Results

Total Results: 4,038 records

Showing results for "occurred".

321. 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

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41925/psn-pdf
     November 26, 2014 - Both provider errors and patient misunderstanding occurred more frequently for medications prescribed

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47529/psn-pdf
     January 21, 2019 - This post-hoc analysis of the intervention found that most medication-related harm occurred in the community

324. 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

325. 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

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37992/psn-pdf
     August 20, 2008 - Most reported errors occurred at the prescribing stage (e.g., prescribing an incorrect dose), and nearly

327. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39512/psn-pdf
     June 11, 2010 - An AHRQ WebM&M commentary discusses a near miss that occurred due to a misidentification error in the

328. 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

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34656/psn-pdf
     May 27, 2011 - Based on the pooled data, an estimated 1.7 errors per patient-day occurred, with nearly 2 severe or

330. 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

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41301/psn-pdf
     April 18, 2012 - Most errors occurred at the preanalytic phase (before the specimen arrived in the laboratory), with

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47153/psn-pdf
     October 12, 2018 - The authors determined where process errors occurred, reviewed what factors were involved, and discussed

333. 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

334. 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

335. 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

336. 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

337. Collaborative for Accountability and Improvement. | PSNet
     psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
     August 14, 2018 - strategy to improve respectful and effective discussions with patients and families after harm has occurred

338. Requires DHSS to make reported information about certain adverse events publicly available. | PSNet
     psnet.ahrq.gov/issue/requires-dhss-make-reported-information-about-certain-adverse-events-publicly-available
     January 31, 2018 - New Jersey Department of Health and Senior Services and that a list of these errors and where they occurred

339. Finding and Preventing Patient Safety Incidents. | PSNet
     psnet.ahrq.gov/issue/finding-and-preventing-patient-safety-incidents
     October 25, 2013 - preventable patient safety events such as pressure ulcers and catheter-related bloodstream infections occurred

340. Timely diagnosis of esophageal perforation | PSNet
     psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
     September 27, 2023 - However, the rarity of this condition, especially if it involves a subacute presentation—as likely occurred … drainage (nasogastric and pleural space), fluid resuscitation, and early antibiotics, some or all of which occurred … This failure occurred despite several clues suggesting gastrointestinal tract perforation and a prolonged