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Total Results: 4,038 records

Showing results for "occur".

401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43438/psn-pdf
     February 23, 2018 - reactive rather than proactive, involving a response to adverse events and near misses after they occur

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39795/psn-pdf
     June 06, 2018 - approaches to prospectively identify safety hazards before patients are harmed and, when errors do occur

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44322/psn-pdf
     June 21, 2016 - these harms, work to understand the severity of harm, and determine accountability when these events occur

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41958/psn-pdf
     April 17, 2013 - Despite public uproar and attention focused on these never events, such incidents continue to occur

405. A Room Without Orders | PSNet
     psnet.ahrq.gov/web-mm/room-without-orders
     September 01, 2011 - According to the American Hospital Association, 35.4 million admissions occur annually in United States … hospitals.( 1 ) Among those admissions, approximately 16 million occur through the emergency department … For example, an unplanned direct admission may occur when an ill patient presents to a physician's office … On the other hand, a planned direct admission may occur when a patient is pre-scheduled for a procedure … acuity level of patients require nurses to continuously reprioritize their list of tasks.( 3 ) Errors occur

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49407/psn-pdf
     July 01, 2003 - Although hemorrhage can occur in any patient receiving warfarin, the risk is magnified when the anticoagulant … Medication errors specific to oral anticoagulants generally occur either due to inadequate monitoring … For outpatients, less frequent monitoring can be performed; however, monitoring should occur at least … patients, the INR should be rechecked on the following day to ensure that it has fallen, which did not occur

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38675/psn-pdf
     February 15, 2011 - potential medication errors, but a growing body of research has characterized new errors that may occur

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49481/psn-pdf
     May 01, 2005 - times more likely than non-users to leave AMA, and AMA discharges were three times more likely to occur … In summary, this case illustrates numerous points at which preventable errors can occur when a patient … provider-to-provider communication that would have identified the patient’s lack of capacity did not occur … Take-Home Points Approximately 1%-2% of hospital discharges occur AMA.

409. Bleeding Risk | PSNet
     psnet.ahrq.gov/web-mm/bleeding-risk
     November 01, 2003 - Although hemorrhage can occur in any patient receiving warfarin, the risk is magnified when the anticoagulant … Medication errors specific to oral anticoagulants generally occur either due to inadequate monitoring … For outpatients, less frequent monitoring can be performed; however, monitoring should occur at least … patients, the INR should be rechecked on the following day to ensure that it has fallen, which did not occur

410. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
     October 01, 2010 - the conclusion of this educational activity, participants should be able to: List common errors that occur … Available at: http://www.usrds.org/adr_2009.htm * Dialysis Centers are Hazardous Various errors can occur … * Errors in Dialysis System Errors can occur at multiple points in system: Contamination of the

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41920/psn-pdf
     October 08, 2013 - /review-computerized-physician-handoff-tools-improving-quality-patient-care Clinical care handoffs occur

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37960/psn-pdf
     September 24, 2010 - order to maintain individual accountability for unsafe behaviors, while acknowledging that most errors occur

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36549/psn-pdf
     March 21, 2017 - shown that patients are concerned about medical errors and desire full disclosure of errors when they occur

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44098/psn-pdf
     April 29, 2015 - the authors suggest that current frameworks must be adapted to understand these incidents when they occur

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42322/psn-pdf
     June 05, 2013 - medications in common use, due to the potential for serious bleeding complications if medication errors occur

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47105/psn-pdf
     August 10, 2018 - residents are frequently exposed to inappropriate medications and that adverse drug events (ADEs) occur

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47118/psn-pdf
     August 08, 2018 - wrong-site-nerve-blocks-systematic-literature-review-guide-principles- prevention Wrong-site procedures are considered never events, yet they continue to occur

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44552/psn-pdf
     June 21, 2016 - about misdiagnosis and developing validated metrics to determine how frequently diagnostic errors occur

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36833/psn-pdf
     March 03, 2011 - achieving-national-quality-forums-never-events-prevention-wrong-site-wrong- procedure-and Wrong site operations are rare and often occur

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40477/psn-pdf
     March 23, 2012 - The investigators estimate that nearly 4.5 million ambulatory visits occur yearly due to ADEs, with