Results

Total Results: 1,110 records

Showing results for "occurrence".

121. Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. | PSNet
     psnet.ahrq.gov/issue/weekend-effect-hospital-mortality-ischemic-and-hemorrhagic-stroke-us-rural-and-urban
     January 19, 2022 - June 15, 2022 Occurrence of no-harm incidents and adverse events in hospitalized patients … August 17, 2022 Occurrence of no-harm incidents and adverse events in hospitalized patients

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72672/psn-pdf
     January 27, 2021 - that a smart phone app providing just-in-time medication administration information could reduce the occurrence

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60359/psn-pdf
     May 20, 2020 - libraries when programing pumps and assessed equipment competency as actions to mitigate similar incident occurrence

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837000/psn-pdf
     May 06, 2022 - lessons-learned-about-human-fallibility-system-design-and-justice-aftermath- fatal-medication Organizational factors can contribute to the occurrence

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36860/psn-pdf
     January 20, 2016 - paper describes a tool that employs triggers to identify adverse events and measure their rate of occurrence

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41510/psn-pdf
     July 11, 2012 - us-inaction-lets-look-alike-tubes-kill-patients https://psnet.ahrq.gov/issue/tubing-misconnections-persistent-and-potentially-deadly-occurrence

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860732/psn-pdf
     April 16, 2024 - serious-incident Retained surgical items are never events that continue to occur despite efforts to reduce their occurrence

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867690/psn-pdf
     March 05, 2025 - Data from four studies that included 19-20 hospitals were analyzed to estimate the occurrence of diagnostic

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42202/psn-pdf
     May 01, 2013 - economic-measurement-medical-errors-using-hospital-claims-database https://psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36051/psn-pdf
     January 05, 2017 - using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys https://psnet.ahrq.gov/issue/tubing-misconnections-persistent-and-potentially-deadly-occurrence

131. Latent Error (or Latent Condition) | PSNet
     psnet.ahrq.gov/glossary/latent-error-or-latent-condition
     September 13, 2021 - latent conditions) refer to less apparent failures of organization or design that contributed to the occurrence

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72590/psn-pdf
     December 23, 2020 - effects-night-surgery-postoperative-mortality-and-morbidity-multicentre-cohort-study https://psnet.ahrq.gov/issue/association-between-night-time-surgery-and-occurrence-intraoperative-adverse-events-and

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848378/psn-pdf
     May 04, 2023 - safely-practicing-new-environment-qualitative-study-inform-physician-onboarding-practices https://psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72482/psn-pdf
     November 18, 2020 - reality Debriefing is an established strategy teams use to learn from critical events, reduce event occurrence

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865869/psn-pdf
     May 15, 2024 - primary, radiology, emergency, ambulatory surgery) in Massachusetts in 2018, were reviewed for any occurrence

136. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38588/psn-pdf
     July 13, 2009 - nursing-student-medication-errors-involving-tubing-and-catheters-descriptive-study https://psnet.ahrq.gov/issue/tubing-misconnections-persistent-and-potentially-deadly-occurrence

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44091/psn-pdf
     January 04, 2019 - safety-patients-isolated-infection-control https://psnet.ahrq.gov/issue/impact-contact-isolation-multidrug-resistant-organisms-occurrence-medical-errors-and-adverse

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44770/psn-pdf
     September 24, 2016 - psnet.ahrq.gov/issue/obstacles-research-effects-interruptions-healthcare Interruptions are a common occurrence

139. Impact of adverse events on outcomes in intensive care unit patients. | PSNet
     psnet.ahrq.gov/issue/impact-adverse-events-outcomes-intensive-care-unit-patients
     April 18, 2012 - March 20, 2015 Impact of contact isolation for multidrug-resistant organisms on the occurrence … September 30, 2015 Impact of contact isolation for multidrug-resistant organisms on the occurrence

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35700/psn-pdf
     February 15, 2010 - relatively common and identified sources of the errors along with factors that increase the likelihood of occurrence