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Showing results for "occurred".

  1. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)

    monahrq.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - There is no evidence in these reports that any other type of patient safety concern occurred. … In several instances, the exposure occurred because staff were not following PPE protocols, such as … In other cases, the exposure occurred with an asymptomatic individual, and was later identified when … Additional near misses occurred when the wrong blood product (e.g., fresh frozen plasma versus COVID … PSOs generally provided data elements for the location in the facility where the event occurred and

  2. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - There is no evidence in these reports that any other type of patient safety concern occurred. … In several instances, the exposure occurred because staff were not following PPE protocols, such as … In other cases, the exposure occurred with an asymptomatic individual, and was later identified when … Additional near misses occurred when the wrong blood product (e.g., fresh frozen plasma versus COVID … PSOs generally provided data elements for the location in the facility where the event occurred and

  3. 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

  4. 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.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47096/psn-pdf
    November 14, 2018 - of the Veterans Health Administration root cause analysis database identified adverse events that occurred

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72479/psn-pdf
    November 18, 2020 - According to these findings, patient-perceived medical errors and harms occurred most commonly in women

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836987/psn-pdf
    April 27, 2022 - Transfer) events (i.e., cardiopulmonary arrest and/or ventilation and/or hemodynamic support) which occurred

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60662/psn-pdf
    January 01, 2022 - Incorrect doses and omitted medications occurred most frequently.

  9. 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

  10. 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

  11. 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%)

  12. 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

  13. 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

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47493/psn-pdf
    January 27, 2019 - Despite this, coprescription occurred in 44% of those prescribed dementia medication, and this medication

  15. 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

  16. Procedure Manual Appendix II: USPSTF Conflict of Interest Disclosure Form | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/procedure-manual/procedure-manual-appendix-ii-uspstf-conflict-interest-disclosure-form
    July 01, 2017 - Type of Financial Interest Amount ($) Description Date Potential COI Occurred (mm/yy) Task … Member Relationship Type of Financial Interest Amount ($) Description Date Potential COI Occurred … Organization Role Type of Participation (Paid/Unpaid) Description Date Potential COI Occurred

  17. Procedure Manual Appendix II: USPSTF Conflict of Interest Disclosure Form | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-ii-uspstf-conflict-interest-disclosure-form
    July 01, 2017 - Type of Financial Interest Amount ($) Description Date Potential COI Occurred (mm/yy) … Member Relationship Type of Financial Interest Amount ($) Description Date Potential COI Occurred … Organization Role Type of Participation (Paid/Unpaid) Description Date Potential COI Occurred

  18. Contact Site Administrators -

    ecareplan.ahrq.gov/collaborate/contactadministrators.action
    reporting an error please be sure you include information on what you were doing and the time the problem occurred

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38016/psn-pdf
    August 27, 2008 - variability-concentrations-intravenous-drug-infusions-prepared-critical-care-unit This study found that errors frequently occurred

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39304/psn-pdf
    February 17, 2010 - pediatric-antidepressant-medication-errors-national-error-reporting-database This analysis of MEDMARX data found that harmful errors involving antidepressants most commonly occurred
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