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Total Results: 4,038 records

Showing results for "occurring".

1961. Falling Through the Crack (in the Bedrails) | PSNet
      psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
      February 19, 2020 - SPOTLIGHT CASE Falling Through the Crack (in the Bedrails) Citation Text: Dykes PC, Vacca V, Leung WY. Falling Through the Crack (in the Bedrails). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation F…

1962. In Conversation With… Enrico Coiera, MB, BS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
      February 01, 2014 - people to interrupt because the last thing anybody wants to do is to prevent crucial communication from occurring … when administering medications, one can wear a bright color vest that says, "Medicine Administration Occurring

1963. In Conversation With… David Blumenthal, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
      July 01, 2012 - RW : Do you see a transformation in vendor-built systems occurring on the horizon? … read the literature 5 years ago, you would have found that there was more good than harm but it was occurring

1964. Patient Safety and Health Information Technology: Learning from Our Mistakes | PSNet
      psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
      July 01, 2012 - RW : Do you see a transformation in vendor-built systems occurring on the horizon? … read the literature 5 years ago, you would have found that there was more good than harm but it was occurring

1965. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49527/psn-pdf
      December 01, 2006 - The Commentary Background Errors in laboratory services encompass a number of problems occurring outside … physicians often attribute to errors inside the laboratory, are actually the result of preanalytic problems occurring … Specific Errors in This Case The particular error in this case is a mislabeling error occurring outside

1966. The Safety and Quality of Long Term Care | PSNet
      psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
      January 01, 2016 - warrants close assessment and aggressive management by nursing staff to prevent serious breakdown from occurring … constitute nearly 10% of Medicare admissions to acute care, with nearly 40% of these hospitalizations occurring … taking high risk medications such as anticoagulants are monitored daily to assure no adverse events are occurring

1967. Patient Safety in Office-Based Care Settings | PSNet
      psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
      January 31, 2024 - They found that such deviations were common, occurring in 70% of reviewed cases.

1968. Elopement | PSNet
      psnet.ahrq.gov/web-mm/elopement
      July 14, 2010 - Wandering —defined as occurring when patients aimlessly move about within the building or grounds without

1969. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74713/psn-pdf
      January 26, 2022 - or used on patients” and relevant financial relationships as “financial relationships in any amount occurring

1970. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49852/psn-pdf
      February 01, 2019 - Medicare patients admitted to the hospital undergo interhospital transfer (1), with greater frequency occurring

1971. Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad | PSNet
      psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
      January 01, 2014 - are among the most common presenting complaints to primary care physicians, with 83.1 million visits occurring

1972. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61078/psn-pdf
      October 28, 2020 - or used on patients” and relevant financial relationships as “financial relationships in any amount occurring

1973. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73300/psn-pdf
      July 01, 2022 - deficits at the time of hospital discharge are common, with direct communication between physicians occurring

1974. In Conversation with…Troyen A. Brennan, MD, JD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
      December 21, 2022 - smart, they would search for a different approach that accurately identifies when these incidents are occurring

1975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49783/psn-pdf
      February 01, 2017 - follows: "An important finding is that problems and errors are still possible even with CPOE, sometimes occurring

1976. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49780/psn-pdf
      January 01, 2017 - Infection is the most common complication of hysterectomy, occurring in up to 13% of patients, depending

1977. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49859/psn-pdf
      April 01, 2019 - contamination with nicotine and particles has been documented in some public places where much vaping is occurring

1978. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49830/psn-pdf
      May 01, 2018 - In a recent study of adverse events occurring on mental health units in the Veterans Health Administration … Adverse events occurring on VHA mental health units. Gen Hosp Psychiatry. 2018;50:63-68.

1979. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33687/psn-pdf
      August 01, 2009 - downside of first-order problem solving is lack of communication, which hinders real improvement from occurring … Even this meager form of second-order problem solving was rare, occurring in only 7% of the situations

1980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49650/psn-pdf
      March 01, 2012 - The most recent analysis described 46 deaths and 263 procedure-related complications occurring from … references https://psnet.ahrq.gov//#references Quality improvement strategies to prevent these events from occurring