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Total Results: 4,231 records

Showing results for "occurring".

81. 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

82. 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

83. 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

84. 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

85. 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

86. 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

87. 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

88. 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

89. 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

90. 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

91. 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

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/845350/psn-pdf
    March 01, 2023 - has the potential to mitigate failures by designing workspaces and processes to prevent errors from occurring

95. 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

96. 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

97. 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

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/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

100. 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