Results

Total Results: 4,231 records

Showing results for "occurred".

401. 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

402. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/842920
     December 14, 2022 - Similar episodes occurred occasionally over the... … Similar episodes occurred occasionally over the...

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39239/psn-pdf
     September 27, 2017 - reduce medication errors in the NICU, it is notable that nearly half the reported errors in this study occurred

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46178/psn-pdf
     December 22, 2017 - At baseline, they found that wrong-patient orders occurred more frequently in the NICU population with

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44064/psn-pdf
     November 03, 2015 - Of the nearly 145 million admissions recorded across 4 years, hospital- acquired conditions occurred

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40965/psn-pdf
     December 15, 2011 - analyzed medication errors reported by North Carolina nursing homes to describe specific errors that occurred

407. 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

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37327/psn-pdf
     March 03, 2011 - This study evaluated claims associated with a technical error and determined that most occurred in routine

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42577/psn-pdf
     December 31, 2014 - These errors of omission occurred most frequently for medications that were prescribed episodically

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46507/psn-pdf
     October 11, 2017 - Lawsuits occurred in 5% of cases.

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45231/psn-pdf
     February 14, 2017 - Despite successful implementation of the fall prevention bundle, falls occurred just as frequently on

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38900/psn-pdf
     January 03, 2017 - This occurred despite the existence of a structured system for communication between the ED and primary

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38816/psn-pdf
     July 29, 2009 - However, the more noteworthy findings were that RRT activations most frequently occurred during times

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46481/psn-pdf
     August 20, 2018 - physicians then reviewed the records for triggered cases to determine whether a preventable adverse event occurred

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45190/psn-pdf
     February 15, 2017 - This inaccuracy occurred more frequently in patients admitted on weekdays.

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44671/psn-pdf
     September 20, 2016 - errors, physicians often choose their words carefully rather than explicitly detail how errors may have occurred

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33582/psn-pdf
     September 15, 2024 - prospectively identifying hazards before patients are harmed and analyzing events that have already occurred … events so they can review the medical record to determine if an actual or potential adverse event has occurred … Although voluntary reporting systems are most often used to report errors that have already occurred

418. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-354
     August 05, 2022 - The most common preventable ADE both before and after implementation occurred during the prescribing … This claims-based retrospective analysis found that abortion-related morbidity or adverse events occurred … The most common preventable ADE both before and after implementation occurred during the prescribing … medications were not reviewed during medication reconciliation and the preventable harm that could have occurred

419. 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

420. 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