-
psnet.ahrq.gov/node/49533/psn-pdf
March 01, 2007 - methicillin-
resistant Staphylococcus aureus (MRSA) and aerobic gram-negative bacilli should have occurred
-
psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - Job Safety Behavioral Observation team used the Job
Safety Analysis to predict an injury before it occurred
-
psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
January 01, 2020 - reminded to
collect necessary lab tests, timely follow-up in the Infectious
Diseases clinic would have occurred
-
psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - floors) often goes unrecognized until their condition
worsens, necessitating urgent intervention as occurred
-
psnet.ahrq.gov/node/49659/psn-pdf
July 01, 2012 - instructions
provided to a deceased patient.(6) While these kinds of documentation errors undoubtedly occurred
-
psnet.ahrq.gov/node/33739/psn-pdf
October 01, 2012 - Hendrich and colleagues (20) found that most falls occurred when
patients attempted to get out of bed
-
psnet.ahrq.gov/node/49487/psn-pdf
August 21, 2005 - Although the
error increased risk for an infectious or thrombotic complication, removal of the catheter occurred
-
psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - In 2001, an accident occurred in our
interventional MRI room when a piece of equipment flew across the
-
meps.ahrq.gov/data_files/publications/st526/stat526.pdf
October 01, 2019 - estimating expenses for flu
treatment at the person level, ambulatory visits associated with flu that occurred
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/eko8Cp28pZ3SHHfyvTXJW5
May 13, 2025 - In
a US national sample, approximately 5% of congenital syphi-
lis cases occurred in pregnancies that
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.308_slideshow.ppt
October 01, 2013 - convey this information.
8
8
Case: Gender Variance (3)
The clinician acknowledged the error when it occurred
-
psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
March 27, 2024 - thorough review of the patient’s medication list to identify potential drug-drug interactions should have occurred
-
psnet.ahrq.gov/web-mm/workaround-error
October 30, 2024 - nurses were interrupted approximately six times per hour during their shift, and most interruptions occurred
-
effectivehealthcare.ahrq.gov/sites/default/files/cer-238-cervical-ripening-evidence-summary.pdf
March 01, 2021 - cephalohematoma, and scalp laceration plus cephalohematoma; authors did not report which specific injuries occurred
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-234-headaches-pregnancy-summary.pdf
November 01, 2020 - No serious maternal adverse effects occurred (low SoE).
-
meps.ahrq.gov/data_files/publications/st128/stat128.pdf
June 01, 2006 - Most of this increase occurred between 2001 and 2003.
-
psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
September 01, 2005 - Of note, compartment syndrome, as occurred in this case, was relatively rare—10 cases (0.6%).
-
psnet.ahrq.gov/web-mm/listen-family
April 15, 2015 - JCAHO showed that in 36% of cases the wrong patient was operated on, in 44% right and left mix-ups occurred
-
psnet.ahrq.gov/node/74242/psn-pdf
January 07, 2022 - that no radiotracer dye had been injected for the SNLB – a key process
step that was supposed to have occurred
-
psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - , for example, showed that 65% of toxic theophylline levels received by their toxicology laboratory occurred