Results

Total Results: 4,038 records

Showing results for "occurs".

341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49798/psn-pdf
     July 01, 2017 - ACPO typically occurs in hospitalized or institutionalized patients after surgery or in association … ischemia is present.(1) Even when pharmacologic or endoscopic therapy for ACPO is successful, relapse occurs

342. Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. | PSNet
     psnet.ahrq.gov/issue/fatal-1000-fold-overdoses-can-occur-particularly-neonates-transposing-mcg-and-mg
     June 10, 2018 - Newspaper/Magazine Article Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. Citation Text: Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. ISMP Medication Safety Alert! Acute Care Edition. September 6, 2…

343. Looking for Meds in All the Wrong Places | PSNet
     psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
     June 16, 2021 - mental strengths and weaknesses of clinicians and how these affect whether or not a medication error occurs

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836808/psn-pdf
     March 30, 2022 - Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. March 30, 2022 Kukielka E, Jones R. Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. Patient Safety. 2022;…

345. Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. | PSNet
     psnet.ahrq.gov/issue/root-cause-analyses-reported-adverse-events-occurring-during-gastrointestinal-scope-and-tube
     November 17, 2021 - Study Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. Citation Text: Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during gastrointest…

346. Why simulation matters: a systematic review on medical errors occurring during simulated health care. | PSNet
     psnet.ahrq.gov/issue/why-simulation-matters-systematic-review-medical-errors-occurring-during-simulated-health
     September 25, 2019 - Review Why simulation matters: a systematic review on medical errors occurring during simulated health care. Citation Text: Bokka L, Ciuffo F, Clapper TC. Why simulation matters: a systematic review on medical errors occurring during simulated health care. J Patient Saf. 2024;20(2):110-1…

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73336/psn-pdf
     May 26, 2021 - spontaneously without treatment in 3-6 weeks, but if treated it resolves more quickly.10 Secondary syphilis occurs … copper-colored lesions on the palms or soles, but its appearance is highly variable, and if the rash occurs

348. Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety. | PSNet
     psnet.ahrq.gov/issue/tapping-front-line-knowledge-identifying-problems-they-occur-helps-enhance-patient-safety
     July 21, 2009 - Newspaper/Magazine Article Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety. Citation Text: Luther K, Resar RK. Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety. Healthcare executive. 2013;28(1):84-…

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33691/psn-pdf
     December 01, 2009 - If the event occurs, addressing it in real time is essential to prevent a negative downstream effect

350. Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. | PSNet
     psnet.ahrq.gov/issue/baccalaureate-nursing-students-accounts-medical-mistakes-occurring-clinical-setting
     June 24, 2009 - Study Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. Citation Text: Noland CM. Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. J Nurs …

351. Systems Approach | PSNet
     psnet.ahrq.gov/primer/systems-approach
     June 15, 2024 - Attentional behavior is characterized by conscious thought, analysis, and planning, as occurs in active

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36315/psn-pdf
     July 10, 2008 - Wrong-side/wrong-site, wrong-procedure, and wrong- patient adverse events: are they preventable? July 10, 2008 Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? Arch Surg. 2006;141(9):931-9. https://psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-p…

353. Review of medication errors that are new or likely to occur more frequently with electronic medication management systems. | PSNet
     psnet.ahrq.gov/issue/review-medication-errors-are-new-or-likely-occur-more-frequently-electronic-medication
     August 18, 2021 - Study Review of medication errors that are new or likely to occur more frequently with electronic medication management systems. Citation Text: Van de Vreede M, McGrath A, de Clifford J. Review of medication errors that are new or likely to occur more frequently with electronic medicatio…

354. Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. | PSNet
     psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment
     November 11, 2020 - Study Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. Citation Text: Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcar…

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46827/psn-pdf
     March 14, 2018 - Prevalence and Economic Burden of Medication Errors in the NHS England. March 14, 2018 Elliott RA, Camacho E, Campbell F, et al. Policy Research Unit in Economic Evaluation of Health and Care Interventions. Sheffield, United Kingdom: University of Sheffield and University of York; 2018. https://psnet.ahrq.gov/issu…

356. Pharmacist's Role in Medication Safety | PSNet
     psnet.ahrq.gov/primer/pharmacists-role-medication-safety
     March 14, 2018 - Correct medication use occurs when the "five rights" are followed, meaning the right dose of the right

357. Misread Label | PSNet
     psnet.ahrq.gov/web-mm/misread-label
     August 28, 2024 - Misread Label Citation Text: Franklin BD. Misread Label. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865598/psn-pdf
     April 17, 2024 - Guardians of grafts: reducing medication errors in transplant recipients. April 17, 2024 ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4. https://psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients Safe medication therapy for transplant patients is complex and h…

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49668/psn-pdf
     October 01, 2012 - treatment of hypertension that is also used to suppress some symptoms related to adrenergic excess that occurs

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49779/psn-pdf
     January 01, 2017 - This occurs when there is a need to change infusions without interrupting the flow. … NB: It is typical for the primary infusion to be paused while the piggyback/secondary infusion occurs