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Showing results for "occur".

361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46316/psn-pdf
     August 02, 2017 - operating room environment that increase risks, and reviews legal responses for when such incidents occur

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46876/psn-pdf
     August 15, 2018 - organizations prioritize proactive risk identification in addition to root cause analysis after safety events occur

363. Section5 8 (pdf file)
     hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section5_8.pdf
     January 01, 2008 -  Stays with a secondary MH condition often co-occur with a principal MH or SA diagnosis. … M ed ic al C on di ti on s M H SA C o n d it io n s  MH and SA conditions often co-occur

364. 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

365. 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

366. 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

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44001/psn-pdf
     May 06, 2015 - wrong-site-nerve-blocks-10-yr-experience-large-multihospital-health-care- system Wrong-surgery errors continue to occur

368. Patient Mix-Up | PSNet
     psnet.ahrq.gov/web-mm/patient-mix
     December 01, 2007 - have addressed this problem, it is clear from anecdotal reports that this type of error can and does occur … or a ward may initially distract one from appreciating the many ways that “wrong patient” errors can occur … that these 'flukes' do happen, and the thousands of medication administrations and procedures that occur … Table How Wrong Patient Medication Errors Occur Stage at Which Error Is Introduced Example

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35345/psn-pdf
     July 20, 2009 - errors, while providing a series of anecdotes to demonstrate how easy and frequent these events can occur

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44054/psn-pdf
     November 16, 2015 - The first article summarizes information about the types of vaccine errors reported and why they occur

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45503/psn-pdf
     October 29, 2017 - testing of a toolkit designed to help prepare organizations for downtime to reduce risks that may occur

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44358/psn-pdf
     September 24, 2016 - https://psnet.ahrq.gov/issue/interruptions-and-medication-administration-critical-care Interruptions occur

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38072/psn-pdf
     February 15, 2011 - even with an existing computerized provider order entry system, defects in chemotherapy orders do occur

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44058/psn-pdf
     July 03, 2016 - /metric-units-and-preferred-dosing-orally-administered-liquid-medications Accidental overdoses can occur

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37583/psn-pdf
     March 03, 2011 - Patient Safety Indicators, this study discovered that events expected to be random in nature in fact occur

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38416/psn-pdf
     February 18, 2009 - preanalytical-errors-primary-healthcare-questionnaire-study-information- search-procedures Most errors in laboratory medicine occur

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45387/psn-pdf
     August 15, 2016 - medication error and reviews conditions in long-term care that increase the potential for similar errors to occur

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40050/psn-pdf
     September 24, 2016 - going-blank-factors-contributing-interruptions-nurses-work-and-related- outcomes This mixed-methods study characterized the types of interruptions that occur

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44838/psn-pdf
     February 10, 2016 - infographic provides information about adverse drug events, including how frequently and where they occur

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43737/psn-pdf
     January 07, 2015 - There are many advantages to this technology, but prescribing errors still occur at alarming rates.