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Showing results for "occurred".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49824/psn-pdf
    March 01, 2018 - results were notable for an elevated troponin level, suggesting that significant myocardial damage had occurred … the 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

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38611/psn-pdf
    February 15, 2011 - However, potential drug errors still occurred at a rate of one per patient even after implementation

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42423/psn-pdf
    July 17, 2013 - at low-volume hospitals could be attributed solely to failures in rescuing patients once an event occurred

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37908/psn-pdf
    June 10, 2010 - Investigators discovered that the majority of RFOs occurred in patients with reportedly correct counts

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40562/psn-pdf
    July 03, 2014 - This study conducted a similar analysis of paid malpractice claims and found that 43% occurred in the

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44506/psn-pdf
    October 21, 2015 - Overall hand hygiene compliance rates were quite low: recorded handwashing occurred in only about one

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44208/psn-pdf
    July 16, 2015 - prevented by the institution's health information technology (IT) system, and many of the avoidable errors occurred

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44131/psn-pdf
    May 13, 2015 - The longest delays for diagnosis occurred after patients had been referred for consultation, indicating

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44635/psn-pdf
    June 21, 2016 - At least one medication error or adverse drug event occurred in nearly half of the 277 operations observed

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46404/psn-pdf
    December 07, 2017 - Most adverse events occurred in the inpatient setting.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42711/psn-pdf
    October 31, 2014 - provider order entry [CPOE] to prevent prescribing errors), this study found that in many cases, errors occurred

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46774/psn-pdf
    April 12, 2019 - The number of surgeries in which a handoff occurred increased over time during the 6-year study period

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41568/psn-pdf
    April 05, 2013 - The majority of preventable deaths occurred in patients whose life expectancy was considered to be less

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45714/psn-pdf
    December 20, 2017 - Investigators estimated that 4 emergency department visits for ADEs occurred per 1000 patients annually

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46587/psn-pdf
    January 23, 2019 - Workarounds occurred in about two-thirds of medication administrations.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39523/psn-pdf
    September 26, 2016 - Interruptions occurred in more than 50% of administrations with error severity increasing with interruption

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37940/psn-pdf
    June 16, 2010 - errors that were not identified in medical record review, as well as additional adverse events that occurred

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46902/psn-pdf
    August 20, 2018 - Such apprehension occurred especially if the concern was based on a general feeling that something might

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49450/psn-pdf
    June 01, 2004 - a harmful error takes place, patients first want an explicit, jargon-free statement that an error occurred … patients about errors, mentioning the adverse event but avoiding explicitly stating that an error occurred … argue that the reason few injured patients actually sue is because they were unaware that the error occurred … Such disclosure should include an explicit statement that an error occurred, basic information about

  20. The Wrong Shot: Error Disclosure | PSNet

    psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
    May 01, 2011 - When a harmful error takes place, patients first want an explicit, jargon-free statement that an error occurred … to patients about errors, mentioning the adverse event but avoiding explicitly stating that an error occurred … argue that the reason few injured patients actually sue is because they were unaware that the error occurred … Such disclosure should include an explicit statement that an error occurred, basic information about
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