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Showing results for "occur".

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43799/psn-pdf
     January 07, 2015 - issue/ismps-list-high-alert-medications-acute-care-settings https://psnet.ahrq.gov/issue/where-errors-occur-preparation-and-administration-intravenous-medicines-systematic-review-and

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49625/psn-pdf
     May 01, 2011 - events in anesthesia (1), and the "syringe swap" is the most common of those errors.(2) Yet they still occur … Changes in anesthetic agents and associated adjuvant drugs occur at a rate far too high for available … However, the primary point here is that syringe swaps do occur. … Reduction in drug errors will not occur without careful attention to the system within which anesthesia

443. How Do I Evaluate Workflow? (ppt file)
     digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhatIsWorkflow.ppt
     January 01, 2009 - It can occur at different and/or multiple levels (e.g., one person, between people, across organizations … ) It can occur sequentially and/or simultaneously Work flows in different ways Inter-organizational

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49668/psn-pdf
     October 01, 2012 - toxicities related to opioid misuse increased by 134% from 2004 to 2010.(3) Drug-related adverse events occur … Second, pharmacotherapy with opioid medications to treat opioid addiction requires that an evaluation occur … , the use of an antagonist that can block the euphoria-producing effects of opioids should relapse occur … agonist effects with naltrexone will eliminate the potential for respiratory depression that might occur

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49620/psn-pdf
     February 01, 2011 - hours after surgery.(5) However, delayed postoperative hemorrhage resulting in airway compromise can occur … interval for development of hematoma after thyroid surgery varies, although most symptomatic hematomas occur … to emphasize that cases of delayed hemorrhage, occurring 24 hours or more after thyroid surgery, do occur … Respiratory-specific symptoms such as stridor, hypoxia, dyspnea, tachypnea, or tracheal deviation occur

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35899/psn-pdf
     January 02, 2017 - particular NPSG, and then discuss the efforts made in specific clinical areas where sterile procedures occur

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43048/psn-pdf
     April 02, 2014 - building-culture-candour-review-threshold-duty-candour-and-incentives-care- organisations-be When medical errors occur

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34691/psn-pdf
     May 18, 2016 - human error, as has been traditional in medicine, he advocates systems that assume human errors will occur

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46045/psn-pdf
     December 22, 2018 - validating-domains-patient-contextual-factors-essential-preventing-contextual- errors Contextual errors can occur

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38224/psn-pdf
     February 18, 2011 - When readmissions occur, providing feedback to the team that originally discharged the patient could

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46455/psn-pdf
     April 24, 2018 - High-alert medications have the potential to cause substantial patient harm if administration mistakes occur

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44657/psn-pdf
     November 11, 2015 - commentary discusses interpretive and perceptual errors in radiology and explores why these failures occur

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41245/psn-pdf
     March 29, 2012 - occurrence-wrong-site-surgery-self-reported-candidates-certification-american- board This study found that wrong-site surgeries continued to occur

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34657/psn-pdf
     June 14, 2011 - catalyzed 7 years of efforts to bring patient safety to the forefront and explain what future steps must occur

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45810/psn-pdf
     May 05, 2017 - The authors of this prospective study suggest that unexpected life-threatening events that occur within

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49524/psn-pdf
     November 01, 2006 - Damage may occur to the recurrent laryngeal nerve, and documented cases of vocal cord paralysis after … In summary, complications from the use of LMAs do occur, even if rare as presented in this case. … Rare complications with any anesthetic technique may occur, mandating careful follow-up with patients

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33709/psn-pdf
     July 01, 2011 - study of critical incidents, Arora and colleagues found that face-to-face communication often did not occur … The scope of the report included handovers that occur at change of shift, as well as change of service … This may include elements such as a dedicated time and place for handover to occur, avoidance of interruptions … elements such as code status, recent events, and anticipated problems (as well as what to do if they occur

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36784/psn-pdf
     February 24, 2011 - psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition When medical errors occur

459. Four Moments Poster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-one-option.pdf
     November 01, 2019 - Four Moments Poster AHRQ Pub. No. 17(20)-0028-EF November 2019 Moment 1 occurs at the time initiation of antibiotic therapy is considered: Ask, “Does my patient have an infection that requires antibiotics?” occurs when the dec…

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40921/psn-pdf
     November 16, 2011 - CMS and state agencies to ensure that lasting safety improvement comes about after serious errors occur