Results

Total Results: 4,038 records

Showing results for "occurs".

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

82. 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

83. 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

84. 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

85. 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

86. 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.

87. 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

88. 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

89. 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

90. '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

91. 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

92. 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

93. 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

94. 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

95. 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

96. 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

97. 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

98. 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

99. The fallacy of a single diagnosis. | PSNet
    psnet.ahrq.gov/issue/fallacy-single-diagnosis
    October 05, 2022 - Premature closure occurs when clinicians accept a diagnosis before it has been confirmed and alternative

100. The safety of outpatient health care: review of electronic health records. | PSNet
     psnet.ahrq.gov/issue/safety-outpatient-health-care-review-electronic-health-records
     January 25, 2023 - Although most care occurs in outpatient settings, research into adverse events (AE) in this setting