Results

Total Results: 4,038 records

Showing results for "occurring".

281. Scanner beep only means the barcode has been scanned. | PSNet
     psnet.ahrq.gov/issue/scanner-beep-only-means-barcode-has-been-scanned
     June 10, 2018 - March 23, 2011 Medication errors occurring with the use of bar-code administration technology

282. Officials investigate infants' heparin OD at Texas hospital. | PSNet
     psnet.ahrq.gov/issue/officials-investigate-infants-heparin-od-texas-hospital
     January 27, 2009 - August 18, 2010 Medication errors occurring with the use of bar-code administration technology

283. Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis. | PSNet
     psnet.ahrq.gov/issue/alarm-interventions-during-medical-telemetry-monitoring-failure-mode-effects-analysis
     March 18, 2010 - March 18, 2010 Medication errors occurring with the use of bar-code administration technology

284. Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting. | PSNet
     psnet.ahrq.gov/issue/giving-back-pen-disclosure-apology-and-early-compensation-discussions-after-harm-healthcare
     April 26, 2012 - June 3, 2009 Managing the adverse event occurring during elective, ambulatory pediatric

285. Simulation to Improve Patient Safety: Getting Started. | PSNet
     psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-started
     June 26, 2024 - March 20, 2024 Why simulation matters: a systematic review on medical errors occurring

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73303/psn-pdf
     May 26, 2021 - data collection and reporting, organizations are able to identify when, and what types of, events are occurring … increasing data collection capabilities and ability to analyze where and how incidents of patient harm are occurring

287. 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

288. Primary care providers' perspectives on errors of omission. | PSNet
     psnet.ahrq.gov/issue/primary-care-providers-perspectives-errors-omission
     July 30, 2014 - qualitative study, researchers interviewed 26 primary care providers to characterize errors of omission occurring

289. 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

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49719/psn-pdf
     September 01, 2014 - Gaps of more than 10 minutes between successive blood pressure measurements are quite common, occurring … Documenting a value when it wasn't measured is the opposite of the commonly occurring problem where … decision support alert from the electronic anesthesia record would likely have prevented this error from occurring

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49668/psn-pdf
     October 01, 2012 - Opioid addiction is common in aging Americans who often have comorbid medical disorders and other co- occurring … First is the recognition that those with opioid dependence often have co-occurring illnesses that must … Those with co- occurring medical and mental disorders may benefit from being opioid maintained rather

292. Emergency intubation of children outside of the operating room. | PSNet
     psnet.ahrq.gov/issue/emergency-intubation-children-outside-operating-room
     May 27, 2011 - Intubation occurring outside the operating room (OR) is rare but associated with life-threatening adverse

293. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. | PSNet
     psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
     January 22, 2016 - The study found approximately 27% of high-alert medication uses had errors, with more occurring in the

294. Preventable adverse drug events: descriptive epidemiology. | PSNet
     psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidemiology
     October 17, 2012 - review conducted at four Canadian acute care hospitals describes preventable adverse drug events occurring

295. 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

296. Identifying diagnostic errors in primary care using an electronic screening algorithm. | PSNet
     psnet.ahrq.gov/issue/identifying-diagnostic-errors-primary-care-using-electronic-screening-algorithm
     April 04, 2011 - An electronic medical record was screened for hospitalizations or urgent visits occurring within 10 days

297. 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

298. Medication errors among adults and children with cancer in the outpatient setting. | PSNet
     psnet.ahrq.gov/issue/medication-errors-among-adults-and-children-cancer-outpatient-setting
     January 16, 2010 - to be 7.1% in the adult visits and 18.8% in the pediatric visits with more than half of all errors occurring

299. Adverse events after transition from ICU to hospital ward: a multicenter cohort study. | PSNet
     psnet.ahrq.gov/issue/adverse-events-after-transition-icu-hospital-ward-multicenter-cohort-study
     October 13, 2018 - during the transition from the intensive care unit (ICU)   to the hospital ward, with most (62%) occurring

300. From research to practice: factors affecting implementation of prospective targeted injury-detection systems. | PSNet
     psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
     August 04, 2021 - November 17, 2010 Medication errors occurring with the use of bar-code administration