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Total Results: 4,038 records

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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60949/psn-pdf
    September 23, 2020 - can assign accountability appropriately while encouraging disclosure and improvement when mistakes occur
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852803/psn-pdf
    August 23, 2023 - potential for data breaches and reduce their impact on care delivery and processes should cyberattacks occur
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838312/psn-pdf
    October 12, 2022 - causes-adverse-events-home-mechanical-ventilation-nursing-perspective Hospital-level care at home can reduce cost and hospital readmissions, but adverse events still occur
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73295/psn-pdf
    May 19, 2021 - bupivacaine- hydrochloride-injection-usp Anesthesia medications can be high risk should dosing errors occur
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837974/psn-pdf
    August 31, 2022 - healthcare balances organizational and individual responsibility and accountability when medical errors occur
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837300/psn-pdf
    June 01, 2022 - https://psnet.ahrq.gov/issue/surgery-itself-risk-factor-patient Preventable adverse events (AE) can occur
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846153/psn-pdf
    March 15, 2023 - Fires were most likely to occur during upper aerodigestive tract and head and neck surgeries; these
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846756/psn-pdf
    March 29, 2023 - the majority of studies as administration greater than 60 minutes before or after the scheduled time) occur
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73181/psn-pdf
    April 28, 2021 - effectiveness of medical emergency teams (MET) has been widely researched, critical incidents that occur
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865877/psn-pdf
    May 15, 2024 - The revised framework identifies critical points where communication breakdowns are likely to occur
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36604/psn-pdf
    June 04, 2024 - 15th-annual-public-report The National Quality Forum has defined 29 never events—patient safety problems that should never occur
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867142/psn-pdf
    November 13, 2024 - AEs were more likely to occur among patients with longer ED stays.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867192/psn-pdf
    November 20, 2024 - reported medication and other substance events, outlining data such as when in the process errors occur
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866905/psn-pdf
    October 09, 2024 - Errors typically occur due to lack of access to the appropriate knowledge, and neither system is essential
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867234/psn-pdf
    December 04, 2024 - This two-part series examines characteristics of misconnections, how often they occur, and what can
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44290/psn-pdf
    April 10, 2023 - prevention-and Retained surgical items are rare and potentially catastrophic incidents that continue to occur
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47860/psn-pdf
    June 30, 2019 - new-mother-number-14 Rigid adherence to protocols may detract from safety when unexpected critical events occur
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73356/psn-pdf
    June 02, 2021 - resonance imaging (MRI) suites harbor unique hazards that can harm patients, should process missteps occur
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839831/psn-pdf
    November 09, 2022 - events serve as triggers to motivate substantive improvement in health care organizations should they occur
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846764/psn-pdf
    March 29, 2023 - health record (EHR) systems are complex efforts that have the potential for injury, should failure occur

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