Results

Total Results: 4,038 records

Showing results for "occurring".

201. Impact of nighttime rapid response team activation on outcomes of hospitalized patients with acute deterioration. | PSNet
     psnet.ahrq.gov/issue/impact-nighttime-rapid-response-team-activation-outcomes-hospitalized-patients-acute
     April 06, 2022 - A previous WebM&M commentary discussed a preventable adverse event occurring in part due to less intensive

202. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. | PSNet
     psnet.ahrq.gov/issue/patient-safety-home-hemodialysis-quality-assurance-and-serious-adverse-events-home-setting
     January 23, 2017 - This commentary examines the literature on dialysis-related incidents occurring in the home setting and

203. Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. | PSNet
     psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
     December 23, 2012 - This hearing examined a series of problems occurring in the VA system including unexplained deaths of

204. Identifying and addressing preventable process errors in trauma care. | PSNet
     psnet.ahrq.gov/issue/identifying-and-addressing-preventable-process-errors-trauma-care
     June 17, 2015 - Most preventable errors in trauma care were errors of omission, often occurring during the initial assessment

205. Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. | PSNet
     psnet.ahrq.gov/issue/health-literacy-related-safety-events-qualitative-study-health-literacy-failures-patient
     August 24, 2022 - Researchers examined safety events occurring at one children’s hospital over a nine-month period and

206. Using Safety-II and resilient healthcare principles to learn from Never Events. | PSNet
     psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
     February 20, 2019 - mixed-methods approach to retrospectively analyze root cause analysis (RCA) reports of ‘never events’ occurring

207. Medical malpractice litigation and daylight saving time. | PSNet
     psnet.ahrq.gov/issue/medical-malpractice-litigation-and-daylight-saving-time
     March 24, 2019 - transition to DST was not associated with higher severity patient safety incidents, but that events occurring

208. Identification of common themes from never events data published by NHS England. | PSNet
     psnet.ahrq.gov/issue/identification-common-themes-never-events-data-published-nhs-england
     April 07, 2021 - This study analyzed never events occurring between 2012 and 2020 in the National Health Services and

209. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
     January 12, 2022 - This retrospective study reviewed incident reports to characterize diagnostic errors occurring in

210. Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. | PSNet
     psnet.ahrq.gov/issue/missed-acute-coronary-syndrome-during-telephone-triage-out-hours-primary-care-lessons-case
     March 11, 2020 - case-control study compared missed acute coronary syndrome (ACS) cases to other cases with chest discomfort occurring

211. Medication reconciliation and patient safety in trauma: Applicability of existing strategies. | PSNet
     psnet.ahrq.gov/issue/medication-reconciliation-and-patient-safety-trauma-applicability-existing-strategies
     September 23, 2020 - medication errors due to the severity of their injuries and the multiple handoffs and transitions  often occurring

212. Assessing resident and attending error and adverse events in the emergency department. | PSNet
     psnet.ahrq.gov/issue/assessing-resident-and-attending-error-and-adverse-events-emergency-department
     November 25, 2020 - Errors and/or adverse events occurring in one emergency department (ED) were classified into one of

213. Learning from patient safety incidents: The Green Cross method. | PSNet
     psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method
     June 14, 2023 - with the Green Cross method, a proactive method to report and learn from patient safety incidents occurring

214. Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety. | PSNet
     psnet.ahrq.gov/issue/overlapping-surgery-orthopaedics-review-efficacy-surgical-costs-surgical-outcomes-and-patient
     November 03, 2021 - Overlapping surgeries, where one attending surgeon supervises two surgeries with noncritical portions occurring

215. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. | PSNet
     psnet.ahrq.gov/issue/starting-elective-cardiac-surgery-after-3-pm-does-not-impact-patient-morbidity-mortality-or
     February 12, 2020 - This retrospective cohort study examined outcomes of patients undergoing nonemergent cardiac surgery occurring

216. Safety climate associated with adverse events in nursing homes: a national VA study. | PSNet
     psnet.ahrq.gov/issue/safety-climate-associated-adverse-events-nursing-homes-national-va-study
     September 08, 2021 - This cross-sectional study examined the impact of safety climate on adverse events occurring in Veterans

217. Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. | PSNet
     psnet.ahrq.gov/issue/patient-safety-threats-information-management-using-health-information-technology-ambulatory
     April 01, 2020 - The authors identified eleven thematic groups describing such hazards occurring at a systemic level,

218. Safeguarding the storage of drug products. | PSNet
     psnet.ahrq.gov/issue/safeguarding-storage-drug-products
     December 15, 2010 - March 18, 2010 Medication errors occurring with the use of bar-code administration technology

219. Sterile water should not be given "freely." | PSNet
     psnet.ahrq.gov/issue/sterile-water-should-not-be-given-freely
     March 18, 2010 - Copy Citation Related Resources From the Same Author(s) Medication errors occurring

220. Look-alike, sound-alike drugs trigger dangers. | PSNet
     psnet.ahrq.gov/issue/look-alike-sound-alike-drugs-trigger-dangers
     June 29, 2016 - September 8, 2010 Medication errors occurring with the use of bar-code administration