Results

Total Results: 4,038 records

Showing results for "occurring".

1641. Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings: a scoping review and thematic analysis. | PSNet
      psnet.ahrq.gov/issue/health-professionals-experiences-whistleblowing-maternal-and-newborn-healthcare-settings
      November 02, 2010 - Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring

1642. A patient reported approach to identify medical errors and improve patient safety in the emergency department. | PSNet
      psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
      July 13, 2010 - June 2, 2021 Analysis of risk factors for patient safety events occurring in the emergency

1643. Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet
      psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
      July 16, 2015 - April 12, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal

1644. Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. | PSNet
      psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system
      July 14, 2018 - August 20, 2018 Review of reported adverse events occurring among the homeless veteran

1645. A systematic review of the psychological literature on interruption and its patient safety implications. | PSNet
      psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
      September 24, 2016 - September 24, 2016 Medication errors occurring with the use of bar-code administration

1646. In Conversation With… Shantanu Agrawal, MD, MPhil | PSNet
      psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
      February 26, 2025 - We have to be extremely skeptical of that event occurring even once. … I have some concern that there is just a proliferation of measures occurring without a lot of rigor put … The  To Err Is Human  report  identified deaths occurring in the American health care system because

1647. Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. | PSNet
      psnet.ahrq.gov/issue/multimodal-system-designed-reduce-errors-recording-and-administration-drugs-anaesthesia
      September 26, 2012 - March 23, 2011 Medication errors occurring with the use of bar-code administration technology

1648. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
      December 01, 2004 - Adverse drug events occurring following hospital discharge [abstract]. … Adverse drug events occurring following hospital discharge [abstract].

1649. Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? | PSNet
      psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
      July 01, 2016 - January 26, 2022 Analysis of risk factors for patient safety events occurring in the

1650. Supratherapeutic dosing of acetaminophen among hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospitalized-patients
      February 14, 2017 - October 30, 2010 Medication errors occurring with the use of bar-code administration

1651. Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. | PSNet
      psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
      June 01, 1989 - April 22, 2015 Baccalaureate nursing students' accounts of medical mistakes occurring

1652. Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. | PSNet
      psnet.ahrq.gov/issue/improving-health-care-quality-and-patient-safety-through-peer-peer-assessment-demonstration
      March 14, 2018 - September 29, 2021 Systematic evaluation of errors occurring during the preparation of

1653. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
      October 24, 2018 - April 12, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal

1654. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
      August 02, 2015 - April 12, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal

1655. Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. | PSNet
      psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific
      April 08, 2018 - March 19, 2019 Analysis of risk factors for patient safety events occurring in the emergency

1656. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49527/psn-pdf
      December 01, 2006 - The Commentary Background Errors in laboratory services encompass a number of problems occurring outside … physicians often attribute to errors inside the laboratory, are actually the result of preanalytic problems occurring … Specific Errors in This Case The particular error in this case is a mislabeling error occurring outside

1657. The Safety and Quality of Long Term Care | PSNet
      psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
      January 01, 2016 - warrants close assessment and aggressive management by nursing staff to prevent serious breakdown from occurring … constitute nearly 10% of Medicare admissions to acute care, with nearly 40% of these hospitalizations occurring … taking high risk medications such as anticoagulants are monitored daily to assure no adverse events are occurring

1658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49830/psn-pdf
      May 01, 2018 - In a recent study of adverse events occurring on mental health units in the Veterans Health Administration … Adverse events occurring on VHA mental health units. Gen Hosp Psychiatry. 2018;50:63-68.

1659. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33687/psn-pdf
      August 01, 2009 - downside of first-order problem solving is lack of communication, which hinders real improvement from occurring … Even this meager form of second-order problem solving was rare, occurring in only 7% of the situations

1660. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49650/psn-pdf
      March 01, 2012 - The most recent analysis described 46 deaths and 263 procedure-related complications occurring from … references https://psnet.ahrq.gov//#references Quality improvement strategies to prevent these events from occurring