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Total Results: 4,038 records

Showing results for "occur".

381. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38758/psn-pdf
     July 08, 2009 - The authors discuss the types of errors that may occur at each stage of radiotherapy and recommend error

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49554/psn-pdf
     January 01, 2008 - Extravasation of the medication into the skin is one of the most dreaded complications that can occur … Fortunately, steps can be taken to reduce the risk of extravasation and limit the consequences if it does occur … (2) Despite the best efforts of nurses and health care facilities, extravasation of vesicants does occur … Extravasation from implanted ports may occur when non-coring needles are incompletely inserted or dislodged

383. Right Place, Right Drug, Wrong Strength | PSNet
     psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
     March 26, 2015 - drug, and wrong administration time.( 3,4 ) Nonetheless, ADC-related medication errors can still occur … While it is clear that such errors occur in a range of pediatric populations, the incidence of ADC-specific … These actions remove some of the possible errors that can occur in the process of bedside decision-making … August 26, 2020 Do falls and other safety issues occur more often during handovers when

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49811/psn-pdf
     November 01, 2017 - But emergencies still do occur. … However, it may occur in 1% to 2% of hospital admissions for thyrotoxicosis.(1) Burch and Wartofsky … million per year.(1) It typically presents in older women—frequently in the winter months—but it can occur … handoffs of care, or poor usability of the EHR.(13) Follow-up failures (missed results) are more prone to occur … However, the cases presented here are examples that this situation may also occur in the inpatient setting

385. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
     psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
     August 20, 2018 - Wrong site or wrong patient errors, as in the case above, reportedly occur in approximately 1 in every … Providers Despite system changes to prevent medical errors and “never events,” they will likely continue to occur … When “never events” occur, as in this case, it is important to disclose the error clearly, support the … It is expected that hospital staff perform a root cause analysis when such events occur, clearly disclose … When “never events” or sentinel events occur, the impact on the health care providers should be taken

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34075/psn-pdf
     December 23, 2008 - The authors found empirical support that the act of disclosure to patients doesn't consistently occur

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34777/psn-pdf
     February 16, 2011 - prevention with the valuable educational opportunities for training physicians when personal errors occur

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34682/psn-pdf
     February 10, 2011 - They propose several mechanisms by which harm can occur, review examples illustrating each, and offer

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44104/psn-pdf
     July 16, 2015 - the Veterans Health Administration root cause analysis database found that wrong surgery events can occur

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34094/psn-pdf
     September 27, 2017 - Furthermore, future investigation to better understand the incidence and nature of such events must occur

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43595/psn-pdf
     November 19, 2014 - under-reported to voluntary reporting systems and root cause analysis of such incidents does not routinely occur

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45493/psn-pdf
     December 07, 2016 - protect against large-scale failures of health IT systems and categorizes the types of failures that can occur

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39030/psn-pdf
     October 21, 2009 - psnet.ahrq.gov/issue/misleading-one-detail-preventable-mode-diagnostic-error Diagnostic errors frequently occur

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37995/psn-pdf
     September 19, 2016 - Suicide attempts, the majority of which occur on inpatient psychiatric units, are considered a health

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47141/psn-pdf
     August 17, 2018 - association-postoperative-readmissions-surgical-quality-using-delphi- consensus-process Readmissions occur

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43502/psn-pdf
     September 10, 2014 - Catastrophic payments most frequently arose as a result of a diagnostic error and were more likely to occur

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43319/psn-pdf
     July 23, 2014 - Electronic prescribing was reported to occur in the majority of outpatient clinics and hospitals.

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45817/psn-pdf
     October 25, 2017 - This report estimates that around 400,000 annual cases of safety incidents will occur in Canada in the

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47545/psn-pdf
     December 19, 2018 - This review discusses adverse events in pediatric dental patients and suggests that when they occur,

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45830/psn-pdf
     June 27, 2018 - subset of learners who did not meet technical proficiency, among whom patient safety problems could occur