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Showing results for "occurring".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34033/psn-pdf
    April 11, 2011 - event rates (1% and 0.6%, respectively) were similar to those seen in adult populations, with most occurring

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60029/psn-pdf
    March 11, 2020 - prevalence-nature-and-predictors-omitted-medication-doses-mental-health- hospitals-multi This study described medication omission errors occurring

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72546/psn-pdf
    December 09, 2020 - This analysis of incident reports occurring at one hospital in Sweden found that the handling, causes

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845637/psn-pdf
    March 08, 2023 - least one critical step identified, and actions were developed to reduce the likelihood of the error occurring

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72469/psn-pdf
    November 18, 2020 - weekend-effect-hospital-mortality-ischemic-and-hemorrhagic-stroke-us-rural- and-urban The ”weekend effect” refers to worse patient outcomes occurring

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844050/psn-pdf
    February 08, 2023 - Machine learning was often used to detect errors occurring in laboratory test results, prescriptions

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50775/psn-pdf
    January 01, 2021 - A prior WebM&M describes a medication error occurring during an intrahospital transfer between the ICU

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74864/psn-pdf
    February 23, 2022 - changes in care processes (e.g., reduced patient surveillance, use of personal protective equipment) occurring

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836808/psn-pdf
    March 30, 2022 - Between January 1, 2011, and December 31, 2020, 250 serious medication errors occurring in the ED were

  10. 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

  11. 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…

  12. 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

  13. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impmaterials.html
    December 01, 2017 - help nursing home staff review how they screen for pressure ulcer risk, prevent pressure ulcers from occurring

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41853/psn-pdf
    October 08, 2013 - reported-medication-events-paediatric-emergency-research-network-sharing- improve-patient This study characterizes the types of medication errors occurring

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46697/psn-pdf
    January 10, 2018 - qualitative study, researchers interviewed 26 primary care providers to characterize errors of omission occurring

  16. Shakespeare was on target—don't be a borrower or lender. | PSNet

    psnet.ahrq.gov/issue/shakespeare-was-target-dont-be-borrower-or-lender
    May 11, 2022 - March 18, 2010 Medication errors occurring with the use of bar-code administration technology

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44149/psn-pdf
    June 03, 2015 - This commentary examines the literature on dialysis-related incidents occurring in the home setting

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46961/psn-pdf
    June 06, 2018 - A previous WebM&M commentary discussed a preventable adverse event occurring in part due to less intensive

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46760/psn-pdf
    January 24, 2018 - medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/systematic-evaluation-errors-occurring-during-preparation-intravenous-medication

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44505/psn-pdf
    January 22, 2016 - benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review https://psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit
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