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Showing results for "occurred".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49420/psn-pdf
    October 01, 2003 - Fortunately, no long-term sequelae occurred as a consequence of the errors in care suffered by this … Four distinct errors occurred in this case. … The errors in execution made by the original provider likely would not have occurred in less hectic … laboratory could have been more proactive about clarifying information, but had errors one and two not occurred

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49512/psn-pdf
    May 01, 2006 - The first error (or series of errors) occurred 2 weeks prior to admission when the staff in the ED who … The next group of errors occurred when the patient was admitted. … The final set of errors occurred prior to the patient receiving spinal anesthesia. … such as cardiac arrest and neurological complications.(9) The institution at which this adverse event occurred … process of identifying and labeling radiographs should be reviewed to discover exactly how the errors occurred

  3. AHRQ Mastectomy SB Infographic v15 (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/double-mastectomy.pdf
    February 01, 2016 - The rise in mastectomies occurred despite breast cancer rates remaining constant. 2005 2013 Sharp

  4. Psn-Pdf (pdf file)

    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.

  5. Psn-Pdf (pdf file)

    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

  6. Psn-Pdf (pdf file)

    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

  7. Psn-Pdf (pdf file)

    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

  8. Psn-Pdf (pdf file)

    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

  9. Psn-Pdf (pdf file)

    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

  10. Psn-Pdf (pdf file)

    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

  11. Psn-Pdf (pdf file)

    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

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45686/psn-pdf
    January 18, 2017 - data found that the decrease in readmissions following the Hospital Readmission Reduction Program occurred

  13. Psn-Pdf (pdf file)

    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

  14. Psn-Pdf (pdf file)

    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

  15. Psn-Pdf (pdf file)

    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

  16. Psn-Pdf (pdf file)

    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

  17. Psn-Pdf (pdf file)

    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

  18. Psn-Pdf (pdf file)

    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

  19. Psn-Pdf (pdf file)

    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

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34779/psn-pdf
    December 21, 2014 - uses a multidisciplinary conference format to discuss cases in which a postoperative complication occurred
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