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Total Results: 4,038 records

Showing results for "occurs".

81. Organizational learning in hospitals: a realist review. | PSNet
    psnet.ahrq.gov/issue/organizational-learning-hospitals-realist-review
    June 19, 2019 - organizational learning in hospitals, including contextual factors that affect it, how such learning occurs

82. Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame. | PSNet
    psnet.ahrq.gov/issue/errors-medicine-punishment-versus-learning-medical-adverse-events-revisited-expanding-frame
    August 24, 2022 - Latent errors or conditions are subtle and can be difficult to identify before an incident occurs.

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36907/psn-pdf
    September 14, 2012 - When such an event occurs, many institutions mandate performance of a root cause analysis.

84. Complications. | PSNet
    psnet.ahrq.gov/issue/complications
    November 28, 2018 - issue explore complications in anesthesia, including how providers can respond when a complication occurs

85. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. | PSNet
    psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries
    February 28, 2024 - Normalization of deviance occurs when poor practices are common throughout an organization despite

86. Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet
    psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
    December 14, 2022 - Schiff, MD   Lymphangioleiomyomatosis or LAM is a rare cystic lung disease that occurs primarily in women … 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.

87. Psn-Pdf (pdf file)
    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

88. 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. | PSNet
    psnet.ahrq.gov/issue/corridor-care-emergency-department-managing-patient-care-non-clinical-areas-safely-and
    May 19, 2021 - This article outlines how ED overcrowding occurs and provides several approaches to mitigate risks and

89. To err is human, to apologize is hard. | PSNet
    psnet.ahrq.gov/issue/err-human-apologize-hard
    September 28, 2022 - related actions that aid in rebuilding trust between clinicians, patients, and families when error occurs

90. Inattentional blindness in medicine. | PSNet
    psnet.ahrq.gov/issue/inattentional-blindness-medicine
    March 31, 2021 - Inattentional blindness occurs when a person is focused so intently on one task that they miss other

91. ASHP guidelines on managing drug product shortages. | PSNet
    psnet.ahrq.gov/issue/ashp-guidelines-managing-drug-product-shortages
    September 06, 2023 - assessments, establishing a drug shortage team, and communicating with patients and providers when a shortage occurs

92. Restorative just culture: an exploration of the enabling conditions for successful implementation. | PSNet
    psnet.ahrq.gov/issue/restorative-just-culture-exploration-enabling-conditions-successful-implementation
    February 08, 2023 - culture aim to balance organizational and individual accountability and responsibility when an error occurs

93. Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions. | PSNet
    psnet.ahrq.gov/issue/patient-and-clinician-experiences-uncertainty-diagnostic-process-current-understanding-and
    March 11, 2020 - article provides an overview of the literature on diagnosis-related uncertainty, where uncertainty occurs

94. More hospitals move to confront medical errors head on. | PSNet
    psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head
    June 21, 2023 - clinicians, health system leaders, and improvement experts to discuss actions after medical error occurs

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/855058/psn-pdf
    October 31, 2023 - findings indicated that verbal violence from patients (e.g., insults, threats, screaming, cursing) occurs … I think the most concerning, at least in the immediate sense, is the violence that occurs from patients … leaders will act on reported information, they are more likely to report workplace violence when it occurs … would you recommend that organizations use to better understand how, where, and why workplace violence occurs … if they’re trained on organizational procedures and policies to address workplace violence when it occurs

96. When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"? | PSNet
    psnet.ahrq.gov/issue/when-theres-harm-hospital-can-transparency-replace-deny-and-defend
    April 02, 2014 - report provides the insights from a panel exploring the need for transparency after a medical mistake occurs

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44826/psn-pdf
    February 14, 2017 - These results suggest that unless further development and validation of administrative metrics occurs

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45483/psn-pdf
    March 20, 2018 - Misdiagnosis or delayed diagnosis of common conditions, such as acute myocardial infarction (AMI), occurs

99. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. | PSNet
    psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population
    March 13, 2024 - ethical , legal, and clinical reasons for health care to examine how to respond when such a situation occurs

100. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. | PSNet
     psnet.ahrq.gov/issue/misdiagnosis-acute-myocardial-infarction-systematic-review-literature
     July 28, 2021 - This systematic review found that misdiagnosis of acute myocardial infarction (AMI) occurs in approximately