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Showing results for "occur".

241. 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

242. newbref
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module11/slimplement.pptx
     February 03, 2006 - When and where will the improvements occur? … When will the training sessions occur and for how long? Where will the sessions occur?

243. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module11/11_ts_office_impplan.pptx
     January 20, 2006 - When and where will the improvements occur? … When will the training sessions occur and for how long? Where will the sessions occur?

244. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module11/ts2-0ltc_module11_slides_implementation.pptx
     February 03, 2006 - When and where will the improvements occur? … When will the training sessions occur and for how long? Where will the sessions occur?

245. 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

246. 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

247. 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

248. 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

249. Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/assessment_of_pediatric_look_alike__sound_alike__lasa__substitution_errors_2010pdf_2.pdf
     March 01, 2012 - December 2010 Target Population: Pediatric* Summary: Look-alike, sound-alike (LASA) medication errors occur … Delphi process to identify pairs that are of greatest concern to pediatricians should a substitution occur … PediAtric Look-ALike, sound-ALike substitution errors 2010 GrAnt summAry The Delphi process will occur

250. 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

251. MEPS-HC Data Tools | AHRQ Data Tools
     datatools.ahrq.gov/meps-hc/?type=tab&tab=mepshcpd
     January 01, 2015 - In subsequent years, they are their own class.Smaller changes may occur each year. … Changes may occur between any years, so for more precise estimates, it is prudent to use the RXDRGNAM

252. 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

253. 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.

254. 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

255. 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

256. 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

257. Pocket Cards_4 Moments (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-three-options.pdf
     November 01, 2019 - Moment 4 should occur as soon as it is clear what infectious process is being treated and the patient … Moment 4 should occur as soon as it is clear what infectious process is being treated and the patient

258. 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

259. 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

260. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - Five subscales emerged for “reasons why MAE occur”; four subscales emerged for “reasons why MAE are … medication administration errors occur. … Reasons why medication errors occur (19 items in 1994 and 29 in subsequent surveys). 2. … In the first content area, “why MAEs occur,” five factors emerged. … Nurses’ perceptions of why medication administration errors occur.