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Total Results: 5,009 records

Showing results for "occur".

321. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. | PSNet
     psnet.ahrq.gov/issue/improving-resident-education-and-patient-safety-method-balance-initial-caseloads-academic
     January 27, 2016 - This study describes a process to better manage transitions that occur when panels of patients are

322. Going blank: factors contributing to interruptions to nurses' work and related outcomes. | PSNet
     psnet.ahrq.gov/issue/going-blank-factors-contributing-interruptions-nurses-work-and-related-outcomes
     September 24, 2016 - This mixed-methods study characterized the types of interruptions that occur in nurses' daily workflow

323. How do community pharmacies recover from e-prescription errors? | PSNet
     psnet.ahrq.gov/issue/how-do-community-pharmacies-recover-e-prescription-errors
     November 04, 2014 - There are many advantages to this technology, but prescribing errors still occur at alarming rates .

324. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. | PSNet
     psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification
     June 16, 2011 - Surgical specimen identification errors occur regularly and preventing misidentification errors is

325. Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet
     psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
     December 14, 2022 - It can occur sporadically or in the context of the Tuberous Sclerosis Complex (TSC). … The sporadic form, which occurs in 3.3-7.7/million women, and the inherited form of LAM, which may occur … misdiagnosed for many years as having asthma prior to finally being diagnosed with LAM. 5 A pneumothorax can occur

326. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. | PSNet
     psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
     March 03, 2021 - for the 2 nd and 3 rd leading causes of mortality in laparoscopic surgery. 1,2 Vascular injuries occur … have a 15% mortality rate, and account for 81% of trocar injury-related deaths. 3,4 Bowel injuries occur … for 19% of the deaths from trocar-related injury. 3-7 The majority of vascular and bowel injuries occur … evidence to suggest that any laparoscopic entry technique is safer than any other; iatrogenic injuries may occur

327. Archived: Syphilis Infection in Nonpregnant Adults and Adolescents: Screening | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/recommendation/syphilis-infection-in-nonpregnant-adults-and-adolescents-june-2016
     June 07, 2016 - Syphilis infection of the central nervous system (neurosyphilis) can occur at any stage of disease and … Syphilis infection of the nervous system (neurosyphilis) can occur at any stage. … reported transmission rates range from 15.9% to 30.3%. 10 , 11 Congenital or vertical transmission may occur … from 0.9 to 1.1 cases per 100,000. 1 The majority of cases of primary and secondary syphilis still occur … Jarisch-Herxheimer reaction (febrile reaction with headache, myalgia, and other symptoms), which may occur

328. Data Display and Organization | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/data-display
     January 01, 2023 - completed for a project to be finished, and when in the project timeline the phases or tasks need to occur

329. E-Prescribing Impact on Patient Safety, Use, and Cost - 2009 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/e-prescribing-impact-patient-safety-use-and-cost/annual-summary/2009
     January 01, 2009 - Business Goal: Synthesis and Dissemination Summary: Medication errors can occur at every step in … Medication errors that occur in the earlier stages of the process are more likely than others to be intercepted

330. Understanding Drivers of Health Care Disparities and Developing Targeted Interventions (pdf file)
     hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca9.pdf
     June 16, 2014 - Annals of Thoracic Surgery (2005) 208 Cardiovascular Surgeons:  13% believe disparities occur often … or very often  3% believe disparities occur often or very often in own practice T.

331. Swiss Cheese Model | PSNet
     psnet.ahrq.gov/glossary/swiss-cheese-model
     September 13, 2021 - their holes were independent of each other (and certainly more often than wings fly off airplanes) occur

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60977/psn-pdf
     January 08, 2020 - These small mistakes are the holes in the swiss cheese and when they align, errors occur. … However, it is not a workflow free from errors; medication errors and adverse drug events still occur … required if such side or adverse effects or interaction or therapeutic contraindications are present or occur … causation is one aid in understanding multiple breakdowns in prescribing practices when medication errors occur

333. University of Illinois at Chicago | Digital Healthcare Research
     digital.ahrq.gov/organization/university-illinois-chicago
     January 01, 2023 - showing the utility of a void alert tool to prospectively capture the broad range of errors that may occur

334. Cause-and-Effect Diagram | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cause-and-effect-diagram
     January 01, 2023 - To investigate a positive effect and determine which causes allowed it to occur.

335. Advancing safety with closed-loop communication of test results. | PSNet
     psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results
     November 13, 2019 - February 22, 2019 Safe patient outcomes occur with timely, standardized communication

336. High Reliability | PSNet
     psnet.ahrq.gov/primer/high-reliability
     January 29, 2020 - operations and the risk of significant and even potentially catastrophic consequences when failures occur … People understand that new threats emerge regularly from situations that no one imagined could occur,

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33606/psn-pdf
     December 15, 2024 - Recognition of the safety hazards posed by indiscriminate opioid prescribing began to occur in the early … captured a fraction of the scope of the epidemic, since most opioid-related adverse events and deaths occur

338. Error in medicine. | PSNet
     psnet.ahrq.gov/issue/error-medicine
     November 02, 2014 - human error, as has been traditional in medicine, he advocates systems that assume human errors will occur

339. Behind Human Error, Second Edition. | PSNet
     psnet.ahrq.gov/issue/behind-human-error-second-edition
     April 13, 2018 - measurable entity fails to account for the complex social and organizational dynamics that allow errors to occur

340. IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. | PSNet
     psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
     February 15, 2017 - Trigger tools can help to identify opportunities for patient harm and measure adverse events that occur