Results

Total Results: 4,231 records

Showing results for "occurred".

501. Misadventures in Health Care: Inside Stories. | PSNet
     psnet.ahrq.gov/issue/misadventures-health-care-inside-stories
     July 06, 2011 - January 6, 2015 External Inquiry into the adverse incident that occurred at Queen's Medical

502. The Habits of an Improver. Thinking About Learning for Improvement in Health Care. | PSNet
     psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
     November 25, 2015 - August 9, 2013 External Inquiry into the adverse incident that occurred at Queen's Medical

503. Learning from Disasters: A Management Approach. Third ed. | PSNet
     psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
     June 18, 2013 - Related Resources From the Same Author(s) External Inquiry into the adverse incident that occurred

504. Diagnosis: Interpreting the Shadows. | PSNet
     psnet.ahrq.gov/issue/diagnosis-interpreting-shadows
     June 29, 2016 - July 15, 2013 External Inquiry into the adverse incident that occurred at Queen's Medical

505. ISMP's List of Confused Drug Names. | PSNet
     psnet.ahrq.gov/issue/ismps-list-confused-drug-names
     August 21, 2015 - November 6, 2013 External Inquiry into the adverse incident that occurred at Queen's

506. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33728/psn-pdf
     May 01, 2012 - might be tracked routinely as part of the patient's care that might indicate that an adverse event had occurred … triggers, as we had been through most of our IHI work, it was obviously detecting them after they had occurred … The adverse events that occurred in those three settings were of a range of severity. … It's easy to make the case that dramatic improvements in safety have occurred when that may not be in … The cascading of events that occurred in the Medicare study—more than a quarter of the patients had

507. Health Care Comes Home: The Human Factors. | PSNet
     psnet.ahrq.gov/issue/health-care-comes-home-human-factors
     June 08, 2011 - February 10, 2015 External Inquiry into the adverse incident that occurred at Queen's

508. Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. | PSNet
     psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology-university-north-carolinas-pursuit-high
     May 04, 2016 - October 23, 2013 External Inquiry into the adverse incident that occurred at Queen's

509. Juran's Quality Handbook. 5th ed. | PSNet
     psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
     October 18, 2017 - July 8, 2013 External Inquiry into the adverse incident that occurred at Queen's Medical

510. Establishing a culture for patient safety - the role of education. | PSNet
     psnet.ahrq.gov/issue/establishing-culture-patient-safety-role-education
     August 23, 2017 - December 30, 2014 External Inquiry into the adverse incident that occurred at Queen's

511. Patient Safety in Private Hospitals: the Known and the Unknown Risk. | PSNet
     psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk
     June 18, 2013 - Related Resources From the Same Author(s) External Inquiry into the adverse incident that occurred

512. What doctors can learn from the factory floor. | PSNet
     psnet.ahrq.gov/issue/what-doctors-can-learn-factory-floor
     June 13, 2011 - August 9, 2013 External Inquiry into the adverse incident that occurred at Queen's Medical

513. Improving patient safety by taking systems seriously. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
     April 17, 2013 - December 9, 2014 External Inquiry into the adverse incident that occurred at Queen's

514. Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. | PSNet
     psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health
     October 11, 2016 - October 14, 2015 External Inquiry into the adverse incident that occurred at Queen's

515. Milliliters vs. Milligrams | PSNet
     psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
     September 01, 2004 - The second error in this case occurred when the nurse administered the entire contents of the 20-mg multidose … While this error may have occurred because the printed instructions were not followed by the nurse, it … Bates, and colleagues reported that the most common errors in the medication use process in children occurred

516. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet
     psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
     March 01, 2015 - results were notable for an elevated troponin level, suggesting that significant myocardial damage had occurred … artery in under 90 minutes.( 5 ) In the case described above, a critical communication breakdown occurred … regarding the results of the initial ECG tracing and the failure of transmission of the initial tracing occurred

517. Inadvertent Castration | PSNet
     psnet.ahrq.gov/web-mm/inadvertent-castration
     October 27, 2010 - 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

518. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49539/psn-pdf
     June 01, 2007 - references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references error actually occurred … Ironically, the hearing loss that occurred is apparently less prevalent following general anesthesia

519. A model of chemotherapy education for novice oncology nurses that supports a culture of safety. | PSNet
     psnet.ahrq.gov/issue/model-chemotherapy-education-novice-oncology-nurses-supports-culture-safety
     September 24, 2010 - December 30, 2014 External Inquiry into the adverse incident that occurred at Queen's

520. Patient Safety 2030. | PSNet
     psnet.ahrq.gov/issue/patient-safety-2030
     April 13, 2016 - February 26, 2014 External Inquiry into the adverse incident that occurred at Queen's