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Total Results: 4,231 records

Showing results for "occurred".

81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47967/psn-pdf
    May 01, 2019 - patients and found that the trigger tools flagged many patient records in which no adverse event had occurred

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72638/psn-pdf
    January 13, 2021 - Manipulations most commonly involved oral liquids and intravenous orders and occurred most often in 

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36344/psn-pdf
    February 17, 2011 - psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription This case involves an iatrogenic reaction that occurred

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42753/psn-pdf
    November 20, 2013 - dealing-medical-mistake-should-physicians-apologize-patients This article discusses how apologies address patients' needs when a medical mistake has occurred

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38494/psn-pdf
    January 31, 2011 - administration's efforts to computerize medical records, this news story describes problems and errors that have occurred

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40863/psn-pdf
    October 19, 2011 - family became involved with patient safety, serving on an advisory council at the hospital where it occurred

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37941/psn-pdf
    July 30, 2008 - finding-blunders-thyroid-testing-experience-newborns Inconsistent and possibly erroneous results of thyroid tests for newborns occurred

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43405/psn-pdf
    August 14, 2014 - psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors Postdischarge medication errors occurred

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38403/psn-pdf
    February 11, 2009 - psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing- errors Errors occurred

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41136/psn-pdf
    February 15, 2012 - adverse-events-after-screening-and-follow-colonoscopy This study of more than 45,000 colonoscopies found that 4.7 serious adverse events occurred

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851191/psn-pdf
    July 05, 2023 - disclosing-medical-errors-prioritising-needs-patients-and-families Numerous organizations promote communication with patients and families after harm has occurred

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/853066/psn-pdf
    August 30, 2023 - Researchers found that MOID occurred in 29% of emergency transfer cases and it was associated with higher

93. 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

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/864369/psn-pdf
    March 13, 2024 - A physician-related medication error occurred in 12.5% of participants overall, with no statistically

95. 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

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73530/psn-pdf
    July 28, 2021 - Most errors occurred during the prescribing stage and were the result of interrelated causes such as

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837316/psn-pdf
    June 01, 2022 - Identified weaknesses included lack of discussions about misdiagnoses when they occurred.

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47096/psn-pdf
    November 14, 2018 - of the Veterans Health Administration root cause analysis database identified adverse events that occurred

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72479/psn-pdf
    November 18, 2020 - According to these findings, patient-perceived medical errors and harms occurred most commonly in women

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836987/psn-pdf
     April 27, 2022 - Transfer) events (i.e., cardiopulmonary arrest and/or ventilation and/or hemodynamic support) which occurred