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Total Results: 4,038 records

Showing results for "occurs".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837671/psn-pdf
    July 13, 2022 - Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. July 13, 2022 Kepner S, Adkins JA, Jones RM. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Patient Saf. 2022;4(2):6-17. doi:10.33940/data/2022.6.1. https://psnet.ahrq.gov/issue/long-ter…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74256/psn-pdf
    January 19, 2022 - Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but rarely reported: a prospective study. January 19, 2022 Eiding H, Røise O, Kongsgaard UE. Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850913/psn-pdf
    June 21, 2023 - Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. June 21, 2023 Cohen TN, Kanji FF, Wang AS, et al. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic med…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50749/psn-pdf
    December 18, 2019 - Medication errors in the care transition of trauma patients December 18, 2019 Martín Mª ÁP, García MM, Silveira ED, et al. Medication errors in the care transition of trauma patients. Eur J Clin Pharmacol. 2019;75(12):1739-1746. doi:10.1007/s00228-019-02757-3. https://psnet.ahrq.gov/issue/medication-errors-care-tra…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855057/psn-pdf
    October 31, 2023 - in hospitals were from patients and families toward healthcare workers.8 Horizontal violence that occurs

  6. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
    January 01, 2024 - aortic dissection; however, a patient with intermittent episodes of “sharp tearing” chest pain that only occurs … A fourth category not covered in this table, the chronic vestibular syndrome, also occurs and is more

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72479/psn-pdf
    November 18, 2020 - Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study. November 18, 2020 Sundwall DN, Munger MA, Tak CR, et al. Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74074/psn-pdf
    November 17, 2021 - How safe is prehospital care? A systematic review. November 17, 2021 O’Connor P, O’malley R, Lambe KA, et al. How safe is prehospital care? A systematic review. Int J Qual Health Care. 2021;33(4):mzab138. doi:10.1093/intqhc/mzab138. https://psnet.ahrq.gov/issue/how-safe-prehospital-care-systematic-review Patient s…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74754/psn-pdf
    February 09, 2022 - Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. February 9, 2022 Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. Am J Emerg Med. 2022;52:13-19. …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48161/psn-pdf
    January 01, 2021 - Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. July 24, 2019 Khairat S, Whitt S, Craven CK, et al. Investigating the Impact of Intensive Care Unit Interruptions on Patient Safety Events and Electronic Health Records …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47919/psn-pdf
    April 03, 2019 - How to Talk About Patient Safety. April 3, 2019 Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019. https://psnet.ahrq.gov/issue/how-talk-about-patient-safety This report suggests that the field of patient safety needs to be reframed for the public. The report recommen…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73465/psn-pdf
    July 07, 2021 - Identifying health information technology usability issues contributing to medication errors across medication process stages. July 7, 2021 Adams KT, Pruitt Z, Kazi S, et al. Identifying health information technology usability issues contributing to medication errors across medication process stages. J Patient Saf…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73168/psn-pdf
    April 21, 2021 - Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. April 21, 2021 Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. J Patient Saf. 2021;17(2):e71-e75. doi:10.1097/pts.0…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49781/psn-pdf
    January 01, 2017 - therapeutic range, small changes in dose can lead to exponential increases in concentration.(4) This occurs

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43405/psn-pdf
    August 14, 2014 - Characteristics associated with postdischarge medication errors. August 14, 2014 Mixon A, Myers AP, Leak CL, et al. Characteristics associated with postdischarge medication errors. Mayo Clin Proc. 2014;89(8):1042-51. doi:10.1016/j.mayocp.2014.04.023. https://psnet.ahrq.gov/issue/characteristics-associated-postdisc…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49750/psn-pdf
    January 01, 2016 - Kalish and colleagues (5) found missed nursing care occurs frequently among staff nurses.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49428/psn-pdf
    January 01, 2004 - Otherwise, if the patient's wishes are unclear and an immediate life threat occurs, it may be prudent

  18. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
    May 01, 2011 - Spotlight Case July 2008 Spotlight Case Duty to Disclose Someone Else’s Error * * Source and Credits This presentation is based on the May 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas H. Gallagher, MD University of Washington …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72820/psn-pdf
    March 10, 2021 - Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review. March 10, 2021 Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry systems in hospitals and how they change over time: A narrative re…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841141/psn-pdf
    December 07, 2022 - Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. December 7, 2022 Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and n…
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