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Total Results: over 10,000 records

Showing results for "occurred".

  1. 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

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36003/psn-pdf
    March 28, 2011 - that, since publication of the landmark Institute of Medicine (IOM) report, substantial growth has occurred

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34671/psn-pdf
    June 15, 2011 - The study found that adverse events occurred in 2.6% of all admissions.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47529/psn-pdf
    January 21, 2019 - This post-hoc analysis of the intervention found that most medication-related harm occurred in the community

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41925/psn-pdf
    November 26, 2014 - Both provider errors and patient misunderstanding occurred more frequently for medications prescribed

  6. 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

  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/36575/psn-pdf
    August 17, 2011 - Although the overall error rate was similar to a previous study, half of the potentially harmful errors occurred

  9. 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

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36346/psn-pdf
    April 11, 2011 - harm (near misses), such as unanticipated need for bag-mask ventilation or reversal of anesthesia, occurred

  11. 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

  12. 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

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38675/psn-pdf
    February 15, 2011 - These inconsistencies had high potential for causing adverse drug events, as many occurred in orders

  14. 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

  15. 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

  16. 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

  17. 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

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36334/psn-pdf
    October 26, 2010 - As in the outpatient arena, errors generally occurred due to failure to order diagnostic tests or interpret

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40636/psn-pdf
    November 21, 2011 - As in the earlier report, half of the incorrect procedures occurred outside of the operating room.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42208/psn-pdf
    April 17, 2013 - A high-profile fatal medication error that occurred while a nurse was working a double shift previously
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