Results

Total Results: 4,038 records

Showing results for "occurred".

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49450/psn-pdf
     June 01, 2004 - a harmful error takes place, patients first want an explicit, jargon-free statement that an error occurred … patients about errors, mentioning the adverse event but avoiding explicitly stating that an error occurred … argue that the reason few injured patients actually sue is because they were unaware that the error occurred … Such disclosure should include an explicit statement that an error occurred, basic information about

442. The Wrong Shot: Error Disclosure | PSNet
     psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
     May 01, 2011 - When a harmful error takes place, patients first want an explicit, jargon-free statement that an error occurred … to patients about errors, mentioning the adverse event but avoiding explicitly stating that an error occurred … argue that the reason few injured patients actually sue is because they were unaware that the error occurred … Such disclosure should include an explicit statement that an error occurred, basic information about

443. Drug related admissions to a cardiology department; frequency and avoidability. | PSNet
     psnet.ahrq.gov/issue/drug-related-admissions-cardiology-department-frequency-and-avoidability
     August 20, 2018 - Admissions most frequently occurred in elderly patients and those on diuretics or digoxin.

444. Respectful Management of Serious Clinical Adverse Events. Second Edition. | PSNet
     psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
     January 27, 2016 - for organizations to have a comprehensive crisis plan in place rather than reacting after events have occurred

445. The impact of abbreviations on patient safety. | PSNet
     psnet.ahrq.gov/issue/impact-abbreviations-patient-safety
     January 02, 2017 - dissemination of the Joint Commission's “do not use” abbreviation list, errors involving these abbreviations occurred

446. HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. | PSNet
     psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals-study
     January 04, 2017 - nearly $9 billion in excess cost during 2003-2005, and nearly 250,000 potentially preventable deaths occurred

447. HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. | PSNet
     psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-study
     September 12, 2012 - than $9 billion in excess cost during 2002-2004, and more than 250,000 potentially preventable deaths occurred

448. Medication error prevention by clinical pharmacists in two children's hospitals. | PSNet
     psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
     October 15, 2014 - Although error rates occurred most in inexperienced physicians, no group was error free.

449. Final Report of the Ockenden Review. | PSNet
     psnet.ahrq.gov/issue/final-report-ockenden-review
     January 13, 2021 - June 17, 2014 External Inquiry into the adverse incident that occurred at Queen's Medical

450. Coding for Success: Simple Technology for Safer Patient Care. | PSNet
     psnet.ahrq.gov/issue/coding-success-simple-technology-safer-patient-care
     July 01, 2020 - April 27, 2022 External Inquiry into the adverse incident that occurred at Queen's Medical

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73336/psn-pdf
     May 26, 2021 - No physical examination occurred. … patient did not recall a recent complete screening for STIs, even though anonymous testing for HIV had occurred … Without treatment, it becomes a chronic infection, as occurred in this patient’s case.8 In the initial … patient in this case could have had negative perceptions about healthcare in general due to events that occurred

452. 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...

453. Root Cause Analysis | PSNet
     psnet.ahrq.gov/primer/root-cause-analysis
     March 30, 2022 - analyze the sequence of events leading to the error, with the goals of identifying how the event occurred … (through identification of active errors) and why the event occurred (through systematic identification

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836812/psn-pdf
     March 30, 2022 - effective when conducted by a team of people from the process or area where the patient safety issue occurred … events are mitigated and prevented.3 Rather than simply reacting to adverse events after they have occurred

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49427/psn-pdf
     January 01, 2004 - We know nothing of this surgeon's training, the time of day the injury occurred, or pertinent environmental … This procedure may have occurred in a hospital where an urologist was not immediately available, a situation … wrong-site surgery.(8,9) This patient had his testicle surgically removed, but similar disasters have occurred

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49616/psn-pdf
     December 01, 2010 - The second error in this case occurred when the nurse administered the entire contents of the 20-mg … While this error may have occurred because the printed instructions were not followed by the nurse, it … psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references children occurred

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49782/psn-pdf
     January 01, 2017 - Of these, the majority occurred when vasopressors were given for a very long duration (55.9 ± 68.1 hours … The 2-hour limit was chosen because very few published cases of local tissue injury events occurred … frame—of 138 published cases of local tissue injury where the duration of infusion was given, only 4 occurred

458. Sterile water should not be given "freely." | PSNet
     psnet.ahrq.gov/issue/sterile-water-should-not-be-given-freely
     March 18, 2010 - December 30, 2014 External Inquiry into the adverse incident that occurred at Queen's

459. Patient safety and acute care medicine: lessons for the future, insights from the past. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-acute-care-medicine-lessons-future-insights-past
     April 27, 2022 - February 3, 2016 External Inquiry into the adverse incident that occurred at Queen's

460. Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. | PSNet
     psnet.ahrq.gov/issue/updated-guidance-needed-longstanding-large-volume-parenteral-lvp-labeling-and-packaging
     March 10, 2021 - December 30, 2014 External Inquiry into the adverse incident that occurred at Queen's