Results

Total Results: over 10,000 records

Showing results for "occurred".

441. 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

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39123/psn-pdf
     April 30, 2014 - Errors occurred in virtually all specialties that perform procedures.

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34689/psn-pdf
     February 10, 2011 - The authors break down ADEs by drug class and by the stage at which the error occurred (ordering, transcription

444. 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

445. 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.

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46578/psn-pdf
     April 29, 2018 - The taxonomy includes the origin of the error, which most commonly occurred with introduction of a new

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38621/psn-pdf
     February 18, 2011 - Investigators targeted those cases where a delay of at least 90 days occurred between symptom onset

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37499/psn-pdf
     January 10, 2017 - such events were not “present on admission”—a new coding category to identify patients whose events occurred

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37096/psn-pdf
     June 24, 2010 - Furthermore, cases where an in-hospital complication occurred did not receive significantly higher financial

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44302/psn-pdf
     August 04, 2015 - day-hospital-mortality- day-week The weekend effect of worse patient outcomes when admissions or procedures occurred

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44743/psn-pdf
     December 22, 2017 - nurses, patients, and caregivers about whether readmissions were preventable and why readmissions occurred

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41764/psn-pdf
     January 18, 2013 - after discharge increased by 22% if an adverse event (measured by the AHRQ Patient Safety Indicators) occurred

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44112/psn-pdf
     November 03, 2015 - This retrospective study used medical record review to uncover if medical error occurred in cases of

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37063/psn-pdf
     January 02, 2017 - significant barriers to reporting errors and did not report positive learning experiences when errors occurred

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41884/psn-pdf
     December 21, 2014 - Notably, these errors occurred at hospitals with computerized provider order entry systems, and the

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47173/psn-pdf
     June 06, 2018 - Most of the calls were classified as unintentional and occurred in patients who had been prescribed

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45608/psn-pdf
     October 27, 2016 - Investigators found that omission of vital sign recording occurred more than one third of the time.

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43299/psn-pdf
     December 23, 2016 - Most outbreaks occurred in hospitals, but a large number of cases also came from outpatient pain management

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41795/psn-pdf
     September 07, 2016 - Recently, a shortage of medicinal-grade ethanol occurred due to a temporary shutdown of the sole supplier

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35032/psn-pdf
     February 03, 2011 - They summarize the shifts in thinking that have occurred, from blaming individual physicians towards