Results

Total Results: 4,038 records

Showing results for "occurring".

101. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61112/psn-pdf
     November 11, 2020 - Dose alert overrides had high sensitivity to detect medication prescribing errors occurring in an inpatient

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60199/psn-pdf
     April 08, 2020 - mixed-methods approach to retrospectively analyze root cause analysis (RCA) reports of ‘never events’ occurring

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60991/psn-pdf
     October 07, 2020 - The authors identified a greater number of opioid overdoses occurring between March 1 to June 30, 2020

104. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60050/psn-pdf
     March 18, 2020 - non-physical harms (e.g., psychological harms), harms to caregivers and the healthcare workforce, and harms occurring

105. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73912/psn-pdf
     October 06, 2021 - The brief focuses on events occurring during childbirth and up to a week postpartum. 

106. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50622/psn-pdf
     November 06, 2019 - This retrospective cohort study examined outcomes of patients undergoing nonemergent cardiac surgery occurring

107. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60318/psn-pdf
     January 01, 2022 - barriers contribute to patient safety events, the authors analyzed near- miss and adverse event reports occurring

108. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/764394/psn-pdf
     March 02, 2022 - Errors and/or adverse events occurring in one emergency department (ED) were classified into one of

109. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61119/psn-pdf
     November 11, 2020 - decision-making strategies used by emergency medicine physicians, contributing factors to diagnostic errors occurring

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73662/psn-pdf
     September 01, 2021 - Researchers analyzed videotapes of in situ simulations to evaluate latent safety events occurring during

111. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50650/psn-pdf
     November 13, 2019 - safety in primary care settings and there is no clear definition of patient safety incidents and harm occurring

112. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72700/psn-pdf
     January 01, 2022 - control study compared missed acute coronary syndrome (ACS) cases to other cases with chest discomfort occurring

113. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50795/psn-pdf
     January 15, 2020 - incident-report This retrospective study reviewed incident reports to characterize diagnostic errors occurring

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43102/psn-pdf
     December 14, 2016 - diagnostic errors in interpretation of pediatric musculoskeletal radiographs were relatively rare, occurring

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33691/psn-pdf
     December 01, 2009 - champions, and (v) providing the necessary education to try to prevent these types of events from occurring … and, through this understanding, potentially prevent a disruptive event or communication mishap from occurring … sessions mentioned above are designed to improve understanding and responses to prevent the event from occurring … After the event, the issue must be addressed to prevent it from occurring again. … assumptions about the event lead to a better understanding, which is enough to prevent the event from occurring

116. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37598/psn-pdf
     March 12, 2008 - patient-safety-trauma-maximal-impact-management-errors-level-i-trauma- center In this study, all deaths occurring

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44485/psn-pdf
     September 09, 2015 - frequent rapid response activation and a nonsignificant decrease in the number of code blue events occurring

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60578/psn-pdf
     June 10, 2020 - The authors identified eleven thematic groups describing such hazards occurring at a systemic level,

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60297/psn-pdf
     January 01, 2021 - The research identified describes patient safety initiatives occurring within three levels: (1) individual

120. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73537/psn-pdf
     July 28, 2021 - Researchers examined safety events occurring at one children’s hospital over a nine-month period and