Results

Total Results: 4,231 records

Showing results for "occurred".

421. 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.

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42868/psn-pdf
     October 31, 2014 - information to the patient and family and avoiding admissions of fault—or even admission that an error occurred

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45293/psn-pdf
     February 01, 2017 - analysis, researchers sought to identify the most common and serious event types, reasons these events occurred

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40707/psn-pdf
     March 11, 2013 - This study conducted in-depth interviews with patients who believed an error occurred in their cancer-related

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46990/psn-pdf
     July 25, 2018 - A  WebM&M commentary discussed an adverse event that occurred due to a transcription error in a radiology

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45113/psn-pdf
     May 11, 2016 - experienced clinical reviewers achieve only moderate interrater agreement on whether an adverse event occurred

427. Two Wrongs Don't Make a Right (Kidney) | PSNet
     psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
     April 01, 2010 - The second error occurred during the patient transfer, when only the records, but not the imaging, accompanied … The third error occurred as the patient was posted for the surgical suite without preoperative imaging … These three errors occurred before the patient was rolled into the surgical suite. … The fourth error occurred once in the operating room—implementation of the Universal Protocol could have

428. Not what the doctor ordered. | PSNet
     psnet.ahrq.gov/issue/not-what-doctor-ordered
     November 23, 2016 - May 3, 2006 External Inquiry into the adverse incident that occurred at Queen's Medical

429. Eliminating vincristine administration events. | PSNet
     psnet.ahrq.gov/issue/eliminating-vincristine-administration-events
     February 15, 2023 - June 17, 2014 External Inquiry into the adverse incident that occurred at Queen's Medical

430. Please don't sleep through this wake-up call. | PSNet
     psnet.ahrq.gov/issue/please-dont-sleep-through-wake-call
     May 07, 2018 - from the Institute for Safe Medication Practices informing readers of a fatal medication error that occurred

431. Parenteral nutrition errors and potential errors reported over the past 10 years. | PSNet
     psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years
     June 20, 2018 - The majority of errors occurred during the compounding or dispensing and administration stages.

432. Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. | PSNet
     psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2010-versus-2014
     October 03, 2018 - Information revealed by the data include impacts on length of stay, average costs, and whether the ADE occurred

433. Characteristics of medication errors with parenteral cytotoxic drugs. | PSNet
     psnet.ahrq.gov/issue/characteristics-medication-errors-parenteral-cytotoxic-drugs
     July 01, 2017 - This Swedish study found that chemotherapy medication errors occurred most frequently at the prescribing

434. Frequency, types, and potential clinical significance of medication-dispensing errors. | PSNet
     psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing-errors
     February 03, 2011 - Errors occurred in approximately 1 of 40 doses dispensed by a unit-dose medication dispensing system.

435. Intra-operative monitoring—many alarms with minor impact. | PSNet
     psnet.ahrq.gov/issue/intra-operative-monitoring-many-alarms-minor-impact
     June 18, 2014 - In this study, one alarm occurred every 2.9 minutes during the surgical procedures observed, implying

436. Medication reconciliation and hypertension control. | PSNet
     psnet.ahrq.gov/issue/medication-reconciliation-and-hypertension-control
     December 19, 2017 - discrepancies—differences between the medical record and patient self-report of their antihypertensive medications—occurred

437. A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center. | PSNet
     psnet.ahrq.gov/issue/case-study-safety-impact-implementing-smart-patient-controlled-analgesic-pumps-tertiary-care
     August 31, 2016 - After adverse events occurred due to incorrect dosing of patient-controlled analgesia, implementation

438. Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases. | PSNet
     psnet.ahrq.gov/issue/prospective-error-recording-surgery-analysis-1108-elective-neurosurgical-cases
     January 22, 2016 - This analysis of cases performed by a single neurosurgeon found that errors occurred frequently, most

439. Barriers to adverse event and error reporting in anesthesia. | PSNet
     psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
     April 19, 2017 - specified events, the influence of perceived barriers was dependent on whether an error actually occurred

440. Errors in diagnosis of spinal epidural abscesses in the era of electronic health records. | PSNet
     psnet.ahrq.gov/issue/errors-diagnosis-spinal-epidural-abscesses-era-electronic-health-records
     April 24, 2018 - medical records of patients diagnosed with spinal epidural abscess and found that a delay in diagnosis occurred