Results

Total Results: 4,231 records

Showing results for "occurred".

301. 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

302. 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

303. 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

304. 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

305. 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

306. 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

307. Nil per os orders for imaging: a teachable moment. | PSNet
     psnet.ahrq.gov/issue/nil-os-orders-imaging-teachable-moment
     November 13, 2024 - This case discussion reviews an incident that occurred due to an NPO status order for a patient prior

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38639/psn-pdf
     May 20, 2009 - most common type of error, but misdiagnosis relating to poor communication between departments also occurred

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40891/psn-pdf
     January 19, 2012 - the study was limited by poor interrater reliability between physician reviewers on whether an error occurred

310. 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

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34769/psn-pdf
     March 28, 2005 - Those who have worked in a health care organization in which a prominent, adverse event has occurred

312. 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.

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37849/psn-pdf
     March 23, 2011 - 2000 report, To Err Is Human, garnered headlines for its estimate that up to 98,000 deaths per year occurred

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36407/psn-pdf
     April 19, 2011 - adverse-events-experienced-while-transferring-critically-ill-patient-emergency- department This study evaluated nearly 300 adverse events that occurred

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34063/psn-pdf
     September 18, 2011 - Investigators analyzed 54 cases where foreign bodies requiring reoperation occurred and drew comparisons

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36975/psn-pdf
     March 24, 2011 - Both underestimation and overestimation of the severity of patients' illnesses occurred, although errors

317. 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

318. 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

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36003/psn-pdf
     March 28, 2011 - that, since publication of the landmark Institute of Medicine (IOM) report, substantial growth has occurred

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36575/psn-pdf
     August 17, 2011 - Although the overall error rate was similar to a previous study, half of the potentially harmful errors occurred