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Total Results: 1,692 records

Showing results for "happen".

161. What happens to the medication regimens of older adults during and after an acute hospitalization? | PSNet
     psnet.ahrq.gov/issue/what-happens-medication-regimens-older-adults-during-and-after-acute-hospitalization
     May 19, 2021 - Study What happens to the medication regimens of older adults during and after an acute hospitalization? Citation Text: Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during and after an acute hospitalization? J Patient Saf. 2013;9(3):15…

162. In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS | PSNet
     psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
     December 14, 2022 - 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 get … All these situations happen while considering the conditions, capabilities, and preferences of individual

163. Resilient Healthcare and the Safety-I and Safety-II Frameworks | PSNet
     psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
     December 14, 2022 - All these situations happen while considering the conditions, capabilities, and preferences of individual … 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 get

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73302/psn-pdf
     May 26, 2021 - How do we shift the thinking to the idea that these are harms that may happen to the patient, be it … for bringing something forward that only makes the organization better, but unfortunately that does happen … Why did this error happen?

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33875/psn-pdf
     March 01, 2019 - And how can we make sure this doesn't happen again? … And that often doesn't happen, or it happens in a flurry of white coats being led around without getting

166. Mark My Limb | PSNet
     psnet.ahrq.gov/web-mm/mark-my-limb
     February 10, 2015 - world's most sophisticated operating theaters and in the hands of highly trained surgeons—can such things happen … Or, in this case, almost happen? … Good systems do not just happen.

167. Patient Safety. | PSNet
     psnet.ahrq.gov/issue/patient-safety-10
     May 01, 2023 - May 1, 2023 Program encourages reporting accidents waiting to happen: the Good Catch

168. Risk, society and system failure. | PSNet
     psnet.ahrq.gov/issue/risk-society-and-system-failure
     November 29, 2023 - The author discusses why large scale accidents happen and how to manage risk in radiology by adhering

169. Removing Insult from Injury—Disclosing Adverse Events | PSNet
     psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
     February 01, 2006 - He "feels" himself and his world intensely, so that when an error comes along, two things happen: first … As I started learning about errors, how they happen, and how complex and multi-factorial they often are … and, number two, "What's going to happen to me as a result of this?"

170. Misdiagnosis is dangerous. Help your doctor get it right. | PSNet
     psnet.ahrq.gov/issue/misdiagnosis-dangerous-help-your-doctor-get-it-right
     August 03, 2022 - This article introduces why diagnostic errors happen, commonly misdiagnosed conditions , and strategies

171. Diagnostic safety event reporting. | PSNet
     psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
     August 05, 2020 - Adverse event reporting can clarify when mistakes happen and what reduction strategies to apply.

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33682/psn-pdf
     April 01, 2009 - from routine process breakdowns because they represent unique sequences of errors that will never happen … into improvement, but when public stakeholders say that adverse events keep happening that should not happen … We have seen this happen with CPOE implementation and other kinds of IT implementation. … If you do not get the process working right before you automate it, bad things can happen to patients

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33628/psn-pdf
     February 01, 2006 - He "feels" himself and his world intensely, so that when an error comes along, two things happen: first … As I started learning about errors, how they happen, and how complex and multi-factorial they often … and, number two, "What's going to happen to me as a result of this?"

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33783/psn-pdf
     April 01, 2015 - create a safe environment in an operating room, and that turns out to be difficult and doesn't just happen … Why can't you just make it happen? … They've learned over the last 10 years how to get this to happen. … Even though we haven't found the magic bullet to make it happen or pulled the right lever, I'm hopeful … Finally, I think the culture change we seek will happen faster than we expect.

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47291/psn-pdf
     October 31, 2018 - Nearly 75% happen during psychiatric treatment, and the most common means of death is hanging.

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47092/psn-pdf
     October 13, 2018 - still-hard-share-psos-making-progress-still-face-tech-hurdles https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836877/psn-pdf
     May 16, 2022 - in the prehospital setting, or the context of care delivery, impact the patient safety events that happen

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47777/psn-pdf
     January 01, 2021 - care professionals can optimize the patient experience even when complications and safety events happen

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39193/psn-pdf
     April 21, 2011 - psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients Disclosing errors to patients does not happen

180. In Conversation with…John Banja, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
     February 01, 2006 - He "feels" himself and his world intensely, so that when an error comes along, two things happen: first … As I started learning about errors, how they happen, and how complex and multi-factorial they often are … and, number two, "What's going to happen to me as a result of this?"