-
psnet.ahrq.gov/node/34839/psn-pdf
April 06, 2011 - Problematic communication occurred in nearly one-third of all exchanges between
team members, and appeared
-
psnet.ahrq.gov/node/46226/psn-pdf
October 29, 2017 - and how such conversations can help restore the
patient–physician relationship after an error has occurred
-
psnet.ahrq.gov/node/48130/psn-pdf
August 07, 2019 - Investigators found that adverse
events occurred after approximately half of discharges.
-
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
-
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
-
psnet.ahrq.gov/node/44663/psn-pdf
September 27, 2016 - physician–nurse agreement about the care plan did not significantly change after this regionalization
occurred
-
psnet.ahrq.gov/node/45686/psn-pdf
January 18, 2017 - data found that the decrease in readmissions following the
Hospital Readmission Reduction Program occurred
-
psnet.ahrq.gov/node/45640/psn-pdf
September 01, 2018 - The majority of cases did not
involve substandard care, and disclosure occurred in more than 90% of
-
psnet.ahrq.gov/node/43289/psn-pdf
July 09, 2014 - According to this study, a lower proportion of cardiac arrests occurred outside the intensive care unit
-
psnet.ahrq.gov/node/47493/psn-pdf
January 27, 2019 - Despite this, coprescription
occurred in 44% of those prescribed dementia medication, and this medication
-
psnet.ahrq.gov/node/38046/psn-pdf
September 10, 2008 - clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-
analysis-100
This study discovered that autopsy-detected diagnostic errors occurred
-
psnet.ahrq.gov/node/45250/psn-pdf
July 27, 2016 - hospital's automated IV compounding workflow
management system, this study found that IV compounding errors occurred
-
psnet.ahrq.gov/node/45455/psn-pdf
June 29, 2017 - practices for error disclosure include being honest about what happened,
explicitly stating that an error occurred
-
psnet.ahrq.gov/node/34779/psn-pdf
December 21, 2014 - uses a multidisciplinary conference format to discuss cases in which a postoperative
complication occurred
-
psnet.ahrq.gov/node/35817/psn-pdf
July 21, 2010 - dialogue between an
attending physician, an intern, and a patient in disclosing news about an error that occurred
-
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
-
psnet.ahrq.gov/node/44256/psn-pdf
October 06, 2016 - made more errors
when distractions were present in the operating room compared to when no distraction occurred
-
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
-
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
-
psnet.ahrq.gov/node/46538/psn-pdf
February 21, 2018 - They found that adverse events occurred frequently, were mostly preventable, and often led to
patient