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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44599/psn-pdf
    December 09, 2015 - association-between-day-delivery-and-obstetric-outcomes-observational-study The weekend effect, in which adverse events occur
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43799/psn-pdf
    January 07, 2015 - issue/ismps-list-high-alert-medications-acute-care-settings https://psnet.ahrq.gov/issue/where-errors-occur-preparation-and-administration-intravenous-medicines-systematic-review-and
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49625/psn-pdf
    May 01, 2011 - events in anesthesia (1), and the "syringe swap" is the most common of those errors.(2) Yet they still occur … Changes in anesthetic agents and associated adjuvant drugs occur at a rate far too high for available … However, the primary point here is that syringe swaps do occur. … Reduction in drug errors will not occur without careful attention to the system within which anesthesia
  4. psnet.ahrq.gov/issue/analysis-risk-factors-patient-safety-events-occurring-emergency-department
    January 26, 2022 - Study Analysis of risk factors for patient safety events occurring in the emergency department. Citation Text: Alsabri M, Boudi Z, Zoubeidi T, et al. Analysis of risk factors for patient safety events occurring in the emergency department. J Patient Saf. 2022;18(1):e124-e135. doi:10.1097…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49668/psn-pdf
    October 01, 2012 - toxicities related to opioid misuse increased by 134% from 2004 to 2010.(3) Drug-related adverse events occur … Second, pharmacotherapy with opioid medications to treat opioid addiction requires that an evaluation occur … , the use of an antagonist that can block the euphoria-producing effects of opioids should relapse occur … agonist effects with naltrexone will eliminate the potential for respiratory depression that might occur
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49620/psn-pdf
    February 01, 2011 - hours after surgery.(5) However, delayed postoperative hemorrhage resulting in airway compromise can occur … interval for development of hematoma after thyroid surgery varies, although most symptomatic hematomas occur … to emphasize that cases of delayed hemorrhage, occurring 24 hours or more after thyroid surgery, do occur … Respiratory-specific symptoms such as stridor, hypoxia, dyspnea, tachypnea, or tracheal deviation occur
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35899/psn-pdf
    January 02, 2017 - particular NPSG, and then discuss the efforts made in specific clinical areas where sterile procedures occur
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43048/psn-pdf
    April 02, 2014 - building-culture-candour-review-threshold-duty-candour-and-incentives-care- organisations-be When medical errors occur
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34691/psn-pdf
    May 18, 2016 - human error, as has been traditional in medicine, he advocates systems that assume human errors will occur
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46045/psn-pdf
    December 22, 2018 - validating-domains-patient-contextual-factors-essential-preventing-contextual- errors Contextual errors can occur
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38224/psn-pdf
    February 18, 2011 - When readmissions occur, providing feedback to the team that originally discharged the patient could
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46455/psn-pdf
    April 24, 2018 - High-alert medications have the potential to cause substantial patient harm if administration mistakes occur
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44657/psn-pdf
    November 11, 2015 - commentary discusses interpretive and perceptual errors in radiology and explores why these failures occur
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41245/psn-pdf
    March 29, 2012 - occurrence-wrong-site-surgery-self-reported-candidates-certification-american- board This study found that wrong-site surgeries continued to occur
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34657/psn-pdf
    June 14, 2011 - catalyzed 7 years of efforts to bring patient safety to the forefront and explain what future steps must occur
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45810/psn-pdf
    May 05, 2017 - The authors of this prospective study suggest that unexpected life-threatening events that occur within
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49524/psn-pdf
    November 01, 2006 - Damage may occur to the recurrent laryngeal nerve, and documented cases of vocal cord paralysis after … In summary, complications from the use of LMAs do occur, even if rare as presented in this case. … Rare complications with any anesthetic technique may occur, mandating careful follow-up with patients
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33709/psn-pdf
    July 01, 2011 - study of critical incidents, Arora and colleagues found that face-to-face communication often did not occur … The scope of the report included handovers that occur at change of shift, as well as change of service … This may include elements such as a dedicated time and place for handover to occur, avoidance of interruptions … elements such as code status, recent events, and anticipated problems (as well as what to do if they occur
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36784/psn-pdf
    February 24, 2011 - psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition When medical errors occur
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40921/psn-pdf
    November 16, 2011 - CMS and state agencies to ensure that lasting safety improvement comes about after serious errors occur

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