-
psnet.ahrq.gov/node/43102/psn-pdf
December 14, 2016 - diagnostic errors in interpretation of pediatric musculoskeletal radiographs were
relatively rare, occurring
-
www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
January 01, 2024 - Current knowledge about the number and types of errors and adverse events occurring
within emergency … Less than 1%
of the total number of visits occurring during the data collection period had a reported … An effective control measure
eliminates or significantly reduces the likelihood of the failure occurring … system down, affecting
all patients
(Hazard Score 9 – severity of effect
is major, probability of occurring … staff
type
Order entered incorrectly
(Hazard Score 4 – severity of effect
is minor, probability of occurring
-
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
-
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
-
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
-
psnet.ahrq.gov/node/60578/psn-pdf
June 10, 2020 - The authors identified eleven thematic groups describing such hazards
occurring at a systemic level,
-
psnet.ahrq.gov/node/60297/psn-pdf
January 01, 2021 - The research identified describes patient safety initiatives occurring within three levels: (1) individual
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/node/50937/psn-pdf
February 26, 2020 - https://psnet.ahrq.gov/issue/emergency-intubation-children-outside-operating-room
Intubation occurring
-
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
-
psnet.ahrq.gov/node/74177/psn-pdf
January 01, 2022 - This study
used natural language processing to identify and categorize diagnostic errors occurring during
-
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
-
psnet.ahrq.gov/node/46275/psn-pdf
March 27, 2018 - errors-originating-hospital-and-health-system-outpatient-pharmacies
According to this analysis of more than 1000 reports of errors occurring
-
psnet.ahrq.gov/node/35101/psn-pdf
November 04, 2015 - Findings illustrated an inverse relationship, with the highest event rate occurring in
hospitals with
-
psnet.ahrq.gov/node/857448/psn-pdf
January 01, 2024 - Overlapping surgeries, where one attending surgeon supervises two surgeries with noncritical portions
occurring
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/women-hiv_research-protocol.pdf
March 01, 2016 - Assess the performance of diagnostics for co-occurring disease; and assess the effects of
treating … co-occurring diseases (such as depression) or risk factors (such as high blood
pressure) on person-level … Assess co-occurring diseases and risk factors as
predictor of all-cause mortality and HIV progression … For assessing the effectiveness and safety of treatments for co-occurring diseases or risk
factors, … Examples of
co-occurring diseases of interest include cancer, infections (including hepatitis C, human
-
psnet.ahrq.gov/node/46085/psn-pdf
July 12, 2017 - developmental abnormalities—was the most common reason for a malpractice suit, with
more than half of claims occurring