gov/issue/variation-patient-safety-outcomes-and-importance-being-informed
     July 02, 2014 - efforts to drive safety improvement but notes that more than 280,000 preventable patient safety events occurred

316. Health information technology-related wrong-patient errors: context is critical. | PSNet
     psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical
     June 01, 2022 - Most errors occurred during ordering/prescribing (42%).

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38675/psn-pdf
     February 15, 2011 - These inconsistencies had high potential for causing adverse drug events, as many occurred in orders

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34671/psn-pdf
     June 15, 2011 - The study found that adverse events occurred in 2.6% of all admissions.

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36346/psn-pdf
     April 11, 2011 - harm (near misses), such as unanticipated need for bag-mask ventilation or reversal of anesthesia, occurred

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36291/psn-pdf
     October 25, 2010 - hospital claims, and estimate the excess payments made for hospitalizations in which an adverse event occurred