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Total Results: 4,038 records

Showing results for "occur".

241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36388/psn-pdf
     June 12, 2013 - using-patient-safety-science-explore-strategies-improving-safety-intravenous- medication The author describes types of errors that occur

242. 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

243. 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

244. 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

245. Which End Is Which? | PSNet
     psnet.ahrq.gov/web-mm/which-end-which
     February 09, 2011 - consisted of failure to identify the appropriate limb of colon to bring up for colostomy, which can occur … This error is not confined to laparoscopy; it can occur during open surgery, especially when multiple … Any time error prevention relies solely on vigilance, errors will eventually occur—due to distraction … It is important to note that mechanical obstruction can occur for reasons other than the error described

246. Active Error (or Active Failure) | PSNet
     psnet.ahrq.gov/glossary/active-error-or-active-failure
     September 13, 2021 - Active errors occur at the point of contact between a human and some aspect of a larger system (e.g.,

247. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet
     psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
     November 01, 2012 - Errors involving heparin occur all too often. … effects on anesthesia care, and 5% reported effects on IV therapies for patients.( 8 ) Drug shortages occur … particular product, or when production quotas have been met for the year.( 9 ) When these drug shortages occur … Although the number of shortages has declined in recent years, they most likely will continue to occur

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49556/psn-pdf
     March 01, 2008 - Why do errors occur in association with hold orders? … Yet errors that arise with hold orders may occur during all phases of the medication-use process. … For example, breakdowns that occur during the transcribing or data entry process, as documented by the … hold orders are missed by the pharmacy and are not entered into the computer system ( 1) Errors that occur

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60642/psn-pdf
     July 01, 2020 - Serious opioid-related events were 1.4- and 3.6-times more likely to occur among women filling one or

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48123/psn-pdf
     August 28, 2019 - Prior research has shown that medication errors occur frequently among patients transferred from ICU

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47435/psn-pdf
     November 07, 2018 - This commentary reviews examples of bias that commonly occur in medical practice and describes debiasing

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37649/psn-pdf
     September 27, 2017 - anesthesia-machine-cause-intraoperative-code-red-labor-and-delivery-suite https://psnet.ahrq.gov/issue/clinicians-guide-surgical-fires-how-they-occur-how-prevent-them-how-put-them-out

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45093/psn-pdf
     September 04, 2016 - Discussing how patient harm can still occur even with these elements in place, this article highlights

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43238/psn-pdf
     June 04, 2014 - issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients- unprotected Errors occur

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44873/psn-pdf
     March 21, 2016 - communication breakdowns led to patient harm, this report explores selected specialties where such failures occur

256. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.365_slideshow.ppt
     January 01, 2016 - ://www.cdc.gov/nchs/fastats/hospital.htm 7 Background: Direct Admissions Planned direct admissions occur … requires an inpatient stay (e.g., chemotherapy described in the case above) Unplanned direct admissions occur … the emergency department 8 8 Direct Admissions: Processes Involved When a direct admission is to occur

257. Patient Mix-Up | PSNet
     psnet.ahrq.gov/web-mm/patient-mix
     December 01, 2007 - have addressed this problem, it is clear from anecdotal reports that this type of error can and does occur … or a ward may initially distract one from appreciating the many ways that “wrong patient” errors can occur … that these 'flukes' do happen, and the thousands of medication administrations and procedures that occur … Table How Wrong Patient Medication Errors Occur Stage at Which Error Is Introduced Example

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34973/psn-pdf
     September 29, 2017 - respect for patient autonomy plays in developing disclosure policies, and the culture change that must occur

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41896/psn-pdf
     December 12, 2012 - bar-code-verification-reducing-not-eliminating-medication-errors This simulation study identified several mechanisms by which medication errors could occur

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47309/psn-pdf
     August 22, 2018 - for patient safety as it applies to inpatient psychiatry, define the types of adverse events that occur