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Total Results: 4,038 records

Showing results for "occurred".

381. Clinical problem-solving. Lost in transcription. | PSNet
     psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription
     September 20, 2011 - This case involves an iatrogenic  reaction that occurred due to mistakenly administering methotrexate

382. Incidents during out-of-hospital patient transportation. | PSNet
     psnet.ahrq.gov/issue/incidents-during-out-hospital-patient-transportation
     March 23, 2011 - The authors analyzed adverse events that occurred during out-of-hospital patient transfer.

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38611/psn-pdf
     February 15, 2011 - However, potential drug errors still occurred at a rate of one per patient even after implementation

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42423/psn-pdf
     July 17, 2013 - at low-volume hospitals could be attributed solely to failures in rescuing patients once an event occurred

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37908/psn-pdf
     June 10, 2010 - Investigators discovered that the majority of RFOs occurred in patients with reportedly correct counts

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40562/psn-pdf
     July 03, 2014 - This study conducted a similar analysis of paid malpractice claims and found that 43% occurred in the

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44506/psn-pdf
     October 21, 2015 - Overall hand hygiene compliance rates were quite low: recorded handwashing occurred in only about one

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44208/psn-pdf
     July 16, 2015 - prevented by the institution's health information technology (IT) system, and many of the avoidable errors occurred

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44131/psn-pdf
     May 13, 2015 - The longest delays for diagnosis occurred after patients had been referred for consultation, indicating

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44635/psn-pdf
     June 21, 2016 - At least one medication error or adverse drug event occurred in nearly half of the 277 operations observed

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46404/psn-pdf
     December 07, 2017 - Most adverse events occurred in the inpatient setting.

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42711/psn-pdf
     October 31, 2014 - provider order entry [CPOE] to prevent prescribing errors), this study found that in many cases, errors occurred

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46774/psn-pdf
     April 12, 2019 - The number of surgeries in which a handoff occurred increased over time during the 6-year study period

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41568/psn-pdf
     April 05, 2013 - The majority of preventable deaths occurred in patients whose life expectancy was considered to be less

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45714/psn-pdf
     December 20, 2017 - Investigators estimated that 4 emergency department visits for ADEs occurred per 1000 patients annually

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39523/psn-pdf
     September 26, 2016 - Interruptions occurred in more than 50% of administrations with error severity increasing with interruption

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46587/psn-pdf
     January 23, 2019 - Workarounds occurred in about two-thirds of medication administrations.

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46902/psn-pdf
     August 20, 2018 - Such apprehension occurred especially if the concern was based on a general feeling that something might

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37940/psn-pdf
     June 16, 2010 - errors that were not identified in medical record review, as well as additional adverse events that occurred

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39730/psn-pdf
     December 21, 2014 - While no wrong-site surgeries occurred, there were nearly 800 cases where this potential was noted and