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Total Results: 4,038 records

Showing results for "occurs".

361. 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…

362. The Empty Bag | PSNet
     psnet.ahrq.gov/web-mm/empty-bag
     June 01, 2018 - 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

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33770/psn-pdf
     August 01, 2014 - To me, the goal of between-visit technology vis-à-vis safety is to intervene before harm occurs. … Any time you want to intervene before harm occurs, you are trying to make your best estimate of how

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49774/psn-pdf
     November 01, 2016 - Concealed hemorrhage most commonly occurs during a ruptured ectopic pregnancy or following a cesarean … estimated to complicate 2%–6% of all births.(5,13,14) Severe hemorrhage requiring blood transfusion occurs

365. 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

366. 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…

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33871/psn-pdf
     December 22, 2018 - the improvement work on respectful maternity care has focused on other countries, disrespectful care occurs

368. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
     January 01, 2015 - Question Only 59% concordance rate between physicians and patients when no open-ended solicitation occurs

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33755/psn-pdf
     September 01, 2013 - Culture change inevitably occurs slowly, through cycles of action and interpretation.(8) Problem solving

370. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
     October 01, 2011 - . * * * Background Decrease in physical activity that occurs during hospitalization carries adverse

371. 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

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73067/psn-pdf
     March 24, 2021 - Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. March 24, 2021 LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89…

373. 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…

374. 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-…

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38360/psn-pdf
     March 18, 2010 - Medication errors occurring with the use of bar-code administration technology. March 18, 2010 PA-PSRS Patient Saf Advis. December 2008;5:122-126. https://psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology This article describes errors associated with bar coded medication admin…

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60639/psn-pdf
     January 01, 2021 - Economic analysis of the prevalence and clinical and economic burden of medication error in England. July 1, 2020 Elliott RA, Camacho E, Jankovic D, et al. Economic analysis of the prevalence and clinical and economic burden of medication error in England. BMJ Qual Saf. 2021;30(2):96-105. doi:10.1136/bmjqs-2019-010…

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73181/psn-pdf
     April 28, 2021 - Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. April 28, 2021 Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5- year retrospective assessment for healthcare improvement. Dimens Crit Care …

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867805/psn-pdf
     February 26, 2025 - When a fall occurs, the nurse has to do a report. … to ensure (1) that the ordering physician is aware and (2) that the appropriate follow-up actually occurs

379. 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;…

380. 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 …