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Total Results: 4,038 records

Showing results for "occurred".

81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838136/psn-pdf
    September 21, 2022 - The majority of activations occurred in general medicine units and some patients (approximately 5%)

82. 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

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72596/psn-pdf
    January 01, 2021 - This study of 254 intensive care patients across Western Europe found that serious adverse events occurred

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60662/psn-pdf
    January 01, 2022 - Incorrect doses and omitted medications occurred most frequently.

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/848381/psn-pdf
    May 03, 2023 - 16b-oracle-cerner-ehr-deployments-indefinitely-address-error- ridden-early-rollout Notable problems have occurred

86. 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.

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/850173/psn-pdf
    June 07, 2023 - Transportation Safety Board concept, the proposed agency would collect data on facilities where errors occurred

88. 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

89. 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

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45262/psn-pdf
    April 01, 2021 - involving parents in the analysis, engaging external experts to gain broader perspectives about what occurred

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50820/psn-pdf
    January 22, 2020 - communication, such as hanging up the phone) were noted by more than half of individuals surveyed and occurred

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42870/psn-pdf
    January 15, 2014 - efforts to drive safety improvement but notes that more than 280,000 preventable patient safety events occurred

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35778/psn-pdf
    July 20, 2010 - They found that AIP occurred most frequently after thoracentesis, but also during other procedures.

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35890/psn-pdf
    July 26, 2010 - issue/incidents-during-out-hospital-patient-transportation The authors analyzed adverse events that occurred

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36996/psn-pdf
    September 24, 2016 - shadowed emergency department nurses and physicians and identified the types of interruptions that occurred

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39952/psn-pdf
    October 27, 2010 - Specimen labeling errors, most frequently involving labeling specimens with the wrong patient's name, occurred

97. Detection of Safety Hazards | PSNet
    psnet.ahrq.gov/primer/detection-safety-hazards
    March 30, 2022 - 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,

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33778/psn-pdf
    March 01, 2015 - Two clinician reviewers judged misdiagnosis to have occurred in 5% of these children presenting with … Major discrepancies occurred in 41 shifts over a 13-month period. … Significantly more diagnostic errors occurred with salient distracting features, especially for complex … examination showed that, for cases involving diagnosis, changing an answer from incorrect to correct occurred

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867519/psn-pdf
    January 15, 2025 - Around half of errors for each type of medication occurred at administration. 97% of errors resulted

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866167/psn-pdf
     June 19, 2024 - observational study of 298 pediatric nurses at one hospital in Sydney, Australia, found that errors occurred