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Total Results: 4,231 records

Showing results for "occurring".

141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845637/psn-pdf
     March 08, 2023 - least one critical step identified, and actions were developed to reduce the likelihood of the error occurring

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50775/psn-pdf
     January 01, 2021 - A prior WebM&M describes a medication error occurring during an intrahospital transfer between the ICU

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72469/psn-pdf
     November 18, 2020 - weekend-effect-hospital-mortality-ischemic-and-hemorrhagic-stroke-us-rural- and-urban The ”weekend effect” refers to worse patient outcomes occurring

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72546/psn-pdf
     December 09, 2020 - This analysis of incident reports occurring at one hospital in Sweden found that the handling, causes

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46961/psn-pdf
     June 06, 2018 - A previous WebM&M commentary discussed a preventable adverse event occurring in part due to less intensive

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46760/psn-pdf
     January 24, 2018 - medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/systematic-evaluation-errors-occurring-during-preparation-intravenous-medication

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44149/psn-pdf
     June 03, 2015 - This commentary examines the literature on dialysis-related incidents occurring in the home setting

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44505/psn-pdf
     January 22, 2016 - benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review https://psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit

149. 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

150. Shakespeare was on target—don't be a borrower or lender. | PSNet
     psnet.ahrq.gov/issue/shakespeare-was-target-dont-be-borrower-or-lender
     May 11, 2022 - March 18, 2010 Medication errors occurring with the use of bar-code administration technology

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45924/psn-pdf
     March 15, 2017 - prospective study elicited incident reports from general practitioners for all types of adverse events occurring

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37646/psn-pdf
     April 11, 2011 - A preventable error occurring in an elderly patient is discussed in an AHRQ WebM&M commentary.

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36680/psn-pdf
     July 10, 2008 - An electronic medical record was screened for hospitalizations or urgent visits occurring within 10

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46246/psn-pdf
     June 25, 2018 - Investigators interviewed 30 oncologists to understand their attitudes toward disclosure of medical errors occurring

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44599/psn-pdf
     December 09, 2015 - observational study, investigators examined maternal and neonatal quality measures for deliveries occurring

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37648/psn-pdf
     January 12, 2012 - This study summarizes the types and severity of adverse events occurring in ASCs in Florida, gathered

157. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-318
     November 30, 2021 - Patient safety incidents occurring in prehospital care settings are gaining increasing attention. … The authors identified an average of 5.9 patient safety incidents per 100 records/transports/patients occurring … Study Review of reported adverse events occurring among the homeless veteran population … Patient safety incidents occurring in prehospital care settings are gaining increasing attention. … The authors identified an average of 5.9 patient safety incidents per 100 records/transports/patients occurring

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43626/psn-pdf
     November 05, 2014 - effects-skilled-nursing-facility-structure-and-process-factors-medication-errors- during According to this study, dose omissions were the most common medication errors occurring

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61037/psn-pdf
     January 01, 2021 - Predictors of higher harm included  diagnostic errors, patient/caregiver challenges, and events occurring

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39917/psn-pdf
     October 13, 2010 - prevalence-adverse-events-pediatric-intensive-care-units-united-states https://psnet.ahrq.gov//#triggers https://psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children