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Total Results: 4,035 records

Showing results for "occurring".

1801. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49643/psn-pdf
      December 01, 2011 - disorder in which the body's immune system attacks part of the peripheral nervous system, usually occurring

1802. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49660/psn-pdf
      August 01, 2012 - psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news The Commentary Almost a quarter of all medical errors occurring

1803. Slow Down: Right Drug, Wrong Formulation | PSNet
      psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
      October 13, 2018 - formulations with earlier and 2 to 4 times higher peak levels as well as more peak-to-trough level variation occurring

1804. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41568/psn-pdf
      April 05, 2013 - Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. April 5, 2013 Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. BMJ Qual Saf. 2012;21(9):737-745. doi:10.…

1805. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60348/psn-pdf
      May 20, 2020 - High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events. May 20, 2020 Edrees H, Amato MG, Wong A, et al. High-priority drug-drug interaction clinical decision support overrid…

1806. 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

1807. 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].

1808. 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

1809. 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

1810. 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

1811. 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

1812. 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

1813. 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

1814. 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

1815. 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

1816. 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

1817. 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

1818. 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.

1819. 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

1820. Right Patient, Wrong Sample | PSNet
      psnet.ahrq.gov/web-mm/right-patient-wrong-sample
      June 01, 2004 - The Commentary Background Errors in laboratory services encompass a number of problems occurring outside … 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