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Showing results for "happen".

101. In Conversation with...Albert Wu, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
     February 26, 2025 - What then needs to happen is the institutions need to track what the solutions are, and they need to … serious incidents, called sentinel events, and any hospital board would like to see these things never happen … Wrong site surgeries are a pretty good example of this—they happen to every big institution a few times

102. 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

103. 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

104. 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

105. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33710/psn-pdf
     May 01, 2011 - There has been some survey research, and an unsurprising finding is that after these things happen, … We really feel bad when bad things happen. We all want to behave like human beings. … I think it's because we have such a disbelief that these things happen that when something really goes

106. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866812/psn-pdf
     September 25, 2024 - the investigation or not, communicating to the patient what was learned so that the error will not happen

107. 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

108. Disclosure of Medical Error | PSNet
     psnet.ahrq.gov/perspective/disclosure-medical-error
     January 01, 2009 - Thus, these data do not necessarily speak to what will happen to liability if a physician's disclosure … We are going to do what it takes to make you better and make sure the same thing does not happen again … We also know very little about how patients want disclosure to happen in the moment. … organization are doing to mitigate the harm to that particular patient and fix the problem so it doesn't happen

109. In Conversation with…Thomas H. Gallagher, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
     January 01, 2009 - We also know very little about how patients want disclosure to happen in the moment. … organization are doing to mitigate the harm to that particular patient and fix the problem so it doesn't happen … Thus, these data do not necessarily speak to what will happen to liability if a physician's disclosure … We are going to do what it takes to make you better and make sure the same thing does not happen again

110. 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."

111. 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

112. 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

113. 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

114. 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

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73222/psn-pdf
     May 05, 2021 - Fatal mistakes: why do ten-fold medication errors in children keep happening? May 5, 2021 Parry C. The Pharmaceutical Journal.  April 22 2021. https://psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening Weight-based prescribing in children harbors challenges to accura…

116. 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

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36499/psn-pdf
     January 07, 2011 - Web-based reporting system to monitor types of medication errors and near misses, determine when they happen

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848092/psn-pdf
     April 26, 2023 - Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN. April 26, 2023 Gillispie-Bell V. USA Today. April 14, 2023. https://psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn Structural racism and implicit biases can lead to poor quality of care …

119. 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

120. One doctor. 25 deaths. How could it have happened? | PSNet
     psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
     November 06, 2019 - Newspaper/Magazine Article One doctor. 25 deaths. How could it have happened? Citation Text: One doctor. 25 deaths. How could it have happened? Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019. Copy Citation Save Save to your library P…