-
psnet.ahrq.gov/issue/world-sepsis-day
May 12, 2021 - World Sepsis Day occurs yearly on September 13th.
-
psnet.ahrq.gov/node/34665/psn-pdf
December 24, 2008 - The authors argue that true learning in health
organizations occurs through a cyclical, dualistic, and
-
psnet.ahrq.gov/node/44148/psn-pdf
November 06, 2015 - educational approaches like virtual reality simulation to train
physicians to manage cognitive error once it occurs
-
psnet.ahrq.gov/node/841156/psn-pdf
October 10, 2010 - improvement, but the concept isn’t universally
accepted as an approach to determine the foci of how failure occurs
-
psnet.ahrq.gov/node/42238/psn-pdf
July 02, 2014 - This in part occurs because training
in error disclosure is not a standard component of medical school
-
psnet.ahrq.gov/node/35588/psn-pdf
February 03, 2011 - The authors argue
that sustained change occurs only when these root causes receive appropriate exploration
-
psnet.ahrq.gov/node/841799/psn-pdf
August 14, 2023 - hours-emergency-department-visit-were-those-deaths-preventable
https://psnet.ahrq.gov/issue/misdiagnosis-thoracic-aortic-emergencies-occurs-frequently-among-transfers-aortic-referral
-
psnet.ahrq.gov/node/47587/psn-pdf
February 13, 2019 - and suggests that
individual awareness of uncertainty is required to respond to the condition as it occurs
-
psnet.ahrq.gov/node/37241/psn-pdf
December 16, 2011 - organizations should avoid focusing on technical and organizational factors
in isolation, as benefit occurs
-
psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - Large system failure occurs when such
interventions are not disseminated and implemented.
-
psnet.ahrq.gov/node/38255/psn-pdf
December 03, 2008 - often examined by conducting case
reviews or root cause analyses when an undesired patient outcome occurs
-
psnet.ahrq.gov/node/45874/psn-pdf
February 22, 2017 - The authors also explore the
evidence on transparency in the ED when an error occurs and how to make
-
psnet.ahrq.gov/issue/managing-adverse-event-occurring-during-elective-ambulatory-pediatric-surgery
March 01, 2023 - provides a framework of potential steps for health care professionals to take after a medical error occurs
-
psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths
May 27, 2020 - Post-mortem examination is an important tool for determining if misdiagnosis occurs.
-
psnet.ahrq.gov/node/36291/psn-pdf
October 25, 2010 - these data revealed that hospitals generally
do not receive additional compensation when an error occurs
-
psnet.ahrq.gov/node/43593/psn-pdf
May 06, 2015 - reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-
transforming
Wrong-site surgery is a never event, but still occurs
-
psnet.ahrq.gov/node/36907/psn-pdf
September 14, 2012 - When such an event occurs,
many institutions mandate performance of a root cause analysis.
-
psnet.ahrq.gov/glossary/handoffs-and-handovers
September 13, 2021 - these transitions in care, the term "handovers" is often used to refer to the information transfer that occurs
-
psnet.ahrq.gov/node/41924/psn-pdf
April 05, 2013 - may-prompt-complex
Some institutions have implemented disclosure-and-resolution programs whenever an error occurs
-
psnet.ahrq.gov/node/73650/psn-pdf
August 25, 2021 - Schiff, MD
Lymphangioleiomyomatosis or LAM is a rare cystic lung disease that occurs primarily in … The sporadic form, which occurs in 3.3-7.7/million women, and the
inherited form of LAM, which may occur … Since LAM occurs in young women and asthma is a common cause of dyspnea in this population, it is not … LAM is a rare cystic lung disease that occurs more commonly in young women.