Results

Total Results: 4,231 records

Showing results for "occurring".

221. 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

222. 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

223. 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,

224. 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

225. 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

226. 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

227. 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

228. 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

229. 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

230. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. | PSNet
     psnet.ahrq.gov/issue/diagnostic-errors-interpretation-pediatric-musculoskeletal-radiographs-common-injury-sites
     August 02, 2015 - diagnostic errors in interpretation of pediatric musculoskeletal radiographs were relatively rare, occurring

231. 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

232. Diagnostic error in a national incident reporting system in the UK. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk
     February 15, 2013 - error rate among events filed as incident reports , with the greatest harm associated with events occurring

233. 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

234. Catching deadly drug mistakes. | PSNet
     psnet.ahrq.gov/issue/catching-deadly-drug-mistakes
     January 13, 2016 - June 9, 2010 Medication errors occurring with the use of bar-code administration technology

235. When it's surgery, don't get it wrong. | PSNet
     psnet.ahrq.gov/issue/when-its-surgery-dont-get-it-wrong
     August 18, 2010 - October 17, 2012 Preventable harm occurring to critically ill children.

236. Medication assessment: one determinant of falls risk. | PSNet
     psnet.ahrq.gov/issue/medication-assessment-one-determinant-falls-risk
     July 24, 2013 - March 18, 2010 Medication errors occurring with the use of bar-code administration technology

237. 'Sorry' is still the hardest word. | PSNet
     psnet.ahrq.gov/issue/sorry-still-hardest-word
     June 16, 2014 - September 28, 2010 Preventable harm occurring to critically ill children.

238. Medication errors associated with documented allergies. | PSNet
     psnet.ahrq.gov/issue/medication-errors-associated-documented-allergies
     March 18, 2010 - March 18, 2010 Medication errors occurring with the use of bar-code administration technology

239. Emergency department crowding: the canary in the health care system. | PSNet
     psnet.ahrq.gov/issue/emergency-department-crowding-canary-health-care-system
     March 30, 2022 - February 17, 2021 Analysis of risk factors for patient safety events occurring in the

240. 'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death. | PSNet
     psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
     October 26, 2022 - September 28, 2022 Review of reported adverse events occurring among the homeless veteran