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Showing results for "occur".

321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44917/psn-pdf
     November 30, 2016 - canadian-incident-analysis-framework Performing incident analysis can help organizations understand why adverse events occur

322. 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

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35933/psn-pdf
     July 26, 2010 - He concludes that, because adverse events occur infrequently in individual institutions, large-scale

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43381/psn-pdf
     July 30, 2014 - For instance, wrong-site surgeries continue to occur despite garnering major attention over the past

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43215/psn-pdf
     May 28, 2014 - medical students to be educated about how to disclose errors to patients and families when mistakes occur

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44007/psn-pdf
     April 01, 2015 - pressure as a factor in diagnostic error, this magazine article describes efforts to understand why they occur

327. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36388/psn-pdf
     June 12, 2013 - using-patient-safety-science-explore-strategies-improving-safety-intravenous- medication The author describes types of errors that occur

328. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39262/psn-pdf
     March 04, 2011 - issue/unintended-errors-ehr-based-result-management-case-series The authors identify errors that may occur

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37265/psn-pdf
     May 02, 2018 - potassium-may-no-longer-be-stocked-patient-care-units-serious-threats-still- exist This article describes how errors involving potassium chloride still occur

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44354/psn-pdf
     August 05, 2015 - children for occult fractures—in several clinically indicated situations, and found that such errors occur

331. Improving Sickle Cell Transitions of Care through Health Information Technology - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-sickle-cell-transitions-care-through-health-information-technology/annual-summary/2012
     January 01, 2012 - Care transitions occur when either the setting (e.g., from home-based to hospital-based care), or the … When care transitions occur, it is necessary to share medical history and other types of health information

332. Which End Is Which? | PSNet
     psnet.ahrq.gov/web-mm/which-end-which
     February 09, 2011 - consisted of failure to identify the appropriate limb of colon to bring up for colostomy, which can occur … This error is not confined to laparoscopy; it can occur during open surgery, especially when multiple … Any time error prevention relies solely on vigilance, errors will eventually occur—due to distraction … It is important to note that mechanical obstruction can occur for reasons other than the error described

333. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet
     psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
     November 01, 2012 - Errors involving heparin occur all too often. … effects on anesthesia care, and 5% reported effects on IV therapies for patients.( 8 ) Drug shortages occur … particular product, or when production quotas have been met for the year.( 9 ) When these drug shortages occur … Although the number of shortages has declined in recent years, they most likely will continue to occur

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49556/psn-pdf
     March 01, 2008 - Why do errors occur in association with hold orders? … Yet errors that arise with hold orders may occur during all phases of the medication-use process. … For example, breakdowns that occur during the transcribing or data entry process, as documented by the … hold orders are missed by the pharmacy and are not entered into the computer system ( 1) Errors that occur

335. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47435/psn-pdf
     November 07, 2018 - This commentary reviews examples of bias that commonly occur in medical practice and describes debiasing

336. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37649/psn-pdf
     September 27, 2017 - anesthesia-machine-cause-intraoperative-code-red-labor-and-delivery-suite https://psnet.ahrq.gov/issue/clinicians-guide-surgical-fires-how-they-occur-how-prevent-them-how-put-them-out

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45093/psn-pdf
     September 04, 2016 - Discussing how patient harm can still occur even with these elements in place, this article highlights

338. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43238/psn-pdf
     June 04, 2014 - issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients- unprotected Errors occur

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44873/psn-pdf
     March 21, 2016 - communication breakdowns led to patient harm, this report explores selected specialties where such failures occur

340. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.365_slideshow.ppt
     January 01, 2016 - ://www.cdc.gov/nchs/fastats/hospital.htm 7 Background: Direct Admissions Planned direct admissions occur … requires an inpatient stay (e.g., chemotherapy described in the case above) Unplanned direct admissions occur … the emergency department 8 8 Direct Admissions: Processes Involved When a direct admission is to occur