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Total Results: over 10,000 records

Showing results for "occurred".

261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39954/psn-pdf
     November 26, 2014 - psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-japan-jade-study Adverse drug events occurred

262. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45427/psn-pdf
     October 19, 2016 - desire for more resources devoted to ensuring patient safety and more feedback after adverse events occurred

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39375/psn-pdf
     March 24, 2010 - discrepancies—differences between the medical record and patient self-report of their antihypertensive medications—occurred

264. Table 26. Utilization of education and case management service by type of visit among adults with diabetes who had at least one visit. Fiscal year 2010 | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap6tab26.html
     December 01, 2017 - 33.1% 36.7% 3.8% 9.3% 100.0% 38.9% a Diabetes education visits are visits that occurred

265. AHRQ Safety Program for Perinatal Care: Board Checklist (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docx
     May 01, 2017 - Discuss major patient safety events/errors that have occurred in the most recent timeframe to show that

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50931/psn-pdf
     February 26, 2020 - However, the rarity of this condition, especially if it involves a subacute presentation—as likely occurred … (nasogastric and pleural space), fluid resuscitation, and early antibiotics, some or all of which occurred … This failure occurred despite several clues suggesting gastrointestinal tract perforation and a prolonged

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866644/psn-pdf
     September 04, 2024 - and subjective nature of event reporting, the study was unable to determine if actual patient harm occurred

268. Detecting Med Errors in Rural Hospitals Using Technology - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015400-brown-final-report-2008.pdf
     January 01, 2008 - Process that reported medication errors occurred by facility Admin­ istering Dis­ pensing Docu­ … Count of where in process the reported medication error occurred Figure 2b. … Count of where in process the reported medication error occurred 0 33 67 100 C ou nt 60 … C o unt o f w here i n pro cess t he reported medication error occurred 0 33 67 100 C ou … Count of where in process the reported medication error occurred 0 33 67 100 C ou nt 30

269. Hindsight Bias | PSNet
     psnet.ahrq.gov/glossary/hindsight-bias
     September 13, 2021 - the phrase "but for," as in "but for these errors in judgment, this terrible outcome would not have occurred

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854818/psn-pdf
     October 25, 2023 - from one medical center in the Netherlands and found that diagnostic testing errors most commonly occurred

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836854/psn-pdf
     April 06, 2022 - Higher discrepancies occurred with respiratory and analgesic medications, underscoring the importance

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61016/psn-pdf
     October 14, 2020 - Cardiac arrest and respiratory events occurred most frequently and largely affected very young children

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60556/psn-pdf
     June 03, 2020 - smart-pumps; post-implementation 27% of errors were attributed to the technology and would not have occurred

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73066/psn-pdf
     March 24, 2021 - The most common process failures contributing to patient harm occurred during order entry/transcription

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73109/psn-pdf
     April 07, 2021 - This study analyzed 797 surgical never events that occurred from April 2012 to February 2020 in the

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867392/psn-pdf
     December 18, 2024 - AI detected five errors (compared with one error pre- implementation), four of which occurred when the

277. Statistical Brief #113
     hcup-us.ahrq.gov/reports/statbriefs/sb113.jsp
     May 01, 2011 - 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 for every … Among maternal stays with delivery, the following conditions occurred at a rate of 50-99 for every 1,000 … Delivery stays Among maternal stays with delivery, the following common complicating conditions occurred … Please note, a discharge of this nature will be included in the NIS if it occurred in a community hospital

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42071/psn-pdf
     February 27, 2013 - measure the impact of such misidentification, the findings raise concern that diagnostic errors may have occurred

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39675/psn-pdf
     January 19, 2011 - This review of rapid response system calls to an inpatient hemodialysis unit found that many events occurred

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38869/psn-pdf
     August 19, 2009 - Approximately 1 in 60 prescriptions for parenteral nutrition resulted in a medication error, most of which occurred