Results

Total Results: 4,038 records

Showing results for "occurring".

201. 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

202. 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

203. 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

204. 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

205. 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

206. 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

207. 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

208. 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,

209. 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

210. 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

211. 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

212. 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

213. 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

214. 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

215. 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

216. Guidelines for Design and Construction. | PSNet
     psnet.ahrq.gov/issue/guidelines-design-and-construction
     April 29, 2020 - November 4, 2020 Review of reported adverse events occurring among the homeless veteran

217. Adverse events and preventable adverse events in children. | PSNet
     psnet.ahrq.gov/issue/adverse-events-and-preventable-adverse-events-children
     March 24, 2011 - event rates (1% and 0.6%, respectively) were similar to those seen in adult populations, with most occurring

218. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? | PSNet
     psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
     February 24, 2011 - voluntary reporting systems indicates that approximately 1300 to 2700 WSPEs occur yearly, with many occurring

219. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. | PSNet
     psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
     December 22, 2018 - The  Wake Up Safe  initiative includes a registry of serious adverse events occurring in  pediatric anesthesia

220. Epidemiology of adverse events in air medical transport. | PSNet
     psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transport
     July 03, 2014 - Air transport of patients is generally safe, with possible patient harm occurring in approximately 1