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Total Results: 4,038 records

Showing results for "occurs".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45453/psn-pdf
    November 02, 2016 - within high-risk industries that have adopted processes to detect and address failures before harm occurs

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44470/psn-pdf
    October 13, 2015 - patient safety skills during clinical rotations, because most learning for postgraduate medical training occurs

63. Managing the adverse event occurring during elective, ambulatory pediatric surgery. | PSNet
    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

64. Psn-Pdf (pdf file)
    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

65. Psn-Pdf (pdf file)
    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

66. Psn-Pdf (pdf file)
    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

67. ‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths. | PSNet
    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.

68. Psn-Pdf (pdf file)
    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

69. Psn-Pdf (pdf file)
    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

70. Psn-Pdf (pdf file)
    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

71. Psn-Pdf (pdf file)
    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.

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37241/psn-pdf
    December 16, 2011 - organizations should avoid focusing on technical and organizational factors in isolation, as benefit occurs

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45350/psn-pdf
    October 21, 2016 - Large system failure occurs when such interventions are not disseminated and implemented.

74. Psn-Pdf (pdf file)
    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

75. Psn-Pdf (pdf file)
    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

76. Psn-Pdf (pdf file)
    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

77. Psn-Pdf (pdf file)
    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

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49485/psn-pdf
    August 29, 2024 - Specific ophthalmologic findings determine the diagnosis.(5) AION occurs at the optic nerve head as … PION occurs anywhere posterior to the optic nerve head to the optic nerve chiasm. … (Figure 2) with their eyes free from external pressure.(6) These data clearly demonstrate that ION occurs … Cortical blindness is usually associated with embolic events or profound hypotension and most commonly occurs

79. Handoffs and Handovers | PSNet
    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

80. Hospital Reporting Program: Annual Summary. | PSNet
    psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary
    August 17, 2022 - analysis discusses the importance of transparency to motivate progress after a patient safety incident occurs