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Showing results for "occurred".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865702/psn-pdf
    May 01, 2024 - Most errors occurred post- operatively (including after discharge) and in colorectal and hepatobiliary

  2. Misread Label | PSNet

    psnet.ahrq.gov/web-mm/misread-label
    August 28, 2024 - 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

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36702/psn-pdf
    June 30, 2011 - researchers studied adverse events in stroke patients at one academic medical center and found that errors occurred

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37088/psn-pdf
    August 08, 2007 - art-apology-when-and-how-seek-forgiveness This article offers practical advice on how to determine when an error has occurred

  5. Table 25. Utilization of education and case management (ECM) visits among adults who had at least one visit by type of visit. All project sites. Fiscal year 2010 | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap6tab25.html
    December 01, 2017 - ECM visit 2.6 2.8 3.7 3.4 4.5 3.0 a Diabetes education visits are visits that occurred

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73535/psn-pdf
    July 28, 2021 - inpatients at one New York hospital between 2016 and 2018 and found that wrong- patient order errors occurred

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851653/psn-pdf
    July 26, 2023 - this study, nurses at one Australian hospital provided a reflection as to why they believed an MAE occurred

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41988/psn-pdf
    January 23, 2013 - article reveals lessons a medical student learned about patient safety while dealing with errors that occurred

  9. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
    August 21, 2015 - The patient and/or family have a reasonable expectation to be informed when a harm event has occurred … of this initial conversation is to advise the patient and/or family that an adverse event may have occurred … Investigation and Analysis, the disclosure should include – An explicit statement that an event has occurred … During disclosure, patients and families generally want a clear, explicit statement that an event has occurred … If the event was preventable and occurred due to error, the communicator should: Consider using the word

  10. Failure to Rescue | PSNet

    psnet.ahrq.gov/taxonomy/term/3521
    However, if the medical record indicates that a complication has occurred, the response to that complication

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60895/psn-pdf
    September 09, 2020 - radiology fellows working off-hours over a four- year period and found that interpretation errors occurred

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73176/psn-pdf
    April 28, 2021 - The most common diagnostic errors occurred in cardiovascular, infectious, congenital, and neurologic

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850913/psn-pdf
    June 21, 2023 - occurring between March 2010 and August 2022 at one academic medical center found that most deaths occurred

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866693/psn-pdf
    September 11, 2024 - This analysis of 91 incident reports from care homes in England examined patient safety events that occurred

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865479/psn-pdf
    April 03, 2024 - Most errors occurred post-operatively (e.g., failure to recognize clinical deterioration) and were attributed

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41269/psn-pdf
    October 19, 2012 - characteristics-medication-errors-parenteral-cytotoxic-drugs This Swedish study found that chemotherapy medication errors occurred

  17. 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

  18. 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

  19. 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.

  20. 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
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