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Showing results for "occurring".

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. Suicide and suicide attempts on hospital grounds and clinic areas. | PSNet

    psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hospital-grounds-and-clinic-areas
    October 29, 2017 - March 18, 2020 Root cause analyses of reported adverse events occurring during gastrointestinal … June 1, 2022 Review of reported adverse events occurring among the homeless veteran population

  11. Final Research Plan: Folic Acid Supplementation to Prevent Neural Tube Defects: Preventive Medication | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/folic-acid-for-the-prevention-of-neural-tube-defects-preventive-medication
    October 21, 2021 - Interventions Folic acid supplementation * , with or without food fortification or naturally occurring … , multivitamins, iron) in combination with folic acid Food fortification only Naturally occurring

  12. A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. | PSNet

    psnet.ahrq.gov/issue/high-reliability-organization-framework-health-care-multiyear-implementation-strategy-and
    November 17, 2021 - Related Resources From the Same Author(s) Review of reported adverse events occurring … November 17, 2021 Root cause analyses of reported adverse events occurring during gastrointestinal

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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
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