Results

Total Results: over 10,000 records

Showing results for "occurs".

281. Routine Goes Awry | PSNet
     psnet.ahrq.gov/web-mm/routine-goes-awry
     September 23, 2020 - The most commonly cited preoperative risk is bleeding, which occurs in up to 3% of patients. … The highest risk of return to the operating room to control hemorrhage occurs one week postoperatively … The most common complication is postoperative bleeding, which occurs in less than 10% of patients.

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49589/psn-pdf
     August 01, 2009 - Background Herpes zoster (or shingles) occurs in approximately 1 million people annually in the United … Or, when HZ occurs fully or partially under the scalp, it can also lead to a missed diagnosis. … Unilateral allergic contact dermatitis, as often occurs with cases of poison ivy, is also in the differential

283. Process Improvement | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process
     January 01, 2023 - The diagram also includes information about how and why the communication occurs, the specific technology

284. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. | PSNet
     psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and
     February 15, 2023 - Alert fatigue occurs when healthcare workers become desensitized to alarms over time, especially when

285. Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment. | PSNet
     psnet.ahrq.gov/issue/role-knowledge-and-reasoning-processes-predictors-resident-physicians-susceptibility
     March 18, 2020 - Anchoring bias occurs when a physician relies on their initial diagnostic impression despite subsequent

286. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. | PSNet
     psnet.ahrq.gov/issue/inattentional-blindness-anesthesiology-gorilla-worth-one-thousand-words
     June 01, 2022 - Inattentional blindness occurs when individuals miss an unexpected event due to competing attentional

287. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
     July 01, 2018 - viewpoints as possible Alternate between convergent and divergent thinking Divergent thinking occurs … brainstorming sessions, and when trying to understand what might be occurring 10 Convergent thinking occurs

288. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.html
     January 01, 2014 - in defining problem and potential solutions Slide 10 Implementation-Focused Formative Evaluation Occurs … Slide 11 Progress-Focused Formative Evaluation Occurs during implementation of project plan.

289. Silence A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/silence.html
     August 01, 2017 - This occurs when they are able to find a space and place in their heart to store the pain, try to forgive … It is important to have a designated plan after medical harm occurs, but equally, if not more important

290. Never Events | PSNet
     psnet.ahrq.gov/primer/never-events
     June 15, 2024 - other than as intended Patient death or serious injury associated with intravascular air embolism that occurs … serious injury of a patient or staff member resulting from a physical assault (i.e., battery) that occurs

291. Suppl-2-User-Guide-To-Ocer 130129 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/suppl-2-user-guide-to-ocer_130129.pdf
     January 01, 2011 - risk for the entire population under different treatment conditions, then an average causal effect occurs … Investigators may not agree on a single DAG to represent a complex clinical question; when this occurs … Selection bias occurs when the risk for the outcome in the population being studied is different from … This bias occurs from estimating the average causal effect within “selected” stratum, then averaging … Selection bias occurs when participation in the study though volunteerism, design, adherence to treatment

292. 037-Ss-Bed-Bathing-Chg-Cloths-Protocol (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/037-ss-bed-bathing-chg-cloths-protocol.docx
     April 01, 2025 - If incontinence occurs, or if there are other secretions on the skin, remove soilage with disposable

293. Puh-Impmenu (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docx
     June 02, 2025 - The worksheet also includes columns to identify whether a given suggested meeting already occurs or whether

294. Puh-Impmenu (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.pdf
     June 02, 2025 - The worksheet also includes columns to identify whether a given suggested meeting already occurs or

295. Creating a safer health care system: finding the constraint. | PSNet
     psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
     February 24, 2011 - The authors argue that sustained change occurs only when these root causes receive appropriate exploration

296. Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. | PSNet
     psnet.ahrq.gov/issue/comfort-uncertainty-reframing-our-conceptions-how-clinicians-navigate-complex-clinical
     February 06, 2013 - and suggests that individual awareness of uncertainty is required to respond to the condition as it occurs

297. Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. | PSNet
     psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review
     October 31, 2014 - just culture ” balances organizational responsibility and individual accountability after an error occurs

298. Teaching medical error disclosure to physicians-in-training: a scoping review. | PSNet
     psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review
     June 09, 2015 - This in part occurs because training in error disclosure is not a standard component of medical school

299. COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected. | PSNet
     psnet.ahrq.gov/issue/covid-19-has-united-patients-and-providers-against-institutional-betrayal-health-care-battle
     June 29, 2009 - Institutional betrayal occurs when a patient (or other individual) experiences a harm and the (health

300. Medicare payment for selected adverse events: building the business case for investing in patient safety. | PSNet
     psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing-patient-safety
     September 18, 2009 - , these data revealed that hospitals generally do not receive additional compensation when an error occurs