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Total Results: 4,231 records

Showing results for "occur".

61. Responding to Patient Safety Events | PSNet
    psnet.ahrq.gov/primer/responding-patient-safety-events
    October 18, 2023 - Background Patient safety events that occur in health care facilities require prompt action to ensure … If indicated, early compensation could occur in the form of waiving hospital bills while the healthcare … This especially tends to occur in situations where the healthcare staff bonds with a patient or family

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37506/psn-pdf
    March 12, 2019 - providers to the potential danger of unretrieved device fragments (UDFs), types of adverse events that may occur

63. Active Error (or Active Failure) | PSNet
    psnet.ahrq.gov/glossary/active-error-or-active-failure
    September 13, 2021 - Active errors occur at the point of contact between a human and some aspect of a larger system (e.g.,

64. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49667/psn-pdf
    October 01, 2012 - As a result, medication errors occur regularly in the ED, ranging from https://psnet.ahrq.gov/web-mm … also need to be aware of high-alert medications, which can have catastrophic consequences if errors occur … Mistakes with medications occur not because a clinician has been incompetent by making an error, but … their own risks for medication errors, it is important to acknowledge that medication errors generally occur … Medication errors generally occur as a result of system failures rather than faults produced by particular

65. Night shift nightmare. | PSNet
    psnet.ahrq.gov/issue/night-shift-nightmare
    March 04, 2009 - This article reports on the potential for medical errors to occur during the night shift and the factors

66. Staying safe during a hospital stay. | PSNet
    psnet.ahrq.gov/issue/staying-safe-during-hospital-stay
    June 09, 2010 - This newspaper article reports on common errors that may occur during hospitalization and offers tips

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/855058/psn-pdf
    October 31, 2023 - we think that certain units may have a patient population that may predispose workplace violence to occur … Opportunities for workplace violence occur in long-term care facilities because of their patient https … In recent years, in addition to workplace violence events that may occur in healthcare organizations … challenges with reporting and making it easier for clinicians to report acts of violence when they occur … Having reporting systems in place that facilitate the reporting of events when they actually occur is

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867145/psn-pdf
    November 13, 2024 - issue/technology-education-and-safety-3 Despite consummate efforts to improve safety, errors still occur

69. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/857259/psn-pdf
    November 30, 2023 - medical errors are the third most common cause of death behind heart disease and cancer.2 Errors can occur … hazards are prevented by barriers, but holes in the cheese represent opportunities for an error to occur … and commentary highlight the continual need for improvement, and how serious medication errors can occur … Thus, even if incorrect decisional responses are rare, they occur with sufficient frequency to impact … Workarounds occur within healthcare systems and may lead to deviations from protocols while providing

70. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865598/psn-pdf
    April 17, 2024 - medication therapy for transplant patients is complex and has the potential for serious harm when errors occur

71. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837708/psn-pdf
    July 20, 2022 - psnet.ahrq.gov/issue/without-question Diagnostic errors caused by premature closure and anchoring bias occur

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867676/psn-pdf
    February 26, 2025 - https://psnet.ahrq.gov/primer/responding-patient-safety-events Background Patient safety events that occur … If indicated, early compensation could occur in the form of waiving hospital bills while the healthcare … This especially tends to occur in situations where the healthcare staff bonds with a patient or family

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33561/psn-pdf
    September 15, 2024 - in reference to particularly shocking medical errors—such as wrong-site surgery—that should never occur … However, when Never Events occur, they are devastating to patients and may indicate a fundamental safety … A 2013  study estimated that more than 4000 surgical never events occur yearly in the United States.

74. Medication Mix-Up Leads to Patient Death | PSNet
    psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
    July 08, 2022 - medical errors are the third most common cause of death behind heart disease and cancer. 2 Errors can occur … hazards are prevented by barriers, but holes in the cheese represent opportunities for an error to occur … and commentary highlight the continual need for improvement, and how serious medication errors can occur … Thus, even if incorrect decisional responses are rare, they occur with sufficient frequency to impact … Workarounds occur within healthcare systems and may lead to deviations from protocols while providing

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851927/psn-pdf
    August 02, 2023 - https://psnet.ahrq.gov/issue/perioperative-handoffs Handoffs occur several times during a surgical procedure

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47352/psn-pdf
    February 13, 2019 - https://psnet.ahrq.gov/issue/when-surgeon-too-old-operate Cognitive and functional decline can occur

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/861776/psn-pdf
    January 31, 2024 - such as communication and resolution programs to encourage apologies and transparency when errors occur

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865702/psn-pdf
    May 01, 2024 - psnet.ahrq.gov/issue/judgment-errors-surgical-care Knowing when judgment errors are more likely to occur

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851658/psn-pdf
    July 26, 2023 - This article summarizes potential patient harm that can occur during hospitalization for older adults

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867224/psn-pdf
    December 04, 2024 - safety-inpatient-care-surgical-settings-cohort-study Despite decades of safety improvement efforts, surgical complications continue to occur