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Total Results: 4,038 records

Showing results for "occur".

421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39193/psn-pdf
     April 21, 2011 - and surgery) frequently "choose their words carefully" and fail to fully disclose errors when they occur

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49562/psn-pdf
     May 01, 2008 - the review of a checklist, some have argued that asking open- ended questions, such as those that occur … While the Universal Protocol currently mandates that a time out occur immediately prior to the procedure … , some have suggested that a debriefing occur after the procedure as well.(1) Finally, documentation … Furthermore, in hospitals where time outs occur regularly and with meaning, it is the attending surgeon

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49410/psn-pdf
     July 01, 2003 - positioned to ensure that run-off of tissue adhesive is minimized (horizontal plane), and that if it does occur … Following these simple and intuitive steps will prevent most adverse events, but complications may still occur … should ensure that a system is in place to monitor these new technologies for adverse events that may occur

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49512/psn-pdf
     May 01, 2006 - patient and doctor it is the ultimate nightmare.”(4) Broadly speaking, adverse events in hospitals occur … Alternatively, and more commonly, many smaller errors may occur—not one of which alone is severe enough … James Reason has developed a powerful explanatory model to understand adverse events that occur by the … Adverse events occur only when all the defenses around a particular patient's situation have been circumvented

425. External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. | PSNet
     psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham-4th-january-2001
     September 10, 2014 - Book/Report External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. Citation Text: External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. Toft B. London, UK; Crown C…

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37499/psn-pdf
     January 10, 2017 - The latter include the capacity of health care systems to adequately measure when these events occur

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45148/psn-pdf
     April 24, 2018 - Overlapping surgery refers to when two procedures are performed concurrently, but important portions occur

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38692/psn-pdf
     March 04, 2015 - /psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports Errors that occur

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39543/psn-pdf
     May 19, 2010 - Notable findings include widespread concern about a persistent culture of individual blame when errors occur

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36852/psn-pdf
     August 29, 2011 - medication-errors-among-acutely-ill-and-injured-children-treated-rural- emergency-departments In the pediatric population, medication errors occur

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34792/psn-pdf
     January 01, 2011 - The study presents additional results suggesting why reporting failed to occur and factors predicting

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36486/psn-pdf
     June 13, 2011 - design-and-implementation-application-and-associated-services-support- interdisciplinary Prior studies have documented that medication errors frequently occur

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47247/psn-pdf
     December 19, 2018 - bloodstream infections (CLASBI) have been a target of safety improvement efforts, they continue to occur

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39297/psn-pdf
     January 22, 2017 - The majority of inpatient suicide attempts occur in patients hospitalized on psychiatric units, and

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43309/psn-pdf
     August 02, 2015 - patient harm, and prior studies have shown that—contrary to traditional assumptions—many of these errors occur

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37292/psn-pdf
     May 24, 2015 - These include feelings of concern by patients about the potential for further harm to occur, feelings

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46302/psn-pdf
     December 22, 2017 - non-health-care-facility-medication-errors-resulting-serious-medical-outcomes Medication errors that occur

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862601/psn-pdf
     February 14, 2024 - Why simulation matters: a systematic review on medical errors occurring during simulated health care. February 14, 2024 Bokka L, Ciuffo F, Clapper TC. Why simulation matters: a systematic review on medical errors occurring during simulated health care. J Patient Saf. 2024;20(2):110-118. doi:10.1097/pts.000000000000…

439. Pocket Syringe Swap | PSNet
     psnet.ahrq.gov/web-mm/pocket-syringe-swap
     July 01, 2006 - 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

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49578/psn-pdf
     January 01, 2009 - Care fragmentation seems to have created an opportunity for this ADE to occur: it appears that an oncology … Moreover, methotrexate toxicity can occur with several common over-the-counter medications, such as … Take-Home Points A detailed medication history with reconciliation of newly prescribed medications should occur