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Total Results: 1,110 records

Showing results for "occurrence".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837791/psn-pdf
    August 05, 2022 - follow-up testing (reflex testing) with PCR testing when appropriate, and to consider the expected occurrence

  2. Hidden Mystery | PSNet

    psnet.ahrq.gov/web-mm/hidden-mystery
    December 01, 2011 - April 25, 2018 Tubing misconnections—a persistent and potentially deadly occurrence.

  3. Diagnosing Diagnostic Mistakes | PSNet

    psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
    April 30, 2014 - These diseases take varying times to diagnose and have markedly different probabilities of occurrence

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865540/psn-pdf
    April 11, 2024 - guidelines and readily available techniques for healthcare professionals to utilize to prevent its occurrence

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73200/psn-pdf
    April 28, 2021 - Several factors may have contributed to this occurrence including misinterpretation of her laboratory

  6. Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
    January 01, 2023 - Risk factors for and occurrence of postoperative cervical hematoma after thyroid surgery: A single-institution

  7. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet

    psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
    March 19, 2019 - Reporting the original error in Case #2 may have mitigated the second occurrence of the transcriptional

  8. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? | PSNet

    psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
    April 27, 2022 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? Citation Text: Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49869/psn-pdf
    July 02, 2019 - Failure to Rescue the Mother July 2, 2019 Vivero A, Klapper EB, Gregory KD, et al. Failure to Rescue the Mother. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/failure-rescue-mother The Case A 27-year-old woman, G5 P2 A2, was first admitted to the hospital at 25 weeks of pregnancy for vaginal bleeding. An …

  10. Patient Safety in the Ambulatory Care Setting | PSNet

    psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
    April 27, 2022 - follow-up testing (reflex testing) with PCR testing when appropriate, and to consider the expected occurrence

  11. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet

    psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
    April 01, 2008 - intercostal artery injury. 12 Although the method of thoracostomy used in this case is unknown, the occurrence

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49585/psn-pdf
    May 01, 2009 - Delirium in the intensive care unit: occurrence and clinical course in older patients.

  13. Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart | PSNet

    psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
    October 30, 2024 - ended up in a different patient's EMR between 0.3 and 0.5 percent of the time. 3 Although an infrequent occurrence

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49765/psn-pdf
    August 21, 2016 - We know that characteristics of teamwork are intimately tied to the occurrence of errors and to their

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49615/psn-pdf
    December 01, 2010 - provide an opportunity to analyze current systems that might need to be modified to prevent a similar occurrence

  16. Missed CANDOR Implementation Opportunities. | PSNet

    psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
    November 11, 2020 - Investigate, analyze, and report the CANDOR event within 30-45 days from the event occurrence.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851870/psn-pdf
    July 31, 2023 - A safety event may seem like a one-off occurrence within a single hospital, but when we start looking

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840174/psn-pdf
    August 28, 2024 - Investigate, analyze, and report the CANDOR event within 30-45 days from the event occurrence. 5.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33764/psn-pdf
    April 01, 2014 - that's made about them and that is the expectation, culture, and assumption as opposed to the unusual occurrence

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33837/psn-pdf
    July 01, 2017 - This notion that medical error was a commonplace occurrence and something that patients should routinely
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