Results

Total Results: 4,231 records

Showing results for "occurring".

281. Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. | PSNet
     psnet.ahrq.gov/issue/identifying-avoidable-harm-family-practice-randucla-appropriateness-method-consensus-study
     December 16, 2020 - safety in primary care settings and there is no clear definition of patient safety incidents and harm occurring

282. 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

283. 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

284. A strategic solution to preventing the harm associated with ambulance handover delays. | PSNet
     psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays
     July 22, 2020 - quality improvement project to decrease overall handover times as well the percentage of handovers occurring

285. Using automated methods to detect safety problems with health information technology: a scoping review. | PSNet
     psnet.ahrq.gov/issue/using-automated-methods-detect-safety-problems-health-information-technology-scoping-review
     April 07, 2019 - Machine learning was often used to detect errors occurring in laboratory test results, prescriptions,

286. Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. | PSNet
     psnet.ahrq.gov/issue/nonfatal-opioid-overdoses-urban-emergency-department-during-covid-19-pandemic
     March 24, 2021 - The authors identified a greater number of opioid overdoses occurring between March 1 to June 30, 2020

287. 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

288. Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. | PSNet
     psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19-pandemic
     October 07, 2020 - This study used natural language processing to identify and categorize diagnostic errors occurring during

289. 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

290. Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. | PSNet
     psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during
     April 24, 2018 - According to this study, dose omissions were the most common medication errors occurring during transitions

291. Reported medication events in a paediatric emergency research network: sharing to improve patient safety. | PSNet
     psnet.ahrq.gov/issue/reported-medication-events-paediatric-emergency-research-network-sharing-improve-patient
     April 03, 2013 - This study characterizes the types of medication errors occurring in pediatric emergency departments

292. Rapidly increasing rapid response team activation rates. | PSNet
     psnet.ahrq.gov/issue/rapidly-increasing-rapid-response-team-activation-rates
     February 18, 2015 - frequent rapid response activation and a nonsignificant decrease in the number of code blue events occurring

293. Association between day of delivery and obstetric outcomes: observational study. | PSNet
     psnet.ahrq.gov/issue/association-between-day-delivery-and-obstetric-outcomes-observational-study
     January 07, 2015 - observational study, investigators examined maternal and neonatal quality measures for deliveries occurring

294. Office surgery incidents: what seven years of Florida data show us. | PSNet
     psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us
     August 19, 2009 - This study summarizes the types and severity of adverse events occurring in ASCs in Florida, gathered

295. Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. | PSNet
     psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related
     October 17, 2018 - barriers   contribute to patient safety events, the authors analyzed near-miss and adverse event reports occurring

296. Safety in EMS. | PSNet
     psnet.ahrq.gov/issue/safety-ems
     March 14, 2018 - December 14, 2005 Root cause analyses of reported adverse events occurring during gastrointestinal

297. Your high-alert medication list—relatively useless without associated risk-reduction strategies. | PSNet
     psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction
     May 07, 2014 - January 30, 2013 Medication errors occurring with the use of bar-code administration

298. Are we finally getting serious about medical errors? | PSNet
     psnet.ahrq.gov/issue/are-we-finally-getting-serious-about-medical-errors
     May 11, 2016 - December 1, 2010 Medication errors occurring with the use of bar-code administration

299. Remote CPOE error—a situation that's more than remotely possible. | PSNet
     psnet.ahrq.gov/issue/remote-cpoe-error-situation-thats-more-remotely-possible
     May 07, 2018 - May 5, 2010 Medication errors occurring with the use of bar-code administration technology

300. Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? | PSNet
     psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
     June 10, 2018 - November 3, 2015 Medication errors occurring with the use of bar-code administration