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Showing results for "occurred".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39512/psn-pdf
    June 11, 2010 - An AHRQ WebM&M commentary discusses a near miss that occurred due to a misidentification error in the

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38639/psn-pdf
    May 20, 2009 - most common type of error, but misdiagnosis relating to poor communication between departments also occurred

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34656/psn-pdf
    May 27, 2011 - Based on the pooled data, an estimated 1.7 errors per patient-day occurred, with nearly 2 severe or

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37849/psn-pdf
    March 23, 2011 - 2000 report, To Err Is Human, garnered headlines for its estimate that up to 98,000 deaths per year occurred

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41301/psn-pdf
    April 18, 2012 - Most errors occurred at the preanalytic phase (before the specimen arrived in the laboratory), with

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47153/psn-pdf
    October 12, 2018 - The authors determined where process errors occurred, reviewed what factors were involved, and discussed

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36407/psn-pdf
    April 19, 2011 - adverse-events-experienced-while-transferring-critically-ill-patient-emergency- department This study evaluated nearly 300 adverse events that occurred

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34063/psn-pdf
    September 18, 2011 - Investigators analyzed 54 cases where foreign bodies requiring reoperation occurred and drew comparisons

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34769/psn-pdf
    March 28, 2005 - Those who have worked in a health care organization in which a prominent, adverse event has occurred

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40891/psn-pdf
    January 19, 2012 - the study was limited by poor interrater reliability between physician reviewers on whether an error occurred

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39193/psn-pdf
    April 21, 2011 - of errors, only 15% of radiologists said they would discuss the specifics of the error and how it occurred

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35855/psn-pdf
    October 25, 2013 - than $9 billion in excess cost during 2002-2004, and more than 250,000 potentially preventable deaths occurred

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41963/psn-pdf
    February 01, 2013 - of all errors were disclosed to patients, regardless of the error's severity or setting in which it occurred

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41327/psn-pdf
    November 27, 2012 - Patient Safety Indicators as a screening tool, the authors found that multiple patient safety events occurred

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41876/psn-pdf
    December 04, 2016 - An AHRQ WebM&M case discusses a preventable adverse event that occurred in a palliative care patient

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38205/psn-pdf
    November 12, 2008 - Overall, errors requiring pharmacy intervention occurred at a rate comparable to prior studies, but

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36154/psn-pdf
    September 29, 2010 - errors, the classes of medications frequently associated with error, and the types of errors that occurred

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42721/psn-pdf
    December 12, 2014 - This observational study within a tertiary hospital in urban India found that errors occurred in 13.6%

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41192/psn-pdf
    November 26, 2014 - This study found that reconciliation errors occurred frequently at both these transition times; 42%

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36807/psn-pdf
    October 25, 2013 - nearly $9 billion in excess cost during 2003-2005, and nearly 250,000 potentially preventable deaths occurred
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