Results

Total Results: 4,038 records

Showing results for "occurring".

161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34656/psn-pdf
     May 27, 2011 - data, an estimated 1.7 errors per patient-day occurred, with nearly 2 severe or detrimental errors occurring

162. 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

163. The nature of adverse events in dentistry. | PSNet
     psnet.ahrq.gov/issue/nature-adverse-events-dentistry
     November 01, 2023 - This study examined the incidence and characteristics of adverse events occurring at two dental clinics

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37687/psn-pdf
     February 22, 2011 - telephone-based diabetes self-management system to characterize the types and severity of adverse events occurring

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45174/psn-pdf
     November 18, 2016 - A WebM&M commentary discussed a case of a preventable death occurring shortly after a patient with schizophrenia

166. Patient falls in the operating room: why is this still a problem in 2024? | PSNet
     psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
     May 08, 2024 - This commentary describes the challenges of using national falls databases to learn from falls occurring

167. Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. | PSNet
     psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006
     August 06, 2008 - wrong site surgeries in Massachusetts and describes complex factors that may contribute to such errors occurring

168. Quantifying and characterizing adverse events in dermatologic surgery. | PSNet
     psnet.ahrq.gov/issue/quantifying-and-characterizing-adverse-events-dermatologic-surgery
     November 16, 2022 - prospective study found that the rate of adverse events in outpatient dermatologic surgery was very low, occurring

169. Promethazine conundrum: IV can hurt more than IM injection! | PSNet
     psnet.ahrq.gov/issue/promethazine-conundrum-iv-can-hurt-more-im-injection
     November 13, 2018 - of the misadministration of Promethazine and provides recommendations to minimize the risk of this occurring

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41176/psn-pdf
     March 02, 2012 - Of note, there was a reduced risk of deaths occurring on the weekends themselves; the risk came on subsequent

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855058/psn-pdf
     October 31, 2023 - But because violence is occurring across the country and workplace violence is occurring in healthcare … We know that violence is occurring, so organizations have to be diligent, and situational awareness … an error, doesn’t mean that they were the cause of that error, and should be able to stop it from occurring … Jones: A lot of training around de-escalation is occurring across the country in hospitals and various … Mossburg: Are you aware of any promising research exploring ways to prevent workplace violence from occurring

172. Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. | PSNet
     psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
     February 15, 2023 - has the potential to mitigate failures by designing workspaces and processes to prevent errors from occurring

173. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science. | PSNet
     psnet.ahrq.gov/issue/contribution-diagnostic-errors-maternal-morbidity-and-mortality-during-and-immediately-after
     February 17, 2021 - The brief focuses on events occurring during childbirth and up to a week postpartum. 

174. Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. | PSNet
     psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions
     March 23, 2022 - This article reviews diagnostic errors occurring in neonatal intensive care units (NICUs), error causes

175. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. | PSNet
     psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative
     March 29, 2023 - This retrospective review of 154 intraoperative deaths occurring between March 2010 and August 2022 at

176. Pediatric radiology malpractice claims—characteristics and comparison to adult radiology claims. | PSNet
     psnet.ahrq.gov/issue/pediatric-radiology-malpractice-claims-characteristics-and-comparison-adult-radiology-claims
     December 01, 2021 - developmental abnormalities—was the most common reason for a malpractice suit, with more than half of claims occurring

177. Patient safety in trauma: maximal impact management errors at a level I trauma center. | PSNet
     psnet.ahrq.gov/issue/patient-safety-trauma-maximal-impact-management-errors-level-i-trauma-center
     February 19, 2020 - In this study, all deaths occurring on a trauma service were reviewed in order to determine the number

178. Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study. | PSNet
     psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective-records-review-study
     December 01, 2021 - In this retrospective study, researchers examined patient records to describe patient harm occurring

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38411/psn-pdf
     December 16, 2014 - reengineered-hospital-discharge-program-decrease-rehospitalization- randomized-trial Adverse events after hospital discharge are disturbingly common, occurring

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43170/psn-pdf
     December 12, 2014 - The study found approximately 27% of high-alert medication uses had errors, with more occurring in the