-
psnet.ahrq.gov/node/851200/psn-pdf
July 05, 2023 - In addition,
post-event process gaps occurred, impacting learning and resolution such as a delay in
-
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
-
psnet.ahrq.gov/node/37132/psn-pdf
June 14, 2011 - Most errors occurred at the transcription stage, and a substantial proportion were attributed to
poor
-
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
-
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
-
psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - Two clinician reviewers judged misdiagnosis to have occurred in 5% of these
children presenting with … Major discrepancies
occurred in 41 shifts over a 13-month period. … Significantly more diagnostic errors occurred with salient distracting features, especially for
complex … examination showed that, for cases involving
diagnosis, changing an answer from incorrect to correct occurred
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/how-well-do-physicians-use
October 21, 2021 - Varied across studies HIT System: Varied Implementation: Overall use of information retrieval systems occurred
-
psnet.ahrq.gov/node/60231/psn-pdf
April 15, 2020 - preventable harm to patients (e.g., regular blood glucose tests may
have prevented a stroke that likely occurred
-
psnet.ahrq.gov/node/850346/psn-pdf
June 14, 2023 - Positive response strategies included
announcing that an error has occurred and the plan for managing
-
psnet.ahrq.gov/node/72743/psn-pdf
February 17, 2021 - Preventable medication harm
occurred most frequently during medication prescribing and monitoring.
-
psnet.ahrq.gov/node/837793/psn-pdf
August 10, 2022 - The most common preventable ADE both before
and after implementation occurred during the prescribing
-
psnet.ahrq.gov/node/73070/psn-pdf
March 24, 2021 - Missed opportunities occurred most
commonly in outpatient settings.
-
psnet.ahrq.gov/node/50750/psn-pdf
January 01, 2020 - Of the 1970
MRE identified, the highest number (42%) occurred during the administration phase, and a
-
psnet.ahrq.gov/node/841141/psn-pdf
December 07, 2022 - Among 320 referrals occurring in 2018, 38% of evaluations occurred
31 days or more after the referral
-
hcup-us.ahrq.gov/reports/statbriefs/sb49.pdf
April 01, 2008 - ospital deaths related to
atment occurred in infants
ildren younger than five
ld. … 79.4
t of maltreatment-related
ic hospitalizations.
36 percent of
lizations related to
atment occurred … Only 13.7
t occurred among children
n the wealthiest
nities. … In 2005, four out of five
maltreatment-related hospitalizations (79.4 percent) occurred among children … Only 5.0 percent of maltreatment-related stays occurred among teenagers aged 15 to 17
years old, but
-
psnet.ahrq.gov/node/46366/psn-pdf
September 27, 2017 - medical records of patients diagnosed with spinal epidural abscess and found
that a delay in diagnosis occurred
-
psnet.ahrq.gov/node/41000/psn-pdf
December 14, 2011 - study found that the medication errors identified by an emergency department pharmacist primarily
occurred
-
psnet.ahrq.gov/node/36027/psn-pdf
March 28, 2011 - medical-injuries-among-hospitalized-children
This AHRQ–funded study applied new screening criteria to capture health care injuries that occurred
-
psnet.ahrq.gov/node/37224/psn-pdf
December 15, 2011 - Unintentional medication errors, including taking the prescribed medication at the wrong dose or time,
occurred
-
psnet.ahrq.gov/node/43813/psn-pdf
January 20, 2015 - An adverse event was present in 12% of
return visits that occurred within 72 hours of the initial visit