Results

Total Results: 4,038 records

Showing results for "occurring".

61. 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

62. 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

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48067/psn-pdf
    June 12, 2019 - Nursing observations and formal assessments of mothers' sleepiness prevented infant drops from occurring

64. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60819/psn-pdf
    August 19, 2020 - retrospective review of patient incident reports in Finland found that nearly half of the 82,353 incidents occurring

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48081/psn-pdf
    January 01, 2021 - Veterans Health Administration efforts surrounding the lessons learned process for adverse events occurring

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50652/psn-pdf
    January 01, 2020 - retrospective review conducted at four Canadian acute care hospitals describes preventable adverse drug events occurring

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866561/psn-pdf
    August 21, 2024 - transition to DST was not associated with higher severity patient safety incidents, but that events occurring

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866642/psn-pdf
    September 04, 2024 - with the Green Cross method, a proactive method to report and learn from patient safety incidents occurring

69. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867137/psn-pdf
    November 13, 2024 - enteral-nutrition-underappreciated-source-patient-safety-events Enteral nutrition (EN) therapies are vulnerable to the same types of errors as those occurring

70. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72816/psn-pdf
    March 10, 2021 - This cohort study analyzed adverse events occurring among patients discharged from the ED with cardiovascular

71. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72702/psn-pdf
    February 03, 2021 - outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative The Wake Up Safe initiative includes a registry of serious adverse events occurring

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74746/psn-pdf
    February 09, 2022 - /medication-errors-causes-analysis-home-care-setting-systematic-review Causes of medication errors occurring

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36437/psn-pdf
    June 06, 2018 - of the misadministration of Promethazine and provides recommendations to minimize the risk of this occurring

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50911/psn-pdf
    February 19, 2020 - medication errors due to the severity of their injuries and the multiple handoffs and transitions often occurring

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/839324/psn-pdf
    November 02, 2022 - examined how COVID-19-related workflow changes affected reporting of medical errors and near misses occurring

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851656/psn-pdf
    July 26, 2023 - Using RCA data from the Veterans Health Administration (VHA), this study characterized adverse events occurring

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60575/psn-pdf
    June 10, 2020 - incident This case study describes the use of root cause analysis to investigate a critical incident occurring

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50708/psn-pdf
    December 04, 2019 - This study compared the incidence of medication errors occurring in two NICUs over a three-month period

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60878/psn-pdf
    January 01, 2021 - intervention-study-reduction-medication-errors-elderly-trauma-patients Researchers analyzed medication errors occurring

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/850913/psn-pdf
    June 21, 2023 - This retrospective review of 154 intraoperative deaths occurring between March 2010 and August 2022