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Total Results: 4,038 records

Showing results for "occurs".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49612/psn-pdf
    November 01, 2010 - Sadly, though, direct communication between physicians occurs only 3%–20% of the time, and the discharge … One such opportunity for harm occurs when test results are pending at the time of a care transition.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49568/psn-pdf
    September 01, 2008 - Jaundice occurs in 40%–60% of newborns and is typically benign. … starvation jaundice, aggravated by inadequate milk intake secondary to poor breastfeeding.(7) It typically occurs

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49819/psn-pdf
    February 01, 2018 - Landrigan, MD, MPH As is often the case when a death occurs due to a preventable adverse event in hospital … Omissions of critical information or provision of outdated, erroneous information occurs frequently.(

  4. Managing Ascites: Hazards of Fluid Removal | PSNet

    psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
    June 01, 2018 - The vasodilatation that occurs in the splanchnic bed leads to a lowering of mean arterial pressure and … If a patient develops a large fall in blood pressure, as occasionally occurs, I would give vasopressor

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49411/psn-pdf
    July 01, 2003 - If this occurs, hospital-based physicians must discuss treatment decisions with a surrogate decision-maker … If a cardiopulmonary arrest occurs, there is no opportunity to ask the patient whether she wants cardiopulmonary

  6. Safe patient outcomes occur with timely, standardized communication of critical values. | PSNet

    psnet.ahrq.gov/issue/safe-patient-outcomes-occur-timely-standardized-communication-critical-values
    January 15, 2020 - Newspaper/Magazine Article Safe patient outcomes occur with timely, standardized communication of critical values. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 16, 2018 …

  7. External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. | PSNet

    psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham-4th-january-2001
    September 10, 2014 - Book/Report External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. Citation Text: External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. Toft B. London, UK; Crown C…

  8. Safety In Dentistry | PSNet

    psnet.ahrq.gov/perspective/safety-dentistry
    August 01, 2016 - ), or inadvertently injected into the mucosa instead of local anesthetic.( 5 ) Because dental work occurs … problem is that, unlike hospitals, dental offices are not supervised until a serious adverse event occurs … RW : You've noted that most care occurs in small offices.

  9. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
    August 01, 2016 - problem is that, unlike hospitals, dental offices are not supervised until a serious adverse event occurs … RW : You've noted that most care occurs in small offices. … ), or inadvertently injected into the mucosa instead of local anesthetic.( 5 ) Because dental work occurs

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39961/psn-pdf
    March 08, 2015 - When errors occur. March 8, 2015 Wetzel TG. When errors occur, 'I'm sorry' is a big step, but just the first. Hospitals & health networks. 2010;84(10):41-2, 44, 2. https://psnet.ahrq.gov/issue/when-errors-occur This article describes how hospital responses to adverse events have affected disclosure process strate…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38992/psn-pdf
    April 16, 2018 - Safe patient outcomes occur with timely, standardized communication of critical values. April 16, 2018 https://psnet.ahrq.gov/issue/safe-patient-outcomes-occur-timely-standardized-communication-critical- values This article reports on failures surrounding critical test results and describes mechanisms to standardi…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39743/psn-pdf
    October 13, 2010 - Anatomy and pathophysiology of errors occurring in clinical radiology practice. October 13, 2010 Brook OR, O'Connell AM, Thornton E, et al. Quality initiatives: anatomy and pathophysiology of errors occurring in clinical radiology practice. Radiographics. 2010;30(5):1401-10. doi:10.1148/rg.305105013. https://psnet…

  13. 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

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37155/psn-pdf
    October 06, 2011 - Classification of adverse events occurring in a surgical intensive care unit. October 6, 2011 Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care unit. Am J Surg. 2007;194(3):328-32. https://psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgi…

  15. Culture of Safety | PSNet

    psnet.ahrq.gov/primer/culture-safety
    September 15, 2024 - on interprofessional relationships and other local circumstances, and thus changing safety culture occurs

  16. A clinician's guide to surgical fires: how they occur, how to prevent them, how to put them out. | PSNet

    psnet.ahrq.gov/issue/clinicians-guide-surgical-fires-how-they-occur-how-prevent-them-how-put-them-out
    March 12, 2025 - Commentary A clinician's guide to surgical fires: how they occur, how to prevent them, how to put them out. Citation Text: A clinician's guide to surgical fires. How they occur, how to prevent them, how to put them out. Health Devices. 2003;32(1):5-24. Copy Citation Format: …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37196/psn-pdf
    June 06, 2018 - Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. June 6, 2018 ISMP Medication Safety Alert! Acute Care Edition. September 6, 2007;12:1-4. https://psnet.ahrq.gov/issue/fatal-1000-fold-overdoses-can-occur-particularly-neonates-transposing-mcg- and-mg This article analyzes a…

  18. Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/review-reported-adverse-events-occurring-among-homeless-veteran-population-veterans-health
    March 25, 2020 - Study Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. Citation Text: Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans H…

  19. Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but rarely reported: a prospective study. | PSNet

    psnet.ahrq.gov/issue/potentially-severe-incidents-during-interhospital-transport-critically-ill-patients
    October 26, 2022 - Study Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but rarely reported: a prospective study. Citation Text: Eiding H, Røise O, Kongsgaard UE. Potentially severe incidents during interhospital transport of critically ill pati…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867137/psn-pdf
    November 13, 2024 - Enteral nutrition: an underappreciated source of patient safety events. November 13, 2024 Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events. Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153. https://psnet.ahrq.gov/issue/enteral-nutrition-underapprec…
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