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Showing results for "happen".

101. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33662/psn-pdf
     January 01, 2008 - Sometimes safety improvements are generated when bad things happen to good people. … The average size of a Tenet Hospital is about 150 beds, so these things happen infrequently. … then there would be, for example, the four things you or your unit can do, to make sure this doesn't happen … randomized controlled trial evidence that a particular safety intervention works just isn't going to happen

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47757/psn-pdf
     February 06, 2019 - Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. February 6, 2019 Park A. Time Magazine. January 24, 2019. https://psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they- do-and-how-fix-it This news article reports on the documentar…

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46506/psn-pdf
     October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. October 11, 2017 Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017. https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving- surgical-car…

104. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841305/psn-pdf
     January 27, 2023 - It was always a draft because as the day evolved, things would happen that changed that plan. … All patient care events happen in the context of other people and other parts of the system. … It’s the idea that we think that work—like providing healthcare—will happen a certain way, but when … work actually happens, people often have to make adjustments to make the work happen effectively and

105. Latent Error (or Latent Condition) | PSNet
     psnet.ahrq.gov/glossary/latent-error-or-latent-condition
     September 13, 2021 - Thus, latent errors are quite literally "accidents waiting to happen."

106. In Conversation With… Michael Cohen, RPh, MS, ScD (hon) | PSNet
     psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
     October 24, 2021 - We thought for sure that many errors that might have happened in the past wouldn't happen. … We have some really dangerous errors that happen. … A lot of that can happen at the counseling stage, where there's some communication between the pharmacist … And what is the pharmacy chain doing to make sure that something like that doesn't happen?" … supervisor's fault for not addressing the issue to make it much more unlikely or even impossible to happen

107. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50408/psn-pdf
     October 02, 2019 - delayed-admissions-pediatric-intensive-care-unit-progression-disease-or- errors-emergency Transitions of care happen

108. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60154/psn-pdf
     March 25, 2020 - systematic-review-and-evaluation-physiological-track-and-trigger-warning-systems-identifying https://psnet.ahrq.gov/issue/hospitals-look-computers-predict-patient-emergencies-they-happen

109. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73082/psn-pdf
     March 31, 2021 - artificial-intelligence-and-diagnostic-errors https://psnet.ahrq.gov/issue/hospitals-look-computers-predict-patient-emergencies-they-happen

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72830/psn-pdf
     March 10, 2021 - challenge to track medical errors that take place in the home environment, yet it is understood they happen

111. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852456/psn-pdf
     August 16, 2023 - learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors https://psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath-medical-errors

112. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50677/psn-pdf
     November 20, 2019 - What Happens When Doctors Make Diagnostic Errors? November 20, 2019 The Peoples Pharmacy. Show 1186: National Public Radio. October 24, 2019. https://psnet.ahrq.gov/issue/what-happens-when-doctors-make-diagnostic-errors Misdiagnosis growing area of concern in health care. This radio feature explores three commonly …

113. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865665/psn-pdf
     April 24, 2024 - medical-students-experiences-perceptions-and-management-second-victim-interview-study https://psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath-medical-errors

114. Communication during trauma resuscitation: do we know what is happening? | PSNet
     psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-happening
     February 03, 2021 - Study Communication during trauma resuscitation: do we know what is happening? Citation Text: Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. Copy Citation Format: Google Scholar …

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50719/psn-pdf
     December 04, 2019 - A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! December 4, 2019 ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019 https://psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here The reporting and analysis of incidents i…

116. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43513/psn-pdf
     September 10, 2014 - questionable-hospital-chart-documentation-practices-physicians https://psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34854/psn-pdf
     March 28, 2005 - Dealing with medical errors when they happen-- instead of in court--can benefit doctors and patients

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50606/psn-pdf
     October 30, 2019 - One doctor. 25 deaths. How could it have happened? October 30, 2019 Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019. https://psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened Systemic failures persistently undermine processes meant to keep patients safe. This news story discu…

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851071/psn-pdf
     June 28, 2023 - Inside the preventable deaths that happened within a prominent transplant center. June 28, 2023 Blau M. ProPublica. June 14, 2023. https://psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center Medical errors during organ transplants can have catastrophic consequences. This repo…

120. Safely Home: What Happens When People Leave Hospital Care Settings? | PSNet
     psnet.ahrq.gov/issue/safely-home-what-happens-when-people-leave-hospital-care-settings
     August 02, 2023 - Book/Report Safely Home: What Happens When People Leave Hospital Care Settings? Citation Text: Safely Home: What Happens When People Leave Hospital Care Settings? London, UK: Healthwatch England; July 2015. Copy Citation Save Save to your library Print D…