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Showing results for "occurring".

21. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37156/psn-pdf
    October 06, 2011 - Preventable harm occurring to critically ill children. … Preventable harm occurring to critically ill children. Pediatr Crit Care Med. 2007;8(4):331-336. … https://psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children This retrospective cohort … https://psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children https://psnet.ahrq.gov

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73067/psn-pdf
    March 24, 2021 - changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit- zero-preventable The authors examined contributors to error-associated deaths occurring … between 1996-2004 and 2005- 2014 and identified a shift from deaths occurring during the early phase … of care (e.g., failed resuscitation and hemorrhage) to deaths occurring during the recovery phase (

23. Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. | PSNet
    psnet.ahrq.gov/issue/baccalaureate-nursing-students-accounts-medical-mistakes-occurring-clinical-setting
    June 24, 2009 - Study Baccalaureate nursing students' accounts of medical mistakes occurring in the … Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications … Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications

24. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38360/psn-pdf
    March 18, 2010 - Medication errors occurring with the use of bar-code administration technology. … https://psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology This … https://psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology

25. Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet
    psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
    March 23, 2022 - The authors examined contributors to error-associated deaths occurring between 1996-2004 and 2005-2014 … and identified a shift from deaths occurring during the early phase of care (e.g., failed resuscitation … and hemorrhage) to deaths occurring during the recovery phase (e.g., respiratory failure from aspiration

26. Sharing lessons learned to prevent adverse events in anesthesiology nationwide. | PSNet
    psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
    April 12, 2019 - Veterans Health Administration efforts surrounding the lessons learned process for adverse events occurring … August 18, 2010 Root cause analyses of reported adverse events occurring during gastrointestinal … October 18, 2023 Root cause analyses of reported adverse events occurring during gastrointestinal

27. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74256/psn-pdf
    January 19, 2022 - Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring … Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring

28. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837671/psn-pdf
    July 13, 2022 - Safety Reporting System (PA-PRS), this study characterized healthcare-associated infections (HAIs) occurring … Researchers found that HAIs occurring at long-term care facilities decreased, but it is unknown whether

29. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74074/psn-pdf
    November 17, 2021 - https://psnet.ahrq.gov/issue/how-safe-prehospital-care-systematic-review Patient safety incidents occurring … authors identified an average of 5.9 patient safety incidents per 100 records/transports/patients occurring

30. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60030/psn-pdf
    March 11, 2020 - reducing-adverse-events This study examined the impact of safety climate and team processes on patient safety events occurring … The authors analyzed 858 transfers occurring over a 4-week period and assessed safety climate and team

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74134/psn-pdf
    December 01, 2021 - In this study, patient deaths occurring within 7 days of ED discharge were analyzed to determine if … remember-patient-you-saw-last-week-characteristics-and-frequency-patients-experiencing https://psnet.ahrq.gov/issue/analysis-risk-factors-patient-safety-events-occurring-emergency-department

32. Adverse patient safety events during the COVID epidemic. | PSNet
    psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
    May 03, 2023 - Patient Safety data, this retrospective study characterized patient safety events related to COVID-19 occurring … October 24, 2018 Review of reported adverse events occurring among the homeless veteran

33. Remember that patient you saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death following ED discharge. | PSNet
    psnet.ahrq.gov/issue/remember-patient-you-saw-last-week-characteristics-and-frequency-patients-experiencing
    March 10, 2021 - In this study, patient deaths occurring within 7 days of ED discharge were analyzed to determine if the … April 27, 2022 Analysis of risk factors for patient safety events occurring in the emergency

34. How safe is prehospital care? A systematic review. | PSNet
    psnet.ahrq.gov/issue/how-safe-prehospital-care-systematic-review
    February 24, 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

35. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. | PSNet
    psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
    July 06, 2022 - Safety Reporting System (PA-PRS), this study characterized healthcare-associated infections (HAIs) occurring … Researchers found that HAIs occurring at long-term care facilities decreased, but it is unknown whether

36. Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. | PSNet
    psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system
    August 04, 2021 - This analysis of incident reports occurring at one hospital in Sweden found that the handling, causes … June 15, 2022 Root cause analyses of reported adverse events occurring during gastrointestinal

37. Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. | PSNet
    psnet.ahrq.gov/issue/soft-factors-smooth-transport-role-safety-climate-and-team-processes-reducing-adverse-events
    September 27, 2016 - This study examined the impact of safety climate and team processes on patient safety events occurring … The authors analyzed 858 transfers occurring over a 4-week period and assessed  safety climate and team

38. Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency. | PSNet
    psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical-incident
    July 27, 2016 - This case study describes the use of root cause analysis t o investigate a critical incident occurring … Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring

39. Identification of adverse events in ground transport emergency medical services. | PSNet
    psnet.ahrq.gov/issue/identification-adverse-events-ground-transport-emergency-medical-services
    August 26, 2020 - June 23, 2021 Review of reported adverse events occurring among the homeless veteran … June 16, 2009 Root cause analyses of reported adverse events occurring during gastrointestinal

40. The patient died: what about involvement in the investigation process? | PSNet
    psnet.ahrq.gov/issue/patient-died-what-about-involvement-investigation-process
    June 24, 2020 - September 23, 2020 Root cause analyses of reported adverse events occurring during gastrointestinal … March 25, 2020 Review of reported adverse events occurring among the homeless veteran