-
psnet.ahrq.gov/node/33602/psn-pdf
March 15, 2025 - by individuals
as inevitable, although it acknowledges that human error is more likely in certain circumstances
-
psnet.ahrq.gov/node/49468/psn-pdf
December 16, 2004 - Mark My Limb
December 1, 2004
Jacott WE, O'Leary D. Mark My Limb. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/mark-my-limb
The Case
A patient went to the operating room (OR) for surgery on the lower leg. Per the Universal Protocol, the
surgeon marked the proper leg prior to bringing the patient to the O…
-
psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - There are circumstances where we may not have full confirmation
that there is a new or increased safety
-
psnet.ahrq.gov/node/60721/psn-pdf
July 21, 2020 - surgeries had to be
cancelled that suspending their procedures was the safest option available given the circumstances … We allow the
use of commercial products in these circumstances.
… NC: I think it's two things; I think you need a survivor culture that realizes that circumstances change
-
psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - cheese model has been used to describe how errors made by individuals, resource constraints, and other circumstances … result from complex and evolving conditions, including holes that open or close with transient local circumstances
-
psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - from special cause variation (due to unexpected and unpredictable causes that occur due to specific circumstances
-
psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - How do you move from we
now know what we think is right in different circumstances to scaling that and … Are there circumstances where someone's ignoring the app, doing it all wrong,
and they get a call from
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
August 01, 2015 - imposed if they have a negative impact on patient care—and point the finger at HIPAA as rationale—in circumstances
-
psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - expectations, in which the PACU nurse is allowed to mark the site
preoperatively depending on the circumstances
-
psnet.ahrq.gov/node/49520/psn-pdf
September 01, 2006 - heart stops in the operating room, resuscitation is much more likely to be successful than in
other circumstances
-
psnet.ahrq.gov/node/33679/psn-pdf
January 01, 2009 - Even if conducted under optimal circumstances, it is important to recognize that not all patients will
-
psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - The Commentary
It is tempting to attribute this error to the unlikely combination of circumstances that
-
psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - Share the lessons from errors like this one, so nurses are alerted to the hazards of the specific
circumstances
-
psnet.ahrq.gov/node/49503/psn-pdf
February 01, 2006 - Even under the best circumstances, there are limits on human thinking and
the ability to be consistently
-
psnet.ahrq.gov/issue/reporting-adverse-events-war-zone
February 01, 2023 - This commentary reviews the unique circumstances health care teams face in conflict or disaster zones
-
psnet.ahrq.gov/web-mm/lethal-cap
December 19, 2018 - because misunderstanding is so frequent and can stem from a host of emotional, cognitive, and situational circumstances
-
psnet.ahrq.gov/issue/diagnostic-error-medicine-16th-international-conference
October 12, 2018 - November 8, 2017
Cancer drug shortages are creating dire circumstances for some patients
-
psnet.ahrq.gov/node/49395/psn-pdf
April 01, 2003 - due to ambiguous use of the abbreviation “d” in “mg/kg/d,” could have occurred under many possible
circumstances
-
psnet.ahrq.gov/node/33623/psn-pdf
December 01, 2005 - If these issues are not addressed soon, many other states facing similar dire circumstances
will see
-
psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - to work as a
team to ensure patient safety and care remains as high quality as possible under the circumstances