Results

Total Results: 4,231 records

Showing results for "occurring".

41. Identification of adverse events in ground transport emergency medical services. | PSNet
    psnet.ahrq.gov/issue/identification-adverse-events-ground-transport-emergency-medical-services
    August 26, 2020 - June 23, 2021 Review of reported adverse events occurring among the homeless veteran … June 16, 2009 Root cause analyses of reported adverse events occurring during gastrointestinal

42. The patient died: what about involvement in the investigation process? | PSNet
    psnet.ahrq.gov/issue/patient-died-what-about-involvement-investigation-process
    June 24, 2020 - September 23, 2020 Root cause analyses of reported adverse events occurring during gastrointestinal … March 25, 2020 Review of reported adverse events occurring among the homeless veteran

43. Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. | PSNet
    psnet.ahrq.gov/issue/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations-persons-serious
    August 09, 2017 - A WebM&M commentary discussed a case of a preventable death occurring shortly after a patient with … February 29, 2012 Classification of adverse events occurring in a surgical intensive

44. Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. | PSNet
    psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused
    April 11, 2011 - Adverse events were relatively common, occurring at a rate of 0.74 per patient, most of which were preventable … March 6, 2013 Preventable harm occurring to critically ill children.

45. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. | PSNet
    psnet.ahrq.gov/issue/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration
    January 17, 2019 - August 21, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal … November 24, 2021 Review of reported adverse events occurring among the homeless veteran

46. Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. | PSNet
    psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons
    August 21, 2019 - November 21, 2012 Root cause analyses of reported adverse events occurring during gastrointestinal … View More Related Resources Root cause analyses of reported adverse events occurring

47. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet
    psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
    March 25, 2020 - Related Resources From the Same Author(s) Root cause analyses of reported adverse events occurring … March 18, 2020 Review of reported adverse events occurring among the homeless veteran

48. Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. | PSNet
    psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
    June 23, 2021 - October 21, 2020 Root cause analyses of reported adverse events occurring during gastrointestinal … March 25, 2020 Review of reported adverse events occurring among the homeless veteran

49. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. | PSNet
    psnet.ahrq.gov/issue/veterans-health-administration-response-covid-19-crisis-surveillance-action
    November 17, 2021 - Related Resources From the Same Author(s) Review of reported adverse events occurring … November 24, 2021 Root cause analyses of reported adverse events occurring during gastrointestinal

50. A review of adverse event reports from emergency departments in the Veterans Health Administration. | PSNet
    psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration
    November 17, 2021 - Related Resources From the Same Author(s) Review of reported adverse events occurring … November 17, 2021 Root cause analyses of reported adverse events occurring during gastrointestinal

51. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-involving-opioid-overdoses-veterans-health-administration
    November 17, 2021 - Related Resources From the Same Author(s) Review of reported adverse events occurring … October 29, 2017 Root cause analyses of reported adverse events occurring during gastrointestinal

52. Root cause analysis of ICU adverse events in the Veterans Health Administration. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration
    June 23, 2021 - August 11, 2021 Root cause analyses of reported adverse events occurring during gastrointestinal … March 25, 2020 Review of reported adverse events occurring among the homeless veteran

53. Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. | PSNet
    psnet.ahrq.gov/issue/retrospective-analysis-reported-suicide-deaths-and-attempts-veterans-health-administration
    November 17, 2021 - Related Resources From the Same Author(s) Review of reported adverse events occurring … June 23, 2021 Root cause analyses of reported adverse events occurring during gastrointestinal

54. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50714/psn-pdf
    December 04, 2019 - points of failure in the patient’s care and the other that shares strategies to prevent the event from occurring

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866863/psn-pdf
    October 02, 2024 - This study examined the incidence and characteristics of adverse events occurring at two dental clinics

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38102/psn-pdf
    April 15, 2019 - epidemiology-adverse-events-air-medical-transport Air transport of patients is generally safe, with possible patient harm occurring

57. Application of failure mode and effect analysis in a radiology department. | PSNet
    psnet.ahrq.gov/issue/application-failure-mode-and-effect-analysis-radiology-department
    October 13, 2010 - Related Resources From the Same Author(s) Anatomy and pathophysiology of errors occurring … January 22, 2017 Anatomy and pathophysiology of errors occurring in clinical radiology

58. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/854634/psn-pdf
    January 01, 2024 - After implementation, the number of elopements occurring over a six-month period decreased from 34 to

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866352/psn-pdf
    July 24, 2024 - This commentary describes the challenges of using national falls databases to learn from falls occurring

60. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73447/psn-pdf
    June 30, 2021 - This systematic review identified 39 unique errors occurring in trauma resuscitation involving emergency