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AHRQ: Agency for Healthcare Research and Quality

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Total Results: over 10,000 records

Showing results for "occurred".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44001/psn-pdf
    May 06, 2015 - This study found that wrong- site block occurred at a rate of about 1 per 10,000 nerve blocks, and these

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45609/psn-pdf
    November 16, 2016 - organization, analyze the ways in which processes can fail, and take corrective action before failures have occurred

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37737/psn-pdf
    January 06, 2017 - All reported incidents were reviewed by physicians to determine if a true error occurred. 

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41887/psn-pdf
    January 07, 2015 - improved teamwork and safety climate, compared with procedures performed when changes in team members occurred

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43715/psn-pdf
    November 26, 2014 - Despite the robust effort, there were no differences in post-discharge adverse events, which occurred

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47156/psn-pdf
    November 28, 2018 - associated with the use of antidepressant or antipsychotic medications outside of health facilities occurred

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43087/psn-pdf
    April 02, 2014 - However, clinically significant errors still occurred in nearly half of all medication administrations

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60348/psn-pdf
    May 20, 2020 - The researchers found that 5.1 adverse drug events occurred per 100 overrides. 

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841772/psn-pdf
    December 21, 2022 - readmission could not be addressed by prior in-hospital medication reviews because the medication error occurred

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837202/psn-pdf
    May 25, 2022 - This analysis focused on patient safety incidents in Swedish prehospital care that occurred after 2015

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48130/psn-pdf
    August 07, 2019 - Investigators found that adverse events occurred after approximately half of discharges.

  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/47426/psn-pdf
    October 13, 2018 - patient complaints submitted to England's National Health Service to identify stages of care where harm occurred

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46877/psn-pdf
    March 14, 2018 - Information revealed by the data include impacts on length of stay, average costs, and whether the ADE occurred

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36999/psn-pdf
    September 15, 2011 - nature-and-occurrence-registration-errors-emergency-department This study describes several instances of near misses that occurred

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45686/psn-pdf
    January 18, 2017 - data found that the decrease in readmissions following the Hospital Readmission Reduction Program occurred

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40093/psn-pdf
    May 25, 2011 - retrospective-review-emergency-response-activations-during-13-year-period- tertiary-care This study found that 39% of emergency response activations occurred

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43981/psn-pdf
    April 22, 2015 - The investigators found that errors occurred in nearly half of all operations and frequently manifested

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43710/psn-pdf
    October 06, 2016 - medication administration safe practices approximately 11% per encounter, and administration errors occurred

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36900/psn-pdf
    April 18, 2011 - Agency for Healthcare Research and Quality (AHRQ) WebM&M commentary discusses a devastating error that occurred
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