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Showing results for "occurring".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37995/psn-pdf
    September 19, 2016 - Inpatient suicide and suicide attempts in Veterans Affairs hospitals. September 19, 2016 Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488. https://psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43502/psn-pdf
    September 10, 2014 - Catastrophic medical malpractice payouts in the United States. September 10, 2014 Bixenstine PJ, Shore AD, Mehtsun WT, et al. Catastrophic Medical Malpractice Payouts in the United States. J Healthc Qual. 2013;36(4):43-53. doi:10.1111/jhq.12011. https://psnet.ahrq.gov/issue/catastrophic-medical-malpractice-payouts…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72794/psn-pdf
    March 03, 2021 - Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. March 3, 2021 Cramer JD, Balakrishnan K, Roy S, et al. Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. OTO Open. 2020;4(4):2473974X2097573. doi:10.1177/24739…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865873/psn-pdf
    May 15, 2024 - A review of medication errors and the second victim in pediatric pharmacy. May 15, 2024 Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. https://psnet.ahrq.gov/issue/review-me…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44165/psn-pdf
    May 27, 2015 - Unplanned return to theater: a quality of care and risk management index? May 27, 2015 Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013. https://psnet.ahrq.gov/issue/unplanne…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73534/psn-pdf
    July 28, 2021 - "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. July 28, 2021 Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. J Surg Educ. 2021;78(6):2020-2…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837316/psn-pdf
    June 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Diagnostic Safety Supplemental Items. June 1, 2022 Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2022. AHRQ Publication No. 22-0027. https://psnet.ahrq.gov/issue/2022-updated-results-a…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848381/psn-pdf
    May 03, 2023 - VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. May 3, 2023 Muoio D. Fierce Healthcare. April 21, 2023. https://psnet.ahrq.gov/issue/va-pauses-16b-oracle-cerner-ehr-deployments-indefinitely-address-error- ridden-early-rollout Notable problems have occurred during t…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34829/psn-pdf
    April 06, 2011 - Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. April 6, 2011 Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4. https://psnet.ahrq.gov/issue/use-medical-emerg…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34795/psn-pdf
    December 23, 2008 - Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. December 23, 2008 Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Med. 1997;25(8):1289-1297. doi:10.1097/00003246-199708000-00014. ht…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866436/psn-pdf
    August 07, 2024 - Using name overlap analysis to understand medication name search safety. August 7, 2024 Flynn AJ, Mieure KD, Myers C. Using name overlap analysis to understand medication name search safety. Am J Health Syst Pharm. 2024;81(14):622-633. doi:10.1093/ajhp/zxae048. https://psnet.ahrq.gov/issue/using-name-overlap-analy…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848820/psn-pdf
    May 10, 2023 - Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. May 10, 2023 Passini L, Le Bouedec S, Dassieu G, et al. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. BMJ Qual Saf. 2023;32(10):589-599. doi:10.1136/bmjqs-2022-015247. https…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867192/psn-pdf
    November 20, 2024 - 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events. November 20, 2024 2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. 24-0088 https://psnet.ahrq.gov/issue…

  14. Origin of Adverse Drug Events in U.S. Hospitals, 2011 - Statistical Brief #158

    hcup-us.ahrq.gov/reports/statbriefs/sb158.jsp
    July 01, 2013 - data can be used to chart the frequency of in-hospital events and to report the frequency of community-occurring … The order of the list is from the most to least frequently occurring cause overall. … Clostridium difficile infection was the most common ADE cause, occurring at a rate of 95 per 10,000 … The next two most frequently occurring ADE causes—antineoplastic drugs and steroids—each occurred at

  15. Alcohol-misuse-drug-therapy-140326 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse-drug-therapy_research-protocol.pdf
    January 27, 2012 - to clinically significant impairment or distress, as manifested by one (or more) of the following, occurring … men or women, older adults, young adults, racial or ethnic minorities, smokers, or those with co-occurring … women Older adults (65+) Young adults (18-25) Racial/ethnic minorities Smokers Those with co-occurring … For KQ 5, co-occurring disorders will include other mental health disorders (e.g., depression) and acute … and smoking status of enrolled populations; proportion with alcohol dependence and other AUDs; co-occurring

  16. Parent preferences for medical error disclosure: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
    January 25, 2017 - April 12, 2011 Managing the adverse event occurring during elective, ambulatory pediatric

  17. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. | PSNet

    psnet.ahrq.gov/issue/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted
    July 13, 2016 - June 30, 2021 Analysis of risk factors for patient safety events occurring in the emergency

  18. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
    April 12, 2011 - More Related Resources Analysis of risk factors for patient safety events occurring

  19. Risk factors for hospital admissions associated with adverse drug events. | PSNet

    psnet.ahrq.gov/issue/risk-factors-hospital-admissions-associated-adverse-drug-events
    October 18, 2018 - October 30, 2010 Medication errors occurring with the use of bar-code administration

  20. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. | PSNet

    psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
    March 04, 2011 - March 4, 2011 Systematic evaluation of errors occurring during the preparation of intravenous
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