Results

Total Results: 4,038 records

Showing results for "occurring".

541. Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/actions-and-implementation-strategies-reduce-suicidal-events-veterans-health-administration
     January 05, 2017 - August 21, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal

542. Errors, incidents and accidents in anaesthetic practice. | PSNet
     psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice
     April 06, 2011 - April 6, 2011 Anatomy and pathophysiology of errors occurring in clinical radiology practice

543. Safety of overlapping surgery at a high-volume referral center. | PSNet
     psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center
     January 11, 2017 - August 29, 2012 Classification of adverse events occurring in a surgical intensive care

544. Preventable deaths: who, how often, and why? | PSNet
     psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why
     February 22, 2011 - February 1, 2011 Anatomy and pathophysiology of errors occurring in clinical radiology

545. A patient reported approach to identify medical errors and improve patient safety in the emergency department. | PSNet
     psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
     July 13, 2010 - June 2, 2021 Analysis of risk factors for patient safety events occurring in the emergency

546. In Conversation With… Shantanu Agrawal, MD, MPhil | PSNet
     psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
     February 26, 2025 - 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 put … The  To Err Is Human  report  identified deaths occurring in the American health care system because

547. 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

548. 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].

549. 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

550. 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

551. 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

552. 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

553. 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

554. 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

555. 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

556. 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

557. 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

558. 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.

559. 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

560. 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