Results

Total Results: 4,035 records

Showing results for "occurring".

501. Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet
     psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
     July 16, 2015 - April 12, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal

502. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. | PSNet
     psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
     April 12, 2011 - More Related Resources Analysis of risk factors for patient safety events occurring

503. Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings: a scoping review and thematic analysis. | PSNet
     psnet.ahrq.gov/issue/health-professionals-experiences-whistleblowing-maternal-and-newborn-healthcare-settings
     November 02, 2010 - Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring

504. Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. | PSNet
     psnet.ahrq.gov/issue/surgical-programs-veterans-health-administration-maintain-briefing-and-debriefing-following
     October 24, 2018 - August 18, 2010 Root cause analyses of reported adverse events occurring during gastrointestinal

505. Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. | PSNet
     psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
     October 24, 2018 - November 21, 2011 Root cause analyses of reported adverse events occurring during gastrointestinal

506. Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. | PSNet
     psnet.ahrq.gov/issue/multimodal-system-designed-reduce-errors-recording-and-administration-drugs-anaesthesia
     September 26, 2012 - March 23, 2011 Medication errors occurring with the use of bar-code administration technology

507. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
     December 01, 2004 - Adverse drug events occurring following hospital discharge [abstract]. … Adverse drug events occurring following hospital discharge [abstract].

508. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
     October 24, 2018 - April 12, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal

509. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
     August 02, 2015 - April 12, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal

510. Supratherapeutic dosing of acetaminophen among hospitalized patients. | PSNet
     psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospitalized-patients
     February 14, 2017 - October 30, 2010 Medication errors occurring with the use of bar-code administration

511. Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. | PSNet
     psnet.ahrq.gov/issue/improving-health-care-quality-and-patient-safety-through-peer-peer-assessment-demonstration
     March 14, 2018 - September 29, 2021 Systematic evaluation of errors occurring during the preparation of

512. Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. | PSNet
     psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
     June 01, 1989 - April 22, 2015 Baccalaureate nursing students' accounts of medical mistakes occurring

513. Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? | PSNet
     psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
     July 01, 2016 - January 26, 2022 Analysis of risk factors for patient safety events occurring in the

514. Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. | PSNet
     psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific
     April 08, 2018 - March 19, 2019 Analysis of risk factors for patient safety events occurring in the emergency

515. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49527/psn-pdf
     December 01, 2006 - The Commentary Background Errors in laboratory services encompass a number of problems occurring outside … physicians often attribute to errors inside the laboratory, are actually the result of preanalytic problems occurring … Specific Errors in This Case The particular error in this case is a mislabeling error occurring outside

516. The Safety and Quality of Long Term Care | PSNet
     psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
     January 01, 2016 - warrants close assessment and aggressive management 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

517. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49650/psn-pdf
     March 01, 2012 - The most recent analysis described 46 deaths and 263 procedure-related complications occurring from … references https://psnet.ahrq.gov//#references Quality improvement strategies to prevent these events from occurring

518. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49830/psn-pdf
     May 01, 2018 - In a recent study of adverse events occurring on mental health units in the Veterans Health Administration … Adverse events occurring on VHA mental health units. Gen Hosp Psychiatry. 2018;50:63-68.

519. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33687/psn-pdf
     August 01, 2009 - downside of first-order problem solving is lack of communication, which hinders real improvement from occurring … Even this meager form of second-order problem solving was rare, occurring in only 7% of the situations

520. Right Patient, Wrong Sample | PSNet
     psnet.ahrq.gov/web-mm/right-patient-wrong-sample
     June 01, 2004 - The Commentary Background Errors in laboratory services encompass a number of problems occurring outside … often attribute to errors inside the laboratory, are actually the result of preanalytic problems occurring … Specific Errors in This Case The particular error in this case is a mislabeling error occurring outside