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Total Results: 4,231 records

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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37580/psn-pdf
    March 05, 2008 - patient-safety-events-reported-general-practice-taxonomy This study provides a proposed three-level taxonomy for common events that occur
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36898/psn-pdf
    February 01, 2011 - This shift involves increasing recognition that errors do occur and that the health care system is flawed
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35780/psn-pdf
    July 20, 2010 - paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems The investigators found that errors occur
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36650/psn-pdf
    January 05, 2017 - analyzed intralipid medication error reports submitted to the Medmarx database and found that most errors occur
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38402/psn-pdf
    February 11, 2009 - used information from nurses, pharmacists, and patients to classify the types of near misses that occur
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38689/psn-pdf
    June 10, 2009 - This study discovered that drug omissions and unjustified medications listed in discharge summaries occur
  7. psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
    January 01, 2024 - occlusion, as in this case. 15 15 Tracheostomy Management (4) Complications of tracheostomy can occur … can cause skin breakdown and require a plan for removal.5,7  Obstruction of the tracheostomy tube can occur … surgically placed tubes, due to healing times.1,15  If the type of placement is unknown, no change should occur … need to be familiar with what low versus high priority alarms sound like and what to do when these occur … a plan for the next tracheostomy change, an explanation of complications that have occurred or may occur
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867444/psn-pdf
    January 08, 2025 - medication-errors-and-error-chains-involving-high-alert-medications-paediatric- hospital Understanding how and when medication errors occur
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867523/psn-pdf
    January 15, 2025 - ) are rare, healthcare organizations must maintain policies on LSAE disclosure (LSAED) should they occur
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866636/psn-pdf
    January 01, 2025 - errors and concerns, and having a formal process to identify and notify patients when diagnostic errors occur
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38649/psn-pdf
    May 20, 2009 - Managing the adverse event occurring during elective, ambulatory pediatric surgery. May 20, 2009 Skarsgard ED. Managing the adverse event occurring during elective, ambulatory pediatric surgery. Semin Pediatr Surg. 2009;18(2):122-4. doi:10.1053/j.sempedsurg.2009.02.013. https://psnet.ahrq.gov/issue/managing-advers…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35915/psn-pdf
    May 10, 2006 -  for medical malpractice litigation and discusses what, from the legal perspective, should ideally occur
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41879/psn-pdf
    January 18, 2013 - retrieval-iatrogenic-intravascular-foreign-bodies This review article characterizes the types of clinical issues that can occur
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44917/psn-pdf
    November 30, 2016 - canadian-incident-analysis-framework Performing incident analysis can help organizations understand why adverse events occur
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43381/psn-pdf
    July 30, 2014 - For instance, wrong-site surgeries continue to occur despite garnering major attention over the past
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43215/psn-pdf
    May 28, 2014 - medical students to be educated about how to disclose errors to patients and families when mistakes occur
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37265/psn-pdf
    May 02, 2018 - potassium-may-no-longer-be-stocked-patient-care-units-serious-threats-still- exist This article describes how errors involving potassium chloride still occur
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44354/psn-pdf
    August 05, 2015 - children for occult fractures—in several clinically indicated situations, and found that such errors occur
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44007/psn-pdf
    April 01, 2015 - pressure as a factor in diagnostic error, this magazine article describes efforts to understand why they occur
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39262/psn-pdf
    March 04, 2011 - issue/unintended-errors-ehr-based-result-management-case-series The authors identify errors that may occur

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