Results

Total Results: 4,038 records

Showing results for "occurring".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50644/psn-pdf
    November 06, 2019 - This hearing examined a series of problems occurring in the VA system including unexplained deaths of

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50567/psn-pdf
    October 23, 2019 - diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new- directions This article reviews diagnostic errors occurring

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73536/psn-pdf
    July 28, 2021 - records-review-study In this retrospective study, researchers examined patient records to describe patient harm occurring

64. 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

65. 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

66. 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

67. 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

68. 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

69. 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

70. 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

71. 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

72. 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

73. 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

74. 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

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37990/psn-pdf
    August 13, 2008 - wrong site surgeries in Massachusetts and describes complex factors that may contribute to such errors occurring

76. 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

77. 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

78. 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

79. 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

80. 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