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Total Results: 1,110 records

Showing results for "occurrence".

961. In Conversation with…Jennifer Daley, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
     January 01, 2008 - Creating an environment where people feel safe in sharing a serious adverse occurrence and sharing what … JD: We had an occurrence reporting system.

962. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet
     psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
     July 01, 2017 - when an uncommon event occurs once, it is unlikely to do so again—even less likely than its initial occurrence … This notion that medical error was a commonplace occurrence and something that patients should routinely

963. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
     July 01, 2017 - This notion that medical error was a commonplace occurrence and something that patients should routinely … when an uncommon event occurs once, it is unlikely to do so again—even less likely than its initial occurrence

964. Implementing a Patient Safety Program at a Large National Health System | PSNet
     psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
     January 01, 2008 - Creating an environment where people feel safe in sharing a serious adverse occurrence and sharing what … JD: We had an occurrence reporting system.

965. Patient Safety in the Physician Office Setting | PSNet
     psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
     November 04, 2015 - Patient Safety in the Physician Office Setting Nancy C. Elder, MD, MSPH | May 1, 2006  View more articles from the same authors. Citation Text: Elder NC. Patient Safety in the Physician Office Setting. PSNet [internet]. Rockville (MD): Agency for Healthcare Researc…

966. Turn the Other Cheek | PSNet
     psnet.ahrq.gov/web-mm/turn-other-cheek
     October 26, 2010 - Turn the Other Cheek Citation Text: Starling J. Turn the Other Cheek. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

967. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865658/psn-pdf
     April 24, 2024 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? April 24, 2024 Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/managing-care-challenges-group-…

968. Wrong-side Bedside Paravertebral Block: Preventing the Preventable | PSNet
     psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
     August 10, 2019 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable Citation Text: Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy C…

969. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33673/psn-pdf
     September 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety September 1, 2008 Rothschild JM, Keohane C. The Role of Bar Coding and Smart Pumps in Safety. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety Perspective Medication safety in hospitals depends on the successful execu…

970. Innovations | PSNet
     psnet.ahrq.gov/innovations
     February 26, 2025 - Linkedin Copy URL Adverse events resulting from medications are a common occurrence

971. Dangerous Dialysis | PSNet
     psnet.ahrq.gov/web-mm/dangerous-dialysis
     June 12, 2024 - and is mandated by CMS under Medicare's conditions for coverage.( 9 ) Future investigation into the occurrence

972. Are We Getting Better at Measuring Patient Safety? | PSNet
     psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
     November 10, 2015 - New York Patient Occurrence Reporting and Tracking System, Version 2.1.

973. Failure to Rescue | PSNet
     psnet.ahrq.gov/primer/failure-rescue
     September 15, 2024 - Hospital and patient characteristics associated with death after surgery- a study of adverse occurrence

974. How Do Providers Recover From Errors? | PSNet
     psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
     May 22, 2024 - This case unfortunately represents an all-too-common occurrence in modern medical practice.

975. Wrong Catheter in the Right Patient | PSNet
     psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
     May 16, 2022 - site, wrong procedure, and wrong person surgery was created by the Joint Commission to address the occurrence

976. When the Indications for Drug Administration Blur | PSNet
     psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
     May 26, 2021 - Review of Existing System Structures using a Quality Improvement Lens The occurrence of this error

977. Emergency Error | PSNet
     psnet.ahrq.gov/web-mm/emergency-error
     January 18, 2013 - A study of adverse occurrence and failure to rescue. Med Care. 1992;30:615-629.

978. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
     January 01, 2021 - Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.

979. The Inside of a Time Out | PSNet
     psnet.ahrq.gov/web-mm/inside-time-out
     March 01, 2004 - of the team to perform documentation of the time out: nurses and anesthesiologists documenting its occurrence

980. Who Nose Where the Airway Is? | PSNet
     psnet.ahrq.gov/web-mm/who-nose-where-airway
     May 01, 2016 - reports ( 1-4 ) and anecdotal evidence suggest that what happened in the presented case is not a unique occurrence