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Showing results for "occurred".

  1. Statistical Brief #83: Potentially Preventable Hospitalization Rates Declined for Older Adults, 2003-2007 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb83.pdf
    December 01, 2009 - Overall, potentially preventable diabetes-related hospitalizations occurred 2.6 times more often among … In contrast, short-term diabetes complications occurred twice as often among younger adults than among … Hospital stays for chronic cardiac conditions which may have been prevented occurred over 10 times more … Potentially preventable hospital stays for acute conditions occurred almost 10 times as frequently among … For older adults, the majority of the decrease in the rates of diabetes-related hospitalizations occurred

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44760/psn-pdf
    July 10, 2024 - strategy to improve respectful and effective discussions with patients and families after harm has occurred

  3. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. | PSNet

    psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
    October 26, 2010 - Diagnostic errors resulting in patient harm occurred in 181 cases, chiefly consisting of missed or delayed … As with prior studies  using chart review, reviewer's agreement on whether an error occurred was only

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72713/psn-pdf
    February 03, 2021 - information to individuals that contact the organization for  help when they feel an error may have occurred

  5. 68. For the Patient Willing To Quit (Continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide68.html
    October 01, 2014 - If tobacco use has occurred, review circumstances and elicit recommitment to total abstinence.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865598/psn-pdf
    April 17, 2024 - on an analysis of 520 transplant medication-related errors to summarize the types of mistakes that occurred

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838632/psn-pdf
    October 19, 2022 - This systematic review including 13 studies found that nursing workarounds most often occurred due to

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851195/psn-pdf
    July 05, 2023 - This study of 7,452 pediatric patients with appendicitis found that delayed diagnosis occurred in 1.4%

  9. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
    January 01, 2024 - Categories E through H errors not only occurred and reached the patient but also caused harm. … In one study of nationally representative US data, extra vaccination occurred in 21% of young children … Harmful errors occurred with all cardiovascular drug classes. … However, because over half the errors occurred at the administering stage of medication processing, … Not surprisingly, a large majority of reported pediatric antidepressant medication errors occurred

  10. Section5 3 (pdf file)

    hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section5_3.pdf
    January 01, 2007 - For stays with Medicare as the primary payer, in-hospital deaths occurred in 4 percent of stays. … Three percent of uninsured discharges occurred against medical advice, compared to less than 1 percent

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865346/psn-pdf
    March 27, 2024 - summarizes a presentation by a nurse charged criminally after a medication mistake, her memory of what occurred

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34936/psn-pdf
    March 12, 2009 - https://psnet.ahrq.gov/issue/another-fatal-failure-kingdrew This article reports on a death that occurred

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866324/psn-pdf
    July 17, 2024 - This article summarizes a case where problems were not responded to, and harm occurred.

  14. Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Impact of the Intervention on Staff Experience (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-nembhard.pdf
    July 03, 2023 - Problems that occurred between patients and clinicians or staff 7. Exceptional people 8. … exceptional people exceptional ways to do things problems with the practice’s day-to-day … problems that occurred … ) 0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 Exceptional ways to do things Exceptional people Problems that occurred

  15. Sb113 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb113.pdf
    January 01, 2020 - for the following types of hospital stays for:  complicated pregnancy during which no delivery occurred … ■ Among non-delivery maternal stays, the following conditions occurred at a rate of 100 or more … ■ Among maternal stays with delivery, the following conditions occurred at a rate of 50 99 for … stays As shown in table 2, among non-delivery maternal stays, the following complicating conditions occurred … Delivery stays Among maternal stays with delivery, the following common complicating conditions occurred

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72522/psn-pdf
    December 02, 2020 - Conducted at a single emergency department (ED) in Italy, this study found that nurse-led triage errors occurred

  17. Medication Overdose | PSNet

    psnet.ahrq.gov/web-mm/medication-overdose
    September 01, 2011 - ADE), and an additional 5% experience a potential ADE (ie, the error reached the patient, but no harm occurred … reported similar rates of ADEs, though rates of potential ADEs were even higher.( 5 ) Most potential ADEs occurred … illegible, can have life-threatening consequences.( Figure 1 , Figure 2 ) The error in this case occurred … confusion between ‘dose’ and ‘day,’ due to ambiguous use of the abbreviation “d” in “mg/kg/d,” could have occurred … and ensures that orders are complete and in a standard format, eliminating ambiguous dosing orders as occurred

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41218/psn-pdf
    March 14, 2012 - medication-errors-when-pharmacy-closed This newsletter article discusses data on medication errors that occurred

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867020/psn-pdf
    October 23, 2024 - discusses an effort in the United Kingdom to learn from preventable deaths reported to coroners that occurred

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866732/psn-pdf
    September 18, 2024 - Adverse events occurred across the medication process including prescribing, dispensing, and administration
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