Results

Total Results: 4,231 records

Showing results for "occurred".

341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42721/psn-pdf
     December 12, 2014 - This observational study within a tertiary hospital in urban India found that errors occurred in 13.6%

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41327/psn-pdf
     November 27, 2012 - Patient Safety Indicators as a screening tool, the authors found that multiple patient safety events occurred

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36154/psn-pdf
     September 29, 2010 - errors, the classes of medications frequently associated with error, and the types of errors that occurred

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41876/psn-pdf
     December 04, 2016 - An AHRQ WebM&M case discusses a preventable adverse event that occurred in a palliative care patient

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42208/psn-pdf
     April 17, 2013 - A high-profile fatal medication error that occurred while a nurse was working a double shift previously

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38205/psn-pdf
     November 12, 2008 - Overall, errors requiring pharmacy intervention occurred at a rate comparable to prior studies, but

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36807/psn-pdf
     October 25, 2013 - nearly $9 billion in excess cost during 2003-2005, and nearly 250,000 potentially preventable deaths occurred

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41963/psn-pdf
     February 01, 2013 - of all errors were disclosed to patients, regardless of the error's severity or setting in which it occurred

349. Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. | PSNet
     psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
     February 01, 2023 - and how such conversations can help restore the patient–physician relationship after an error has occurred

350. Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital. | PSNet
     psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large
     January 16, 2019 - Approximately 1 in 60 prescriptions for parenteral nutrition resulted in a medication error, most of which occurred

351. Managing patients with identical names in the same ward. | PSNet
     psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
     November 16, 2022 - Although no clinical errors occurred, some records were misplaced.

352. The safety of hospital stroke care. | PSNet
     psnet.ahrq.gov/issue/safety-hospital-stroke-care
     December 02, 2020 - researchers studied adverse events in stroke patients at one academic medical center and found that errors occurred

353. 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

354. 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,

355. 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

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37254/psn-pdf
     January 02, 2017 - AHRQ WebM&M perspective written by two leaders at DFCI also discusses the organizational change that occurred

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44743/psn-pdf
     December 22, 2017 - nurses, patients, and caregivers about whether readmissions were preventable and why readmissions occurred

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38621/psn-pdf
     February 18, 2011 - Investigators targeted those cases where a delay of at least 90 days occurred between symptom onset

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46578/psn-pdf
     April 29, 2018 - The taxonomy includes the origin of the error, which most commonly occurred with introduction of a new

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40726/psn-pdf
     July 03, 2014 - record-using Many adverse event identification methods cannot detect errors until well after the event has occurred