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Total Results: 1,064 records

Showing results for "occur".

401. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
     psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
     December 31, 2024 - per year, with 200,000 to 300,000 deaths per year. 1 150,000 to 200,000 PE-related hospitalizations occur … Miscommunication may occur verbally, in written reports, or both.

402. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
     psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
     July 23, 2024 - Despite awareness of adverse effects, surgical errors continue to occur at a high rate; 10% of preventable

403. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet
     psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
     April 27, 2022 - SPOTLIGHT CASE Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. Citation Text: Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.. PSNet [internet]. Rockville (MD):…

404. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? | PSNet
     psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
     March 31, 2021 - mortality if not (and sometimes even when) treated in a timely and aggressive manner. 1 Rarely, NSTIs can occur … a timely fashion, 4 and a recent expert panel concluded that operation for NSTIs should optimally occur

405. Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet
     psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
     February 26, 2025 - protocol that is nimble and flexible to care as it happens instead of only identifying problems after they occur

406. The Dangerous Detour | PSNet
     psnet.ahrq.gov/web-mm/dangerous-detour
     November 28, 2018 - among the roughly 30,000 suicides occurring each year in the US, approximately 1,500 suicides (5%) occur

407. E-prescribing: E for error? | PSNet
     psnet.ahrq.gov/web-mm/e-prescribing-e-error
     February 03, 2021 - State how commonly prescription errors occur with e-prescribing. … list with patients as part of the visit summary would also help to identify discrepancies when they occur

408. Who Nose Where the Airway Is? | PSNet
     psnet.ahrq.gov/web-mm/who-nose-where-airway
     May 01, 2016 - The traditional method of preventing RFOs in surgery has been to perform structured counts that occur

409. Methicillin-Resistant Staphylococcus aureus | PSNet
     psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
     June 24, 2010 - While invasive MRSA infections occur more commonly in the hospital, 15% occurred in persons without any

410. The Worst Headache | PSNet
     psnet.ahrq.gov/web-mm/worst-headache
     July 01, 2016 - therefore unlikely to produce any cranial nerve findings.( 2 ) Meningismus and ocular hemorrhages also occur

411. Good Catch in the Operating Room | PSNet
     psnet.ahrq.gov/web-mm/good-catch-operating-room
     August 27, 2017 - Good Catch in the Operating Room Citation Text: Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …

412. The Result Stopped Here | PSNet
     psnet.ahrq.gov/web-mm/result-stopped-here
     December 01, 2006 - The Result Stopped Here Citation Text: Astion ML. The Result Stopped Here. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

413. The Role of Community Pharmacists in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
     October 24, 2021 - What are some of the common patient safety events that can occur across these different settings?

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60641/psn-pdf
     July 01, 2020 - Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. July 1, 2020 Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035471. doi:10.1136/bmjopen-2019-035471.…

415. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/842920
     December 14, 2022 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Diagnostic Errors Case Studies Curated Library Web M&Ms A Postpartum Woman with an Erroneous SARS-CoV-2 Test Stephen A. Martin, MD, EdM, Gordon D. Schiff, MD, and Sanjat Kanjilal, MD, MPH | April 28, 2021 A pregnant patient was admitted for…

416. Duplicate Therapies in Retail Pharmacy | PSNet
     psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
     August 05, 2022 - addition to opportunities for an improved patient counseling process, both cases reflect errors that occur … place so that pharmacists are aware of what to do in certain situations where dispensing errors may occur

417. The Case of Mistaken Intubation | PSNet
     psnet.ahrq.gov/web-mm/case-mistaken-intubation
     July 01, 2016 - described in this case, where a patient was resuscitated against his wishes, is among the gravest that can occur … There is little data regarding how often such unwanted resuscitations occur.

418. Management of Cardiac Arrest in Unconventional Locations. | PSNet
     psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
     June 14, 2023 - Improve Patient Safety The errors that occurred in both cases reflect errors of omission that commonly occur

419. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-470
     December 31, 2024 - LSAEs) are rare, healthcare organizations must maintain policies on LSAE disclosure (LSAED) should they occur

420. Airway Obstruction during Anterior Cervical Spine Surgery | PSNet
     psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
     January 29, 2021 - Pneumothorax can occur in trauma patients who may have undiagnosed rib fractures. … Some crises occur infrequently, and checklists are particularly helpful when dealing with uncommon problems