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Total Results: over 10,000 records

Showing results for "occurred".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43244/psn-pdf
    June 18, 2014 - The majority of clinical deteriorations occurred within 48 hours of admission, often while the patient
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41952/psn-pdf
    January 16, 2013 - After the system improvements were implemented, no similar errors occurred and multiple near misses
  3. 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
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836774/psn-pdf
    March 23, 2022 - Out-of-hours discharges often occurred prematurely, without adequate handovers, and involved patients
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852746/psn-pdf
    August 23, 2023 - Diagnostic errors occurred most often in the testing, assessment, and follow-up phases, with human factors
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764396/psn-pdf
    March 02, 2022 - a mobile health tool, pediatric patients and families were encouraged to report safety events that occurred
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44915/psn-pdf
    January 01, 2020 - Although research suggests that EHRs have had an overall positive effect, unexpected consequences have occurred
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47502/psn-pdf
    June 02, 2019 - retrospective study of critical events in inpatient anesthesiology practice found that debriefing occurred
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850161/psn-pdf
    June 07, 2023 - Overall, most incidents occurred at the prescribing stage, but varied by patient age group.
  10. 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
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39303/psn-pdf
    February 17, 2010 - Errors occurred in all three states of the test cycle.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44559/psn-pdf
    April 15, 2016 - Researchers determined that diagnostic errors occurred in 35 of 100 reviewed cases, with the majority
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44015/psn-pdf
    September 09, 2015 - safety-clinical-and-non-clinical-decision-makers-telephone-triage-narrative- review This narrative review of safety in telephone triage found that the lowest error rates occurred
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42781/psn-pdf
    December 04, 2013 - simulator-based study observed trauma teams and found that proven techniques, such as closed-loop communication, occurred
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41215/psn-pdf
    September 04, 2013 - A case of an ultimately fatal adverse event that occurred while a patient was being transported from
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35175/psn-pdf
    June 23, 2009 - overnight-and-postcall-errors-medication-orders This study examined the incidence of prescribing errors that occurred
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40745/psn-pdf
    September 07, 2011 - However, direct verbal communication occurred in only a small minority of cases, and several preventable
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45941/psn-pdf
    March 08, 2017 - Three major insulin administration errors occurred, which led to training and process changes in order
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44402/psn-pdf
    January 22, 2016 - communication-amc-va-end-shift This qualitative analysis found that anticipatory management conversation occurred
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41210/psn-pdf
    January 03, 2017 - case-study-safety-impact-implementing-smart-patient-controlled-analgesic- pumps-tertiary-care After adverse events occurred