Results

Total Results: 4,038 records

Showing results for "occurring".

81. 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

82. 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

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42204/psn-pdf
    June 10, 2013 - prospective study found that the rate of adverse events in outpatient dermatologic surgery was very low, occurring

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41286/psn-pdf
    April 11, 2012 - prevention-medical-accidents-caused-defective-surgical-instruments Near misses or adverse events due to defective surgical equipment were rare, occurring

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42385/psn-pdf
    June 26, 2013 - identifying-and-addressing-preventable-process-errors-trauma-care Most preventable errors in trauma care were errors of omission, often occurring

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866589/psn-pdf
    August 28, 2024 - the multidisciplinary panel identified actual harm in 89 cases, with three-quarters of actual harm occurring

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867340/psn-pdf
    December 11, 2024 - Approximately 72% described harms with breakdowns occurring in three processes: monitoring and supply

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60846/psn-pdf
    January 01, 2021 - safety-climate-associated-adverse-events-nursing-homes-national-va-study This cross-sectional study examined the impact of safety climate on adverse events occurring

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/845350/psn-pdf
    March 01, 2023 - has the potential to mitigate failures by designing workspaces and processes to prevent errors from occurring

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/849134/psn-pdf
    May 17, 2023 - Patient Safety data, this retrospective study characterized patient safety events related to COVID-19 occurring

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72479/psn-pdf
    November 18, 2020 - This study surveyed 9,206 adults across the United States about their perceptions of medical errors occurring

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837428/psn-pdf
    June 15, 2022 - This study reviewed serious surgical incidents occurring at large teaching hospitals in one National

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73323/psn-pdf
    May 26, 2021 - any difference in adverse events such as healthcare-acquired infections or unplanned reintubation occurring

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60353/psn-pdf
    May 20, 2020 - event during the transition from the intensive care unit (ICU)  to the hospital ward, with most (62%) occurring

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60619/psn-pdf
    June 24, 2020 - Systems from 2000 to 2017 in order to characterize errors attributed to healthcare professionals or occurring

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/861761/psn-pdf
    January 31, 2024 - found that 60% of those children experienced at least one severe ASE, with the highest odds of ASE occurring

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/855098/psn-pdf
    November 08, 2023 - applied the International Classification for Patient Safety (ICPS) criteria to categorize types of falls occurring

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39818/psn-pdf
    January 04, 2011 - diagnostic error rate among events filed as incident reports, with the greatest harm associated with events occurring

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72593/psn-pdf
    January 01, 2021 - an adapted human factors analysis classification system (HFACS) to describe three levels of failure occurring

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74754/psn-pdf
     February 09, 2022 - meta-analysis of all types of adverse events, critical or life-threatening adverse events, and death occurring