-
psnet.ahrq.gov/node/47204/psn-pdf
July 18, 2018 - Overdose deaths
occurred more among men than women and were most prevalent in patients aged 15 to 34
-
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/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/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/46188/psn-pdf
June 21, 2017 - 7 days of discharge from inpatient mental
health facilities determined that most cases of suicide occurred
-
psnet.ahrq.gov/node/44122/psn-pdf
January 01, 2016 - The extent of
patient harm which occurred or was averted was not reported.
-
psnet.ahrq.gov/node/39913/psn-pdf
October 13, 2010 - Interpretation errors occurred more frequently in
children and very elderly patients (older than 85
-
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/37226/psn-pdf
December 15, 2011 - Parents also did not consistently inform clinicians of ameliorable ADEs when they occurred,
leading
-
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/37648/psn-pdf
January 12, 2012 - The majority of deaths and hospital transfers occurred in patients
undergoing cosmetic procedures, incidents
-
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/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/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/36947/psn-pdf
September 09, 2011 - Patients were at substantial
risk of serious ADEs such as bleeding complications, which occurred at
-
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/38758/psn-pdf
July 08, 2009 - overall incidence of errors
appears low, most reported errors were considered preventable, as they occurred
-
psnet.ahrq.gov/node/36409/psn-pdf
September 28, 2016 - Using a high-paced emergency department (ED) setting, investigators discovered that
interruptions occurred
-
psnet.ahrq.gov/node/34698/psn-pdf
January 04, 2017 - process can fail, prioritize those failure modes, and take corrective action before failures
have occurred