Results

Total Results: 4,038 records

Showing results for "occurring".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36366/psn-pdf
     April 11, 2011 - Adverse events were relatively common, occurring at a rate of 0.74 per patient, most of which were preventable

182. Suicidal patient slips through the cracks. | PSNet
     psnet.ahrq.gov/issue/suicidal-patient-slips-through-cracks
     November 26, 2013 - points of failure in the patient’s care and the other that shares strategies to prevent the event from occurring

183. Patient safety incidents are common in primary care: a national prospective active incident reporting survey. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-are-common-primary-care-national-prospective-active-incident
     July 24, 2024 - prospective study elicited incident reports from general practitioners for all types of adverse events occurring

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43016/psn-pdf
     May 28, 2014 - home care adverse event reporting system, analogous to state reporting systems for serious errors occurring

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40904/psn-pdf
     January 04, 2012 - An AHRQ WebM&M commentary discusses a case of a medication error occurring in an acutely ill patient

186. Improving Safety and Security for Veterans Act of 2020. | PSNet
     psnet.ahrq.gov/issue/improving-safety-and-security-veterans-act-2020
     March 25, 2020 - June 22, 2007 Preventable harm occurring to critically ill children.

187. Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. | PSNet
     psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
     June 02, 2021 - Using RCA data from the Veterans Health Administration (VHA), this study characterized adverse events occurring

188. Zero harm in health care. | PSNet
     psnet.ahrq.gov/issue/zero-harm-health-care
     August 12, 2020 - non-physical harms (e.g., psychological harms), harms to caregivers and the healthcare workforce, and harms occurring

189. Elopement: evidence-based mitigation and management. | PSNet
     psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
     October 19, 2022 - After implementation, the number of elopements occurring over a six-month period decreased from 34 to

190. Errors originating in hospital and health-system outpatient pharmacies. | PSNet
     psnet.ahrq.gov/issue/errors-originating-hospital-and-health-system-outpatient-pharmacies
     December 19, 2016 - According to this analysis of more than 1000 reports of errors occurring in community pharmacies , more

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41223/psn-pdf
     March 21, 2012 - the role of England's Care Quality Commission in their own regulatory investigation of major issues occurring

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39116/psn-pdf
     April 30, 2014 - missed or delayed diagnoses were pulmonary embolism and drug reactions or overdose, with the errors occurring

193. Medication errors' causes analysis in home care setting: a systematic review. | PSNet
     psnet.ahrq.gov/issue/medication-errors-causes-analysis-home-care-setting-systematic-review
     August 17, 2022 - Causes of medication errors occurring in home care may differ from those in the hospital setting.

194. Errors in adult trauma resuscitation: a systematic review. | PSNet
     psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review
     December 01, 2021 - This systematic review identified 39 unique errors occurring in trauma resuscitation involving emergency

195. Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods analysis. | PSNet
     psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion-safety-incidents
     December 16, 2020 - Approximately 72% described harms with breakdowns occurring in three processes: monitoring and supply

196. Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. | PSNet
     psnet.ahrq.gov/issue/adverse-events-among-emergency-department-patients-cardiovascular-conditions-multicenter
     December 01, 2021 - This cohort study analyzed adverse events occurring among patients discharged from the ED with cardiovascular

197. Enteral nutrition: an underappreciated source of patient safety events. | PSNet
     psnet.ahrq.gov/issue/enteral-nutrition-underappreciated-source-patient-safety-events
     February 01, 2023 - Enteral nutrition (EN) therapies are vulnerable to the same types of errors as those occurring in the

198. Maternal sleepiness and risk of infant drops in the postpartum period. | PSNet
     psnet.ahrq.gov/issue/maternal-sleepiness-and-risk-infant-drops-postpartum-period
     October 19, 2022 - Nursing observations and formal assessments of mothers' sleepiness prevented infant drops from occurring

199. Register-based research of adverse events revealing incomplete records threatening patient safety. | PSNet
     psnet.ahrq.gov/issue/register-based-research-adverse-events-revealing-incomplete-records-threatening-patient
     October 06, 2021 - retrospective review of patient incident reports in Finland found that nearly half of the 82,353 incidents occurring

200. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. | PSNet
     psnet.ahrq.gov/issue/retrospective-review-serious-surgical-incidents-5-large-uk-teaching-hospitals-system-based
     May 26, 2021 - This study reviewed serious surgical incidents occurring at large teaching hospitals in one National