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Total Results: 4,038 records

Showing results for "occurs".

261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840175/psn-pdf
     November 16, 2022 - Although this complication occurs more commonly on a mechanical mitral valve than on a mechanical aortic … recommended, in part because intravenous heparin therapy can be rapidly reversed with protamine if bleeding occurs

262. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
     January 01, 2022 - – Post-bronchoscopy elevation in body temperature occurs commonly (up to 33% of cases), but typically … performed—which is often the reason for using navigational bronchoscopy, as in this case—pneumothorax occurs

263. Key Issues in Developing a Successful Hospital Safety Program | PSNet
     psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
     July 01, 2006 - They're also going to make sure that feedback occurs, so that these actions get back to the providers … Once litigation actually occurs, the patient safety responsibility ends, and the risk management process … So, I think the answer is that if I'm sitting in an organization and a terrible event occurs and I look … done all this incredibly hard work and made these changes, and then a nasty horrible sentinel event occurs

264. In Conversation with...Allan Frankel, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
     July 01, 2006 - They're also going to make sure that feedback occurs, so that these actions get back to the providers … Once litigation actually occurs, the patient safety responsibility ends, and the risk management process … So, I think the answer is that if I'm sitting in an organization and a terrible event occurs and I look … done all this incredibly hard work and made these changes, and then a nasty horrible sentinel event occurs

265. Rethinking Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
     August 21, 2016 - some state regulatory agencies mandate RCAs after sentinel events and when significant patient harm occurs … Hindsight bias occurs when people investigating a situation already know the outcome.

266. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. | PSNet
     psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
     July 02, 2011 - 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

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33711/psn-pdf
     May 01, 2011 - surveillance of all caregivers by individuals specifically educated on the second victim phenomenon occurs … experienced by clinicians after unanticipated clinical events or medical errors.(22) When a serious event occurs

268. An Easily Forgotten Tube | PSNet
     psnet.ahrq.gov/web-mm/easily-forgotten-tube
     June 01, 2016 - FMS is unsuitable for spinal cord injury patients due to the high risk of autonomic dysreflexia that occurs … persistent rectal pain, rectal bleeding, and abdominal distention.( 8 ) If any suspected adverse event occurs

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49560/psn-pdf
     April 01, 2008 - Too often, the timing of discussions to clarify patient preferences only occurs in the last days of … Rather, the more common error occurs when the physician has not written a DNR order because the patient's

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33772/psn-pdf
     September 01, 2014 - The first occurs when a patient has an unnecessary procedure, such as back surgery or cardiac procedure … It addresses the so-called moral hazard that occurs when people use more health care services because

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49466/psn-pdf
     October 14, 2004 - This delay occurs primarily because medical records are voluminous and often organized in ways that … the electronic medical record (EMR) create safety mechanisms to assure that important communication occurs

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49637/psn-pdf
     October 01, 2011 - However, on dictation, the first word "No" was obscured by the dictation system click that occurs when … primary error in this case was that the word "no" was obscured by the dictation system click that occurs

273. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet
     psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
     November 13, 2024 - surveillance of all caregivers by individuals specifically educated on the second victim phenomenon occurs … experienced by clinicians after unanticipated clinical events or medical errors.( 22 ) When a serious event occurs

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33563/psn-pdf
     September 16, 2024 - on interprofessional relationships and other local circumstances, and thus changing safety culture occurs

275. In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity | PSNet
     psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
     March 27, 2024 - However, many resources and tools can be developed in advance and ready to use when a cyberattack occurs … healthcare organization will definitely find out exactly what kind of culture exists when a cyberattack occurs … 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

276. Cybersecurity and How to Maintain Patient Safety | PSNet
     psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
     March 27, 2024 - 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 … However, many resources and tools can be developed in advance and ready to use when a cyberattack occurs … healthcare organization will definitely find out exactly what kind of culture exists when a cyberattack occurs

277. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
     January 01, 2024 - If active resuscitation and transfusion are required, assessment of coagulation occurs in conjunction … Major vascular injury (e.g., left common iliac vein, inferior vena cava, or iliolumbar vein), occurs

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860050/psn-pdf
     January 04, 2024 - AHT occurs from direct impact to the head, shaking, or a combination of both, and can lead to serious … When this evaluation occurs overnight, it may not be feasible for many institutions to have an attending

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838855/psn-pdf
     October 27, 2022 - this symptom usually resolves within several days.1 Post-bronchoscopy elevation in body temperature occurs … performed—which is often the reason for using navigational bronchoscopy, as in this case—pneumothorax occurs

280. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet
     psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
     September 27, 2023 - indiscriminately whatever it finds. 1 Pica is often associated with iron deficiency and therefore occurs … Intentional foreign body ingestion occurs most often in children under three years of age. … In adults, repeated intentional ingestion of metal objects usually occurs in patients with borderline