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Total Results: over 10,000 records

Showing results for "occur".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851464/psn-pdf
    July 19, 2023 - Impacts such as psychological health of the patient and access to care units, should a crash occur,

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74749/psn-pdf
    February 09, 2022 - information technology has improved many aspects of patient care, unintended negative consequences may also occur

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50786/psn-pdf
    January 08, 2020 - a complex environment that serves a vulnerable population at increased risk for harm should errors occur

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853061/psn-pdf
    August 30, 2023 - Part One of this review summarizes existing definitions for drug shortages and the harms that can occur

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48082/psn-pdf
    June 19, 2019 - patients age 65 and older on chronic medications found that unintentional medication discontinuation does occur

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853977/psn-pdf
    September 27, 2023 - the British National Health System (NHS) and the factors that allowed continued criminal activity to occur

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74076/psn-pdf
    November 17, 2021 - https://psnet.ahrq.gov/issue/influence-perioperative-handoffs-complications-and-outcomes Handoffs occur

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854897/psn-pdf
    October 31, 2023 - These errors can occur at any stage in the medication use process, from prescribing to administration … To understand how such medication errors can occur, it is helpful to review James Reason’s Swiss Cheese … According to Reason, accidents within most complex systems (e.g., healthcare) occur from the breakdown … False alerts occur without any actual event, whereas nonactionable alerts result from events that lack … initial data entry to final medication administration, had vulnerabilities that allowed the error to occur

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853773/psn-pdf
    September 27, 2023 - Wrong site or wrong patient errors, as in the case above, reportedly occur in approximately 1 in every … Despite system changes to prevent medical errors and “never events,” they will likely continue to occur … When “never events” occur, as in this case, it is important to disclose the error clearly, support the … It is expected that hospital staff perform a root cause analysis when such events occur, clearly disclose … When “never events” or sentinel events occur, the impact on the health care providers should be taken

  10. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet

    psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
    March 15, 2023 - These errors can occur at any stage in the medication use process , from prescribing to administration … To understand how such medication errors can occur, it is helpful to review James Reason’s Swiss Cheese … According to Reason, accidents within most complex systems (e.g., healthcare) occur from the breakdown … False alerts occur without any actual event, whereas nonactionable alerts result from events that lack … initial data entry to final medication administration, had vulnerabilities that allowed the error to occur

  11. AHRQ QI Quality Indicators Brochire (pdf file)

    qualityindicators.ahrq.gov/Downloads/Modules/V2022/AHRQ_QI_Full_Brochure.pdf
    March 28, 2023 - • Hospital-level indicators detect potential safety problems that occur during a patient's hospital … • They include hospital-level indicators to detect potential safety problems that occur during a

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867633/psn-pdf
    February 26, 2025 - preventable and that healthcare systems should be able to rapidly identify and treat complications when they occur

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837744/psn-pdf
    July 27, 2022 - //psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far Human errors that occur

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838928/psn-pdf
    October 26, 2022 - they-cant-ignore-us-any-more-five-women-long-covid-and-medical-misogyny Disrespect for women around the world is known to occur

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73615/psn-pdf
    August 18, 2021 - The story is coupled with a broader discussion on the extent of diagnostic errors and reasons they occur

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74216/psn-pdf
    December 22, 2021 - strategy to reduce the impact of implicit ethnic bias, while arguing that fundamental change will occur

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837042/psn-pdf
    April 04, 2022 - covered support respectful communication with patients, families and clinicians after medical errors occur

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851452/psn-pdf
    July 19, 2023 - Despite extensive research and interventions, medication prescribing errors in hospital continue to occur

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837517/psn-pdf
    June 22, 2022 - Secretary Jeremy Hunt intended to help the institution reach a place where zero patient harm will occur

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61070/psn-pdf
    October 28, 2020 - patient-outcomes Retained surgical items (RSIs) are considered ‘never events’ but they continue to occur
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