-
psnet.ahrq.gov/node/40028/psn-pdf
December 01, 2010 - The safety events occurred at
higher rates in both black and white patients at these hospitals.
-
psnet.ahrq.gov/node/37000/psn-pdf
September 15, 2011 - Approximately 30 unexpected deaths occurred per 100,000 ED discharges, and a potential error or
misdiagnosis
-
psnet.ahrq.gov/node/46869/psn-pdf
April 11, 2018 - The sharpest rise occurred among 11–18 year olds, and nearly one-
third of opioid prescriptions were
-
psnet.ahrq.gov/node/43710/psn-pdf
October 06, 2016 - medication administration safe
practices approximately 11% per encounter, and administration errors occurred
-
psnet.ahrq.gov/node/47096/psn-pdf
November 14, 2018 - of the Veterans Health Administration root cause analysis database identified adverse events
that occurred
-
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
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016156-obrien-final-report-2009.pdf
January 01, 2009 - Review and restructuring of
care processes and workflow occurred and was hardwired into the EHR system … The implementation of a sophisticated clinical information system in seven CAHs occurred
because they … The second survey (Wave 2) occurred a year later after Phase I of readiness had
occurred. … The third survey (Wave 3) occurred one year later, and following the activation
for Phase II. … A further set of changes
occurred as a result of specific aspects of this EHR10 project.
-
psnet.ahrq.gov/node/61037/psn-pdf
January 01, 2021 - Over half of the events were from outpatient subspecialty care; fewer events occurred in
home/community
-
psnet.ahrq.gov/node/44715/psn-pdf
May 19, 2019 - Most cases occurred in ambulatory care settings, suggesting that current health
IT may not be optimally
-
psnet.ahrq.gov/node/35028/psn-pdf
May 27, 2011 - Results include detailed description of the
error types, the point at which the error occurred in the
-
psnet.ahrq.gov/node/34670/psn-pdf
January 01, 2006 - That is, when subjects were informed
an outcome had occurred, it biased their hindsight view of events
-
psnet.ahrq.gov/node/38414/psn-pdf
March 31, 2009 - the National Patient Safety Agency found that most safety problems
associated with airway devices occurred
-
psnet.ahrq.gov/node/34893/psn-pdf
February 26, 2009 - More than 800 ADEs occurred during the 9-month study period, with nearly
42% deemed preventable.
-
psnet.ahrq.gov/node/44761/psn-pdf
January 06, 2016 - colors for syringes)
following the first event and made further revisions when the second incident occurred
-
psnet.ahrq.gov/node/37648/psn-pdf
January 12, 2012 - The majority of deaths and hospital transfers occurred in patients
undergoing cosmetic procedures, incidents
-
psnet.ahrq.gov/node/36797/psn-pdf
August 26, 2011 - The surgeon-reviewers identify several problems in the categories of diagnosis and treatment
that occurred
-
psnet.ahrq.gov/node/44929/psn-pdf
February 08, 2017 - Review of 1574 records from inpatient admissions
revealed that adverse events occurred in approximately
-
psnet.ahrq.gov/node/34829/psn-pdf
April 06, 2011 - METs, which included development and dissemination of objective
activation criteria, a 17% decrease occurred
-
psnet.ahrq.gov/node/43799/psn-pdf
January 07, 2015 - The investigation found that more than half of errors occurred
during the administration process, and
-
psnet.ahrq.gov/node/36947/psn-pdf
September 09, 2011 - Patients were at substantial
risk of serious ADEs such as bleeding complications, which occurred at