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Total Results: 4,038 records

Showing results for "occurring".

441. A systems approach to analyzing and preventing hospital adverse events. | PSNet
     psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
     March 30, 2022 - August 3, 2022 Root cause analyses of reported adverse events occurring during gastrointestinal

442. Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
     May 18, 2022 - June 1, 2022 Root cause analyses of reported adverse events occurring during gastrointestinal

443. Assessing patients' perceptions of safety culture in the hospital setting: development and initial evaluation of the patients' perceptions of safety culture scale. | PSNet
     psnet.ahrq.gov/issue/assessing-patients-perceptions-safety-culture-hospital-setting-development-and-initial
     June 09, 2021 - June 22, 2022 Root cause analyses of reported adverse events occurring during gastrointestinal

444. Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study. | PSNet
     psnet.ahrq.gov/issue/problems-care-and-avoidability-death-after-discharge-intensive-care-multi-centre
     March 23, 2022 - May 30, 2012 Classification of adverse events occurring in a surgical intensive care

445. Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. | PSNet
     psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic
     August 24, 2022 - October 20, 2021 Analysis of risk factors for patient safety events occurring in the

446. Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments. | PSNet
     psnet.ahrq.gov/issue/applicability-healthcare-failure-mode-and-effects-analysis-healthcare-epidemiology-evaluation
     October 19, 2022 - June 1, 2012 Classification of adverse events occurring in a surgical intensive care

447. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. | PSNet
     psnet.ahrq.gov/issue/systematic-review-methods-medical-record-analysis-detect-adverse-events-hospitalized-patients
     December 14, 2022 - September 23, 2020 Review of reported adverse events occurring among the homeless veteran

448. Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse. | PSNet
     psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned-readmissions
     May 04, 2022 - July 13, 2022 Analysis of risk factors for patient safety events occurring in the emergency

449. Monitoring preventable adverse events and near misses: number and type identified differ depending on method used. | PSNet
     psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-identified-differ
     June 08, 2022 - March 16, 2022 Root cause analyses of reported adverse events occurring during gastrointestinal

450. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? | PSNet
     psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those-deaths-preventable
     July 08, 2020 - More Related Resources Analysis of risk factors for patient safety events occurring

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50392/psn-pdf
     September 01, 2019 - We have to be extremely skeptical of that event occurring even once. … I have some concern that there is just a proliferation of measures occurring without a lot of rigor … The To Err Is Human report identified deaths occurring in the American health care system because of

452. An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. | PSNet
     psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
     June 21, 2017 - April 12, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal

453. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
     November 21, 2012 - January 17, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal

454. Misread Label | PSNet
     psnet.ahrq.gov/web-mm/misread-label
     August 28, 2024 - Wrong drug errors are typically a smaller proportion of these, occurring in about 0.2% of all doses given … increase the risk assessment carried out when naming medicinal products, to minimize the risks of mix-ups occurring

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33617/psn-pdf
     August 01, 2005 - Preoperative care is crucial as well—to make sure that the operation is occurring on the right part … look at it from an interdisciplinary perspective, the more that system will help prevent errors from occurring

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49425/psn-pdf
     November 01, 2003 - Wrong drug errors are typically a smaller proportion of these, occurring in about 0.2% of all doses … increase the risk assessment carried out when naming medicinal products, to minimize the risks of mix-ups occurring

457. Assessing frequency and risk of weight entry errors in pediatrics. | PSNet
     psnet.ahrq.gov/issue/assessing-frequency-and-risk-weight-entry-errors-pediatrics
     December 21, 2018 - October 30, 2010 Medication errors occurring with the use of bar-code administration

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836877/psn-pdf
     May 16, 2022 - now have a quality improvement department or quality management that looks to prevent errors from occurring … wasn't as systematic, and there wasn't this culture towards using measurement to prevent an error from occurring—a … focused around standardization of that communication and that handoff and whether or not that's actually occurring … again to changing that culture, so that we are preventing some of these patient safety events from occurring … noticed that we're a little bit below our goal, are you all aware of a particular facility where this is occurring

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49633/psn-pdf
     September 01, 2011 - references https://psnet.ahrq.gov//#references by nursing staff to prevent serious breakdown from occurring … constitute nearly 10% of Medicare admissions to acute care, with nearly 40% of these hospitalizations occurring … taking high risk medications such as anticoagulants are monitored daily to assure no adverse events are occurring

460. Buprenorphine and the Medically Ill Patient | PSNet
     psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
     August 20, 2018 - 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