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Total Results: 1,064 records

Showing results for "occur".

361. Treatment Challenges After Discharge | PSNet
     psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
     January 03, 2017 - Adverse events associated with hospital care may occur even after a patient has been discharged.

362. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. | PSNet
     psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
     August 21, 2005 - Conversely, most valve-related thromboembolism events occur in patients with INR values between 2.0 and … In a lower extremity, this can occur in a bypass graft or in native vessels.

363. COVID-19: Team and Human Factors to Improve Safety | PSNet
     psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
     September 15, 2024 - are being developed in order to proactively avert opportunities for mistakes which might otherwise occur

364. Dangerous Dialysis | PSNet
     psnet.ahrq.gov/web-mm/dangerous-dialysis
     June 12, 2024 - Case Objectives List common errors that occur in dialysis units.

365. Mother's Milk, but Whose Mother? | PSNet
     psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
     November 15, 2023 - Despite various label changes and visual verification approaches, breast-milk errors continued to occur

366. Patient Safety in Office-Based Care Settings | PSNet
     psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
     January 31, 2024 - 3 Office-based settings appear to be safer than hospital settings, but patient safety incidents do occur … be approached in similar ways in both acute and office-based settings, for example patient falls can occur … Ric Ricciardi: Those problems are important and occur every day in large numbers.

367. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room | PSNet
     psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
     July 28, 2021 - near-misses. 1 , 5 , 9 Staff should be encouraged to report these occurrences and a follow-up should occur

368. Suicide and suicide attempts on hospital grounds and clinic areas. | PSNet
     psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hospital-grounds-and-clinic-areas
     October 29, 2017 - Study Suicide and suicide attempts on hospital grounds and clinic areas. Citation Text: Mills PD, Watts BV, Hemphill RR. Suicide and suicide attempts on hospital grounds and clinic areas. J Patient Saf. 2021;17(5):e423-e428. doi:10.1097/pts.0000000000000356. Copy Citation Format: …

369. Implementing a Fall Prevention Program | PSNet
     psnet.ahrq.gov/perspective/implementing-fall-prevention-program
     November 29, 2023 - But, we can certainly decrease the frequency of falls as well as the chances that falls that do occur … Patients of all ages fall, but more than 80% of falls in hospitals occur in patients older than 65 years

370. Checklists | PSNet
     psnet.ahrq.gov/primer/checklists
     September 15, 2024 - associated with each behavior are also different: failures of schematic behavior are called  slips   and occur

371. Harm From Alarm Fatigue | PSNet
     psnet.ahrq.gov/web-mm/harm-alarm-fatigue
     February 14, 2018 - Case Objectives Define alarm fatigue and describe potential errors that can occur due to alarm fatigue … What types and numbers of alarms occur with hospital monitor devices and how accurate are they?

372. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety | PSNet
     psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
     October 01, 2009 - public consciousness through a single cataclysm (9/11, a 500-point drop in the Dow), medical errors occur … error experienced by the Quaid twins has happened hundreds of times, and millions of medication errors occur … It is not even a matter of severity, since fatal errors occur with alarming frequency. … it did close, there were lots of statements from many quarters talking about the problems that would occur

373. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. | PSNet
     psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
     October 26, 2010 - Study Classic Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. Citation Text: Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. An…

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74713/psn-pdf
     January 26, 2022 - Dose stacking can occur in a multitude of ways and is typically a consequence of patient-reported inadequate … Dose stacking can also occur when a patient receives opioids via numerous sources or routes.

375. EMS Patient Safety in the Field | PSNet
     psnet.ahrq.gov/perspective/ems-patient-safety-field
     July 28, 2021 - Following in-field assessment and any treatment, appropriate transportation of the patient must occur … You are there to provide guidance for actions that occur outside of those medical protocols, such as … be delivered safely by the people taking care of them, and to take into account the situations that occur

376. An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet
     psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
     January 29, 2021 - An Incomplete Anesthesia History Leads to Adverse Outcomes Citation Text: Bohringer C. An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: …

377. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet
     psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
     March 01, 2015 - Standardized handover of care should always occur between emergency medical services and emergency department

378. Rethinking Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
     August 21, 2016 - While most accidents are the result of systems defects, serious individual transgressions also occur

379. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
     January 01, 2020 - Postoperative Monitoring (2) • Timing of assessments should coincide with peak drug effects and should occur … detecting oxygen desaturation compared with intermittent nursing spot-checks – Deaths most frequently occur

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33578/psn-pdf
     September 15, 2024 - Resiliency efforts Given that unexpected events are likely to occur, attention needs to be given to