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Total Results: 4,038 records

Showing results for "occurring".

81. 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

82. 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

83. 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

84. 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

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/837428/psn-pdf
    June 15, 2022 - This study reviewed serious surgical incidents occurring at large teaching hospitals in one National

87. 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

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/60619/psn-pdf
    June 24, 2020 - Systems from 2000 to 2017 in order to characterize errors attributed to healthcare professionals or occurring

90. 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

91. 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

92. 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

93. 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

94. 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

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38102/psn-pdf
    April 15, 2019 - epidemiology-adverse-events-air-medical-transport Air transport of patients is generally safe, with possible patient harm 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/33691/psn-pdf
    December 01, 2009 - champions, and (v) providing the necessary education to try to prevent these types of events from occurring … and, through this understanding, potentially prevent a disruptive event or communication mishap from occurring … sessions mentioned above are designed to improve understanding and responses to prevent the event from occurring … After the event, the issue must be addressed to prevent it from occurring again. … assumptions about the event lead to a better understanding, which is enough to prevent the event from occurring

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73912/psn-pdf
    October 06, 2021 - The brief focuses on events occurring during childbirth and up to a week postpartum. 

99. 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

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72700/psn-pdf
     January 01, 2022 - control study compared missed acute coronary syndrome (ACS) cases to other cases with chest discomfort occurring