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Total Results: 4,038 records

Showing results for "occurred".

41. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44760/psn-pdf
    July 10, 2024 - strategy to improve respectful and effective discussions with patients and families after harm has occurred

42. Medication Overdose | PSNet
    psnet.ahrq.gov/web-mm/medication-overdose
    September 01, 2011 - ADE), and an additional 5% experience a potential ADE (ie, the error reached the patient, but no harm occurred … reported similar rates of ADEs, though rates of potential ADEs were even higher.( 5 ) Most potential ADEs occurred … illegible, can have life-threatening consequences.( Figure 1 , Figure 2 ) The error in this case occurred … confusion between ‘dose’ and ‘day,’ due to ambiguous use of the abbreviation “d” in “mg/kg/d,” could have occurred … and ensures that orders are complete and in a standard format, eliminating ambiguous dosing orders as occurred

43. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72713/psn-pdf
    February 03, 2021 - information to individuals that contact the organization for help when they feel an error may have occurred

44. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865598/psn-pdf
    April 17, 2024 - on an analysis of 520 transplant medication-related errors to summarize the types of mistakes that occurred

45. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838632/psn-pdf
    October 19, 2022 - This systematic review including 13 studies found that nursing workarounds most often occurred due to

46. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866324/psn-pdf
    July 17, 2024 - This article summarizes a case where problems were not responded to, and harm occurred.

47. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865346/psn-pdf
    March 27, 2024 - summarizes a presentation by a nurse charged criminally after a medication mistake, her memory of what occurred

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851195/psn-pdf
    July 05, 2023 - This study of 7,452 pediatric patients with appendicitis found that delayed diagnosis occurred in 1.4%

49. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866732/psn-pdf
    September 18, 2024 - Adverse events occurred across the medication process including prescribing, dispensing, and administration

50. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867020/psn-pdf
    October 23, 2024 - discusses an effort in the United Kingdom to learn from preventable deaths reported to coroners that occurred

51. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72522/psn-pdf
    December 02, 2020 - Conducted at a single emergency department (ED) in Italy, this study found that nurse-led triage errors occurred

52. Patient/Family Crisis Hotline. | PSNet
    psnet.ahrq.gov/issue/patientfamily-crisis-hotline
    December 02, 2020 - information to individuals that contact the organization for  help  when they feel an error may have occurred

53. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865702/psn-pdf
    May 01, 2024 - Most errors occurred post- operatively (including after discharge) and in colorectal and hepatobiliary

54. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73535/psn-pdf
    July 28, 2021 - inpatients at one New York hospital between 2016 and 2018 and found that wrong- patient order errors occurred

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49425/psn-pdf
    November 01, 2003 - On face value, it is almost impossible to imagine how this could have occurred. … In addition to exploring why the error occurred at the level of individuals at the "sharp end," such … effectively, but involves interviewing staff involved to identify care management problems and why each occurred … Although physicians disclosed the adverse event, they often avoided stating that an error had occurred

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34936/psn-pdf
    March 12, 2009 - https://psnet.ahrq.gov/issue/another-fatal-failure-kingdrew This article reports on a death that occurred

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49624/psn-pdf
    May 01, 2011 - This case highlights two important issues, namely how to talk with a patient or family when the error occurred … cases, this case has numerous dimensions of uncertainty, making it difficult to know whether an error occurred … Therefore, in cases where a potential error occurred under other providers, the critical first step is … In addition, if it was determined that an error occurred, a collaborative approach to disclosure, in … If they determined that a clear error occurred, providers should have found a way to disclose the error

58. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866693/psn-pdf
    September 11, 2024 - This analysis of 91 incident reports from care homes in England examined patient safety events that occurred

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851653/psn-pdf
    July 26, 2023 - this study, nurses at one Australian hospital provided a reflection as to why they believed an MAE occurred

60. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73176/psn-pdf
    April 28, 2021 - The most common diagnostic errors occurred in cardiovascular, infectious, congenital, and neurologic