Results

Total Results: 4,038 records

Showing results for "occurring".

241. Do no unconscious harm. | PSNet
     psnet.ahrq.gov/issue/do-no-unconscious-harm
     October 14, 2020 - March 2, 2022 Review of reported adverse events occurring among the homeless veteran

242. '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

243. Hospital finances and patient safety outcomes. | PSNet
     psnet.ahrq.gov/issue/hospital-finances-and-patient-safety-outcomes
     April 27, 2010 - Findings illustrated an inverse relationship, with the highest event rate occurring in hospitals with

244. Specialist physicians' attitudes and practice patterns regarding disclosure of pre-referral medical errors. | PSNet
     psnet.ahrq.gov/issue/specialist-physicians-attitudes-and-practice-patterns-regarding-disclosure-pre-referral
     November 02, 2018 - Investigators interviewed 30 oncologists to understand their attitudes toward disclosure of medical errors occurring

245. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. | PSNet
     psnet.ahrq.gov/issue/what-safety-events-are-reported-ambulatory-care-analysis-incident-reports-patient-safety
     November 24, 2021 - Predictors of higher harm included  diagnostic errors , patient/caregiver challenges, and events occurring

246. Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. | PSNet
     psnet.ahrq.gov/issue/adverse-safety-events-emergency-medical-services-care-children-out-hospital-cardiac-arrest
     May 18, 2022 - found that 60% of those children experienced at least one severe ASE, with the highest odds of ASE occurring

247. Intervention study for the reduction of medication errors in elderly trauma patients. | PSNet
     psnet.ahrq.gov/issue/intervention-study-reduction-medication-errors-elderly-trauma-patients
     December 18, 2019 - Researchers analyzed medication errors occurring in the trauma service of a single university hospital

248. The impact of COVID-19 workflow changes on radiation oncology incident reporting. | PSNet
     psnet.ahrq.gov/issue/impact-covid-19-workflow-changes-radiation-oncology-incident-reporting
     June 30, 2021 - examined how COVID-19-related workflow changes affected reporting of medical errors and near misses occurring

249. 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

250. 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.

251. '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.

252. 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

253. 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

254. Identifying medication errors in neonatal intensive care units: a two-center study | PSNet
     psnet.ahrq.gov/issue/identifying-medication-errors-neonatal-intensive-care-units-two-center-study
     November 11, 2020 - This study compared the incidence of medication errors occurring in two NICUs over a three-month period

255. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. | PSNet
     psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk
     March 01, 2023 - Based on a retrospective review of obstetrical adverse events occurring at one German hospital in 2018

256. A call for the application of patient safety culture in medical humanitarian action: a literature review. | PSNet
     psnet.ahrq.gov/issue/call-application-patient-safety-culture-medical-humanitarian-action-literature-review
     February 10, 2021 - The research identified describes patient safety initiatives occurring within three levels: (1) individual

257. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. | PSNet
     psnet.ahrq.gov/issue/reengineered-hospital-discharge-program-decrease-rehospitalization-randomized-trial
     August 04, 2021 - Adverse events after hospital discharge are disturbingly common , occurring in up to 1 in 5 hospitalized

258. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. | PSNet
     psnet.ahrq.gov/issue/developing-process-measure-actual-harm-medication-errors-paediatric-inpatients-design
     January 18, 2023 - the multidisciplinary panel identified actual harm in 89 cases, with three-quarters of actual harm occurring

259. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. | PSNet
     psnet.ahrq.gov/issue/using-failure-mode-effect-and-criticality-analysis-improve-safety-cancer-treatment
     October 21, 2020 - least one critical step identified, and actions were developed to reduce the likelihood of the error occurring

260. Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. | PSNet
     psnet.ahrq.gov/issue/repurposing-clinical-decision-support-system-data-measure-dosing-errors-and-clinician-level
     October 21, 2020 - Dose alert overrides had high sensitivity to detect medication prescribing errors occurring in an inpatient