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Total Results: 4,231 records

Showing results for "occurred".

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46404/psn-pdf
    December 07, 2017 - Most adverse events occurred in the inpatient setting.

  16. 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

  17. A Conversation with Patient Safety Officers. | PSNet

    psnet.ahrq.gov/issue/conversation-patient-safety-officers
    April 30, 2024 - March 21, 2016 External Inquiry into the adverse incident that occurred at Queen's Medical

  18. 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%).

  19. Each Baby Counts. | PSNet

    psnet.ahrq.gov/issue/each-baby-counts-key-messages-2015
    July 26, 2017 - involving parents in the analysis, engaging external experts to gain broader perspectives about what occurred

  20. 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
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