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Showing results for "occurring".

  1. 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

  2. Grand Rounds Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - Slide 18 Say: Once the CANDOR system is activated, two processes are occurring at the same … Investigation: to determine how the event occurred, and how to mitigate that event or even prevent it from occurring … organization as a whole, with feedback on the investigation and its plans to prevent the adverse harm from occurring … allowing for clarification and improvement of the CANDOR processes and preventing similar harm events from occurring … along with information as to what action the organization is taking to prevent a similar event from occurring

  3. AHRQ Safety Program for Perinatal Care: Sample Scenario or Uterine Tachysystole In Site Simulation (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_ut-tachysystole.docx
    May 01, 2017 - Contractions are now lasting 60 seconds and occurring every 90 seconds with very little return to baseline … Pulse 110 BP 140/85 Resp Rate 20 FHR: 130; late decelerations are occurring with each contraction (Category … Contractions are now lasting 60 seconds and occurring every 90 seconds with very little return to baseline … their assessment after trigger #2 Pulse 110 BP 140/85 Resp Rate 20 FHR: 130; late decelerations are occurring

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43102/psn-pdf
    December 14, 2016 - diagnostic errors in interpretation of pediatric musculoskeletal radiographs were relatively rare, occurring

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850933/psn-pdf
    June 21, 2023 - prevalence-second-victim-syndrome-and-emotional-distress-pediatric-intensive-care-providers https://psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74177/psn-pdf
    January 01, 2022 - This study used natural language processing to identify and categorize diagnostic errors occurring during

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60297/psn-pdf
    January 01, 2021 - The research identified describes patient safety initiatives occurring within three levels: (1) individual

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73131/psn-pdf
    April 14, 2021 - This study analyzed never events occurring between 2012 and 2020 in the National Health Services and

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841141/psn-pdf
    December 07, 2022 - Among 320 referrals occurring in 2018, 38% of evaluations occurred 31 days or more after the referral

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50937/psn-pdf
    February 26, 2020 - https://psnet.ahrq.gov/issue/emergency-intubation-children-outside-operating-room Intubation occurring

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60578/psn-pdf
    June 10, 2020 - The authors identified eleven thematic groups describing such hazards occurring at a systemic level,

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74832/psn-pdf
    February 16, 2022 - Based on a retrospective review of obstetrical adverse events occurring at one German hospital in 2018

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73537/psn-pdf
    July 28, 2021 - Researchers examined safety events occurring at one children’s hospital over a nine-month period and

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865968/psn-pdf
    May 29, 2024 - quality improvement project to decrease overall handover times as well the percentage of handovers occurring

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37598/psn-pdf
    March 12, 2008 - patient-safety-trauma-maximal-impact-management-errors-level-i-trauma- center In this study, all deaths occurring

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44485/psn-pdf
    September 09, 2015 - frequent rapid response activation and a nonsignificant decrease in the number of code blue events occurring

  17. When errors occur. | PSNet

    psnet.ahrq.gov/issue/when-errors-occur
    March 12, 2011 - Newspaper/Magazine Article When errors occur. Citation Text: Wetzel TG. When errors occur, 'I'm sorry' is a big step, but just the first. Hospitals & health networks. 2010;84(10):41-2, 44, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

  18. Characteristics of Inpatient Stays Involving Hepatitis C, 2005-2014 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb232-Hepatitis-C-Hospital-Stays-Trends.pdf
    June 19, 2017 - Stays involving hepatitis C only—without co- occurring hepatitis B, human immunodeficiency virus (HIV … Co-occurring diagnoses, procedures, and comorbidities associated with inpatient stays involving hepatitis … CCS and ICD-9-CM diagnosis codes defining other co-occurring conditions Condition ICD-9-CM or CCS … CCS and ICD-9-CM diagnosis codes defining other co-occurring conditions Condition ICD-9-CM or CCS … CCS and ICD-9-CM diagnosis codes defining other co-occurring conditions Condition ICD-9-CM or CCS

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857448/psn-pdf
    January 01, 2024 - Overlapping surgeries, where one attending surgeon supervises two surgeries with noncritical portions occurring

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35101/psn-pdf
    November 04, 2015 - Findings illustrated an inverse relationship, with the highest event rate occurring in hospitals with
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