Results

Total Results: over 10,000 records

Showing results for "occur".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844772/psn-pdf
     September 18, 2019 - psnet.ahrq.gov/issue/lyme-disease-baffling-even-experts-new-insights-are-last-accumulating Diagnostic errors occur

182. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - The Learn from Defects Form, which provides a standardized means to assess where defects occur and to … in that the failure mode and effects analysis searches for all possible ways in which an event could occur … These conditions are the mistakes that occur without human error. … By doing this, teams are able to assign meaning to the system breakdowns that occur on their units. … Making use of these ideas on the unit will help teams understand where breakdowns occur and collaborate

183. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
     July 01, 2018 - Say: Errors occur within the health care setting because people are fallible. … Providers, executives, and managers need to understand why errors occur. … Errors occur because medicine is still treated as an art, not a science. … In analyzing how errors occur, frontline providers must recognize the scientific nature of medicine. … Errors also occur because systems frequently do not catch mistakes before they reach the patient.

184. Exhibit 2.14. Major Factors that Facilitated Lean Success at Central | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-14.html
     November 01, 2014 - Including physicians and hospital department leadership on the team ensured that change could occur and

185. Nrd2014 (pdf file)
     hcup-us.ahrq.gov/db/nation/nrd/NRD2014.pdf
     December 25, 2022 - HCUP typically allows the day of procedure to occur up to 4 days before the stay began (negative value

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73326/psn-pdf
     June 01, 2021 - model was designed to support early error disclosure with patients and families after mistakes in care occur

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50757/psn-pdf
     December 18, 2019 - psnet.ahrq.gov/issue/university-hospital-hounds-debtors-doctors-say-its-doing-harm Financial harms occur

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843322/psn-pdf
     February 01, 2023 - psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes Active errors are evident when they occur

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838326/psn-pdf
     October 12, 2022 - people-color-long-covid-face-uphill-battle-be-heard Gaslighting women and patients of color is known to occur

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73327/psn-pdf
     January 25, 2022 - ismp-medication-safety-self-assessmentr-perioperative-settings The perioperative setting is a high-risk area for medication errors, should they occur

191. 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

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37752/psn-pdf
     May 07, 2019 - been adopted in hospitals to prevent medication errors, but accidents associated with their use still occur

193. 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

194. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
     January 01, 2024 - occlusion, as in this case. 15 15 Tracheostomy Management (4) Complications of tracheostomy can occur … can cause skin breakdown and require a plan for removal.5,7  Obstruction of the tracheostomy tube can occur … surgically placed tubes, due to healing times.1,15  If the type of placement is unknown, no change should occur … need to be familiar with what low versus high priority alarms sound like and what to do when these occur … a plan for the next tracheostomy change, an explanation of complications that have occurred or may occur

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60924/psn-pdf
     September 16, 2020 - to support the focus of reporting initiatives on the system rather than individuals when failures occur

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852458/psn-pdf
     June 01, 2019 - patients to engage with their own safety and how to effectively communicate with patients should an error occur

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838027/psn-pdf
     September 07, 2022 - advancing-anticoagulation-stewardship-playbook Warfarin and other anticoagulants are high-alert medications that, if errors occur

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842432/psn-pdf
     January 11, 2023 - psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021 Medication errors continue to occur

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847057/psn-pdf
     April 05, 2023 - This article discusses medication errors that continue to occur despite established practices that,

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867340/psn-pdf
     December 11, 2024 - multiple-points-system-failure-underpin-continuous-subcutaneous-infusion- safety-incidents Medication errors can occur