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Total Results: 1,064 records

Showing results for "occur".

441. The Deadly Duo | PSNet
     psnet.ahrq.gov/web-mm/deadly-duo
     April 28, 2021 - potential side effects increasing the likelihood of occurrence and the severity of the same when they do occur—such … psychoactive medications, both the patient population and the medications can be complex, and errors do occur

442. Surgical Site Infections | PSNet
     psnet.ahrq.gov/primer/surgical-site-infections
     December 15, 2024 - Surgical Site Infections Citation Text: Surgical Site Infections. 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 7 XML Endnote tagged PubMedId RIS…

443. Lethal Vertigo | PSNet
     psnet.ahrq.gov/web-mm/lethal-vertigo
     September 20, 2011 - Vertigo can occur spontaneously (eg, as the result of vestibular neuritis or Ménière's disease), or can

444. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet
     psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
     November 13, 2024 - The Second Victim Phenomenon: A Harsh Reality of Health Care Professions Susan D. Scott RN, MSN | May 1, 2011  View more articles from the same authors. Citation Text: Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [intern…

445. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety | PSNet
     psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
     December 01, 2012 - Mistaken interpretations may occur if the orientation of the transducer with the orientation marker on … pericardial fat may appear similarly echogenic on cardiac POCUS.( 17 ) In general, errors and pitfalls can occur

446. Triple Handoff | PSNet
     psnet.ahrq.gov/web-mm/triple-handoff
     March 01, 2004 - In our institution, when one adds up all the provider-to-provider handoffs, 4,000 signouts occur daily … critical information is not communicated.( 6 ) Of errors in general, omission errors are common and occur

447. Misconnection Leading to Arterial Thrombosis | PSNet
     psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
     January 29, 2021 - by a nurse or a physician is fortunately far less common than this non-medical scenario, but it can occur … Unintentional cannulation of a radial or a femoral artery may occur in a patient with low blood pressure

448. A Laceration that Needed a Proper Exam, Not an X-Ray | PSNet
     psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
     November 25, 2020 - Slips occur because of erroneous performance of a required task.

449. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation | PSNet
     psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
     November 25, 2020 - followed by the rectosigmoid junction. 1 Given the ischemic pathophysiology, perforations typically occur

450. Despite Clues, Failed to Rescue | PSNet
     psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
     August 02, 2015 - As Reason's Swiss Cheese Model of failure ( 1 ) demonstrates, major errors can occur in health care settings—including … Patient deterioration in the perioperative period may occur slowly, and early recognition requires not

451. Family of woman who died after a medical error joins hospital's safety panel. | PSNet
     psnet.ahrq.gov/issue/family-woman-who-died-after-medical-error-joins-hospitals-safety-panel
     May 13, 2020 - Newspaper/Magazine Article Family of woman who died after a medical error joins hospital's safety panel. Citation Text: Family of woman who died after a medical error joins hospital's safety panel. Shelton DL. Chicago Tribune. October 7, 2011. Copy Citation Save …

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39523/psn-pdf
     September 26, 2016 - Association of interruptions with an increased risk and severity of medication administration errors. September 26, 2016 Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of medication administration errors. Arch Intern Med. 2010;170(8):683-690. doi:10.1001/arch…

453. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet
     psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
     August 14, 2024 - They include teamwork, nonpunitive ways to address errors that do occur, effective leadership, and appropriate … Falls will, however, continue to occur as when an acute event or illness happens and as residents’ capabilities

454. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet
     psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
     July 01, 2017 - Then, if an error did occur, they proactively offer compensation to patients without requiring them to … In other ways they can elevate the risk of having to pay out once an incident does occur.

455. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
     psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
     September 24, 2024 - behaviors and processes that reduce the probability of experiencing errors and catching errors that occur … And when an event does occur, they focus on understanding the root causes and identifying corrective

456. A Tale of Two Falls | PSNet
     psnet.ahrq.gov/web-mm/tale-two-falls
     March 27, 2024 - Careful evaluation should occur to identify the tool that best fits a particular setting. 18 The Agency … Fall injuries such as fractures and internal bleeding occur more often in high-risk populations such

457. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet
     psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
     August 01, 2012 - revise the PEG tube via laparoscopic or open technique due to concern for liver bleeding that might occur

458. A Conversation with Patient Safety Officers. | PSNet
     psnet.ahrq.gov/issue/conversation-patient-safety-officers
     April 30, 2024 - Book/Report A Conversation with Patient Safety Officers. Citation Text: A Conversation with Patient Safety Officers. Harrisburg, PA: Patient Safety Authority; 2007. Copy Citation Save Save to your library Print Download PDF Share Facebook…

459. Diagnostic Errors | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors
     December 01, 2013 - Annual Perspective Diagnostic Errors Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…

460. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. | PSNet
     psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
     July 02, 2011 - post-operative morbidity and mortality. 17 Approach to Improving Safety Cerebral aneurysms typically occur