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Total Results: 1,790 records

Showing results for "happen".

181. 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

182. 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.

183. 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

184. 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.

185. Quality exponential: the journey from 100,000 to 5 million lives. | PSNet
     psnet.ahrq.gov/issue/quality-exponential-journey-100000-5-million-lives
     August 22, 2007 - December 5, 2007 Could it happen here?

186. 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?"

187. 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

188. 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

189. 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

190. 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

191. 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?

192. 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?

193. 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

194. 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

195. 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

196. Families are struggling to use medicines at home — we must truly involve them in their own safety. | PSNet
     psnet.ahrq.gov/issue/families-are-struggling-use-medicines-home-we-must-truly-involve-them-their-own-safety
     February 02, 2022 - challenge to track medical errors that take place in the home environment , yet it is understood they happen

197. Becoming a high-reliability organization through shared learning of safety events | PSNet
     psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
     February 12, 2020 - reliability organizations consistently examine what goes wrong and remain aware that failure can happen

198. 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…

199. 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

200. Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. | PSNet
     psnet.ahrq.gov/issue/intraoperative-adverse-events-abdominal-surgery-what-happens-operating-room-does-not-stay
     January 23, 2017 - Study Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. Citation Text: Bohnen JD, Mavros MN, Ramly EP, et al. Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay in …