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Total Results: 4,038 records

Showing results for "occurs".

201. Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital. | PSNet
     psnet.ahrq.gov/issue/patient-outcomes-compared-between-admissions-coordinated-transfer-center-and-emergency
     April 29, 2015 - November 16, 2022 Misdiagnosis of thoracic aortic emergencies occurs frequently

202. Relationship between patient safety and hospital surgical volume. | PSNet
     psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume
     May 04, 2012 - March 20, 2024 Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers

203. Associations between attending physician workload, teaching effectiveness, and patient safety. | PSNet
     psnet.ahrq.gov/issue/associations-between-attending-physician-workload-teaching-effectiveness-and-patient-safety
     July 02, 2014 - February 18, 2011 Type 1 diabetes defined by severe insulin deficiency occurs after 30

204. Complication rates of central venous catheters: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/complication-rates-central-venous-catheters-systematic-review-and-meta-analysis
     December 07, 2016 - September 26, 2018 Type 1 diabetes defined by severe insulin deficiency occurs after

205. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. | PSNet
     psnet.ahrq.gov/issue/sign-right-here-and-youre-good-go-content-analysis-audiotaped-emergency-department-discharge
     December 18, 2013 - June 19, 2024 Type 1 diabetes defined by severe insulin deficiency occurs after 30 years

206. How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data. | PSNet
     psnet.ahrq.gov/issue/how-does-routine-disclosure-medical-error-affect-patients-propensity-sue-and-their-assessment
     December 04, 2016 - June 5, 2013 Type 1 diabetes defined by severe insulin deficiency occurs after 30 years

207. Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. | PSNet
     psnet.ahrq.gov/issue/evolving-quality-improvement-support-strategies-improve-plan-do-study-act-cycle-fidelity
     March 17, 2014 - January 16, 2013 Misdiagnosis of thoracic aortic emergencies occurs frequently among

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61080/psn-pdf
     October 28, 2020 - 71% of patients and caused severe neurological outcome in the survivors.11,12 Aneurysmal rebleeding occurs … New post-operative stroke occurs in up to 11% of patients undergoing aneurysm clipping.14 To mitigate

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49639/psn-pdf
     November 01, 2011 - Importantly for institutions, it is not necessary to capture every incident or every near miss that occurs … undesirable, as in the case of repeated reporting of the same incident.(7) Active clinical monitoring occurs … If a near miss incident occurs commonly and has a high probability to cause great harm, it may take

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49437/psn-pdf
     March 01, 2004 - subclavian vein placement.(6) However, it is more difficult to control excessive bleeding when it occurs … psnet.ahrq.gov//#references https://psnet.ahrq.gov//#figure https://psnet.ahrq.gov//#figure Arterial puncture occurs … attempts.(3,9) Although pulsatile bright red blood is typically encountered when arterial puncture occurs

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49501/psn-pdf
     February 03, 2006 - Shift changeover occurs when two or more workers exchange mission-specific information, responsibility … Second, message failure occurs when there is poor or non-existent transfer of information. … Third, reception failure occurs with misinterpretation or late arrival of proper information.

212. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected | PSNet
     psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
     September 25, 2024 - Patient death or serious injury associated with intravascular air embolism that occurs while being cared … in children can be considered but has not been recommended. 3 , 5 , 15     If an adverse event occurs … Once a complication occurs, escalation of care requires three fundamental communication steps as identified

213. Detection of Safety Hazards | PSNet
     psnet.ahrq.gov/primer/detection-safety-hazards
     March 30, 2022 - probability that each error will be detected before causing harm, and the impact of the error if it actually occurs … ) and also requires performance of RCA under certain circumstances (such as when a  sentinel event  occurs

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33582/psn-pdf
     September 15, 2024 - probability that each error will be detected before causing harm, and the impact of the error if it actually occurs … FMEA) and also requires performance of RCA under certain circumstances (such as when a sentinel event occurs

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867652/psn-pdf
     February 26, 2025 - When an adverse event occurs in health care, it is critical to understand why and implement measures … For example, if a medication error occurs, healthcare organizations can complete a root cause analysis

216. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-473
     March 25, 2025 - Most medication safety research occurs in the inpatient setting, with less focus on ambulatory care. … Most medication safety research occurs in the inpatient setting, with less focus on ambulatory care.

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33562/psn-pdf
     September 15, 2024 - standard cardiac arrest or "code blue" teams, which are summoned only after cardiopulmonary arrest occurs

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865418/psn-pdf
     March 27, 2024 - is full integration between all the departments.8 How to Respond to a Cyberattack When an attack occurs … keep everyone informed of potential or current patient safety issues.11 When a patient-safety event occurs

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33844/psn-pdf
     October 01, 2017 - , and norovirus.(6) Despite how risky health care worker presenteeism is for patients, it commonly occurs … and Knowledge Like many threats to patient safety, the reasons why health care worker presenteeism occurs

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49700/psn-pdf
     February 01, 2014 - is not associated with increased risk of sudden death or all-cause mortality, particularly when it occurs … In the case of new-onset NSVT, NSVT that is increasing in frequency or duration, or NSVT that occurs