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Total Results: 1,692 records

Showing results for "happen".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33857/psn-pdf
     July 01, 2012 - I foresee that that's what's going to happen in the world of data. … who put in the original wells or created the infrastructure, who at some level don't want that to happen … the fabric of life, instead of fighting them people would turn to improving them—and that that would happen

182. 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?"

183. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet
     psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
     July 20, 2010 - How could such a terrible mistake happen to a team of highly qualified and dedicated individuals in an … journey; the transition to an optimal culture of shared responsibility and accountability does not happen … have maintained the status quo, based on the mistaken premise that "mistakes like that could never happen

184. Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. | PSNet
     psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
     November 30, 2016 - Book/Report Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. Citation Text: Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. Wiley K, Davies JM. Edmonton, AB: Canadia…

185. Non-English speakers find ERs hard to reach. | PSNet
     psnet.ahrq.gov/issue/non-english-speakers-find-ers-hard-reach
     January 18, 2023 - April 26, 2023 Hospitals look to computers to predict patient emergencies before they happen

186. ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. | PSNet
     psnet.ahrq.gov/issue/ed-revamp-team-approach-care-reduces-errors-boosts-patient-and-clinician-satisfaction
     June 14, 2023 - March 17, 2021 Hospitals look to computers to predict patient emergencies before they happen

187. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety | PSNet
     psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
     October 01, 2009 - As you start reading through these forms, you start seeing the range of things that happen in health … out, but generally the institution did not make an effort to cover it up or to try to say it didn't happen … Part of the job of the media is not only to explain when these events happen but to try to put them in … So I think it's an excuse to try to say that it's just the media attention, that these problems happen … Is the goal to make it better or at some point do you just say this is not going to happen?

188. In Conversation with... Charles Ornstein | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-ornstein
     October 01, 2009 - As you start reading through these forms, you start seeing the range of things that happen in health … out, but generally the institution did not make an effort to cover it up or to try to say it didn't happen … Part of the job of the media is not only to explain when these events happen but to try to put them in … So I think it's an excuse to try to say that it's just the media attention, that these problems happen … Is the goal to make it better or at some point do you just say this is not going to happen?

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41280/psn-pdf
     December 31, 2014 - information, and forecast the implications of this information (i.e., adverse consequences that might happen

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42900/psn-pdf
     September 19, 2016 - psychiatric units, but a prior Joint Commission sentinel event alert suggested that nearly 15% of attempts happen

191. Patients should know who's operating, surgeons say. | PSNet
     psnet.ahrq.gov/issue/patients-should-know-whos-operating-surgeons-say
     May 15, 2024 - Status December 18, 2019 Program encourages reporting accidents waiting to happen

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49624/psn-pdf
     May 01, 2011 - Angry and upset, the parents asked repeatedly, "How could this happen? … another health care worker's error can help ensure that these challenging but important conversations happen

193. Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency Department Management | PSNet
     psnet.ahrq.gov/issue/delayed-admissions-pediatric-intensive-care-unit-progression-disease-or-errors-emergency
     June 14, 2019 - Transitions of care happen multiple times in a patient’s hospital stay and are common times for preventable

194. Debriefing in the emergency department after clinical events: a practical guide. | PSNet
     psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide
     November 16, 2022 - debriefing in the emergency department, this commentary outlines how to determine when a debrief should happen

195. Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. | PSNet
     psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists-allowing
     December 14, 2022 - allowing failure, the process of allowing or interrupting failure, and how they decide to allow failure to happen

196. 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

197. In Conversation with...Sorrel King | PSNet
     psnet.ahrq.gov/perspective/conversation-withsorrel-king
     March 01, 2007 - lawyer at Hopkins, and said, "What happened to Josie, that little strike of lightning, that doesn't happen … These systems are eventually going to break down and something is going to happen that wasn't that doctor's … But something bad is going to happen and it's going to look like it's that person's fault or that person

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39721/psn-pdf
     September 20, 2011 - Barriers to reporting included a belief that it wasn’t their responsibility, nothing would happen from

199. Patient Safety. | PSNet
     psnet.ahrq.gov/issue/patient-safety-0
     February 28, 2015 - February 13, 2013 Program encourages reporting accidents waiting to happen: the Good

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33716/psn-pdf
     September 01, 2011 - In Conversation With…Kaveh G. Shojania, MD September 1, 2011 In Conversation With…Kaveh G. Shojania, MD. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md Editor's note: Kaveh G. Shojania, MD, is the Canada Research Chair in Patient Safety and Quality Improvement and t…