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Showing results for "occur".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850353/psn-pdf
    June 14, 2023 - perioperative-handoff-enhancement-opportunities-through-technology-and- artificial Multiple handoffs can occur

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836721/psn-pdf
    March 09, 2022 - sources-medication-omissions-among-hospitalized-older-adults-polypharmacy Medication reconciliations, including conducting a best possible medication history (BPMH), may occur

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44290/psn-pdf
    April 10, 2023 - prevention-and Retained surgical items are rare and potentially catastrophic incidents that continue to occur

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849123/psn-pdf
    May 17, 2023 - maximizing-student-potential-lessons-pharmacy-programs-patient-safety- movement The patient safety movement recognizes that most errors occur

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839831/psn-pdf
    November 09, 2022 - events serve as triggers to motivate substantive improvement in health care organizations should they occur

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73524/psn-pdf
    July 21, 2021 - types of errors that compromise the safety of compounding practices, steps in the process where they occur

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47860/psn-pdf
    June 30, 2019 - new-mother-number-14 Rigid adherence to protocols may detract from safety when unexpected critical events occur

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844791/psn-pdf
    September 18, 2019 - review-alternatives-root-cause-analysis-developing-robust-system-incident- report-analysis Root cause analysis is a fundamental approach to understanding how failures occur

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73356/psn-pdf
    June 02, 2021 - resonance imaging (MRI) suites harbor unique hazards that can harm patients, should process missteps occur

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846764/psn-pdf
    March 29, 2023 - health record (EHR) systems are complex efforts that have the potential for injury, should failure occur

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73469/psn-pdf
    July 07, 2021 - barriers-and-facilitators-bedside-nursing-handover-systematic-review-and- meta-synthesis Handovers between providers occur

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867192/psn-pdf
    November 20, 2024 - reported medication and other substance events, outlining data such as when in the process errors occur

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866905/psn-pdf
    October 09, 2024 - Errors typically occur due to lack of access to the appropriate knowledge, and neither system is essential

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867234/psn-pdf
    December 04, 2024 - This two-part series examines characteristics of misconnections, how often they occur, and what can

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866436/psn-pdf
    August 07, 2024 - many strategies to improve medication safety, such as tall man lettering, but serious errors still occur

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867142/psn-pdf
    November 13, 2024 - AEs were more likely to occur among patients with longer ED stays.

  17. 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

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35972/psn-pdf
    June 17, 2014 - https://psnet.ahrq.gov/issue/patient-safety-ed The authors discuss the kinds of errors that occur in

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74754/psn-pdf
    February 09, 2022 - Results indicate that adverse events can occur in intra-hospital transport, and that frequency of critical

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48161/psn-pdf
    January 01, 2021 - investigating-impact-intensive-care-unit-interruptions-patient-safety-events- and-electronic Despite many technological innovations, safety events occur
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