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Total Results: 5,009 records

Showing results for "occur".

301. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides4.html
     October 01, 2017 - Unit staff tell the Wound Care Team about high-risk patients or if skin problems occur. … Slide 21: Communication Patterns Good communication needs to occur among staff at all levels.

302. "Recurrent" Appendicitis | PSNet
     psnet.ahrq.gov/web-mm/recurrent-appendicitis
     January 15, 2020 - Once in the operating room, there are several technical errors that can occur, primarily accidental injury … "Recurrent" or "residual" appendicitis can occur when the appendix is not completely removed at the time … like esophagectomy and pancreatectomy may improve outcomes.( 17 ) However, 73% of technical errors occur

303. Age-related COVID-19 vaccine mix-ups. | PSNet
     psnet.ahrq.gov/issue/age-related-covid-19-vaccine-mix-ups
     June 13, 2018 - Vaccine missteps are known to occur during flu and COVID-19 inoculation efforts.

304. Missed injuries in trauma patients: a literature review. | PSNet
     psnet.ahrq.gov/issue/missed-injuries-trauma-patients-literature-review
     April 01, 2009 - This review found that missed injuries and delayed diagnoses occur frequently, with many of the missed

305. Errors in otolaryngology revisited. | PSNet
     psnet.ahrq.gov/issue/errors-otolaryngology-revisited
     August 11, 2010 - For instance, wrong-site surgeries continue to occur despite garnering major attention over the past

306. Adverse Health Events in Minnesota: Annual Reports. | PSNet
     psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
     February 28, 2015 - The National Quality Forum has defined 29 never events —patient safety problems that should never occur

307. Improving Safety and Quality with Outpatient Order Entry - 2008 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-outpatient-order-entry/annual-summary/2008
     January 01, 2008 - States health care system continues to face enormous quality, safety, and cost challenges, many of which occur … Further analysis is under way to examine the impact on specific clinician clinic activities that occur

308. Screening for Gestational Diabetes: Clinician Summary for USPSTF Recommendation (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/qPSAJPnBVmzFneXUDMRJfs
     August 01, 2021 - Typically in the US, screening occurs prior to 28 weeks of gestation; however, it can occur later in

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34094/psn-pdf
     September 27, 2017 - Furthermore, future investigation to better understand the incidence and nature of such events must occur

310. Crossing the Line | PSNet
     psnet.ahrq.gov/web-mm/crossing-line
     December 01, 2012 - Describe methods for preventing complications and for promptly identifying complications when they occur … such as bleeding, hematoma formation, pneumothorax, and arterial puncture and cannulation, typically occur … Bleeding complications occur more commonly in patients with coagulation abnormalities or elevated central … the right atrium or right ventricle, arrhythmias or, less commonly, perforation of the myocardium can occur

311. Abraham, Joanna | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/abraham-joanna
     January 01, 2024 - showing the utility of a void alert tool to prospectively capture the broad range of errors that may occur

312. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet
     psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
     April 18, 2018 - pre-analytical, (b) analytical, and (c) post-analytical 2-4 Up to 75% of all medical testing errors occur … Sources of testing error occur during the post-analytic phase include transcription errors, delayed reporting … the frequency of these events tracked For mislabeled specimens, studies show the failure points occur … Mislabeled specimens occur frequently in healthcare and result in significant cost to the institution

313. Newyork2005-2006Sidandsasd (pdf file)
     hcup-us.ahrq.gov/db/state/siddist/NewYork2005-2006SIDandSASD.pdf
     January 01, 2005 - The duplicate records, while rare, occur in multiple hospitals across the State of New York.

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867497/psn-pdf
     February 26, 2025 - With the recognition that retained guidewires, sheaths and catheters occur after interventional vascular … additional actions are taken in the OR (e.g., x-rays, searching, recounting) to reconcile the count, occur … miscounts can influence the responses and reactive behaviors of all personnel when count deviations occur … It is important to remember that RSIs occur because of human error within complex systems.

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36549/psn-pdf
     March 21, 2017 - shown that patients are concerned about medical errors and desire full disclosure of errors when they occur

316. Implement strategies to prevent persistent medication errors and hazards: 2024. | PSNet
     psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
     April 17, 2024 - April 5, 2023 Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing

317. Evaluation for occult fractures in injured children. | PSNet
     psnet.ahrq.gov/issue/evaluation-occult-fractures-injured-children
     August 20, 2014 - children for occult fractures—in several clinically indicated situations, and found that such errors occur

318. Textbook of Rapid Response Systems: Concept and Implementation. | PSNet
     psnet.ahrq.gov/issue/textbook-rapid-response-systems-concept-and-implementation
     September 30, 2010 - are a core strategy to ensure safe care for hospitalized patients should unexpected deterioration occur

319. Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses. | PSNet
     psnet.ahrq.gov/issue/sleep-sleepiness-fatigue-and-performance-12-hour-shift-nurses
     July 22, 2010 - working successive 12-hour shifts accrue significant sleep debt, regardless of whether these shifts occur

320. From guideline to order set to patient harm. | PSNet
     psnet.ahrq.gov/issue/guideline-order-set-patient-harm
     October 10, 2017 - This editorial discusses how adverse events can occur if standardized order sets in computerized provider