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Total Results: 1,692 records

Showing results for "happen".

221. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
     psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
     August 28, 2024 - Safety-I uses a traditional, reactive, and failure-focused approach to managing safety events when they happen … The assumption here is that the system is not complex, is inherently safe, and that bad things only happen … We should not ignore those instances when they happen, but we should also really be mindful that the

222. Application of Safety-II Principles | PSNet
     psnet.ahrq.gov/perspective/application-safety-ii-principles
     August 28, 2024 - Safety-I uses a traditional, reactive, and failure-focused approach to managing safety events when they happen … The assumption here is that the system is not complex, is inherently safe, and that bad things only happen … We should not ignore those instances when they happen, but we should also really be mindful that the

223. New Insights on Safety and Health IT | PSNet
     psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
     August 01, 2015 - or in some cases actually detrimental to making it happen. … Government has a role to convene and build incentives and maybe requirements to make it happen. … The market will not make privacy and security happen well enough by itself. … Some of that will happen with the same changes that promote interoperability. … You may see a doctor periodically, but most of your care will happen at your home or your workplace,

224. In Conversation With… Robert M. Wachter, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
     August 01, 2015 - or in some cases actually detrimental to making it happen. … Government has a role to convene and build incentives and maybe requirements to make it happen. … The market will not make privacy and security happen well enough by itself. … Some of that will happen with the same changes that promote interoperability. … You may see a doctor periodically, but most of your care will happen at your home or your workplace,

225. Curing our diagnostic disorder. | PSNet
     psnet.ahrq.gov/issue/curing-our-diagnostic-disorder
     December 04, 2019 - June 30, 2021 Hospitals look to computers to predict patient emergencies before they happen

226. Family of woman who died after a medical error joins hospital's safety panel. | PSNet
     psnet.ahrq.gov/issue/family-woman-who-died-after-medical-error-joins-hospitals-safety-panel
     May 13, 2020 - November 18, 2015 When mistakes happen.

227. Blame culture and defensive medicine. | PSNet
     psnet.ahrq.gov/issue/blame-culture-and-defensive-medicine
     January 20, 2021 - It could happen to you.

228. 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety. | PSNet
     psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research-patient-safety
     July 15, 2020 - Review 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety. Citation Text: St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient …

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33611/psn-pdf
     July 01, 2005 - To make the study happen, all we needed was one additional intern for half a year, during the intervention … this is something that we need to address and let's see what we can do to make these kinds of changes happen

230. Guideline for Prevention of Unintentionally Retained Surgical Items. | PSNet
     psnet.ahrq.gov/issue/guideline-prevention-unintentionally-retained-surgical-items
     August 01, 2018 - Retained surgical items (RSI) are a never event, yet they continue to happen.

231. The medication kit conundrum: considerations to enhance safety and efficiency. | PSNet
     psnet.ahrq.gov/issue/medication-kit-conundrum-considerations-enhance-safety-and-efficiency
     June 07, 2017 - A WebM&M highlights errors that can happen when medication kits are not standardized and are poorly

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33801/psn-pdf
     February 01, 2016 - When computers entered your world, is it something you thought would happen or were you optimistic and … perspective/conversation-withchristine-sinsky-md RW: It may not be obvious to everyone why that would happen … How can I make that happen?

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33841/psn-pdf
     September 01, 2017 - which get loaded into the medication side effect dictionaries because the threshold is "this could happen … When you ask people why they don't just turn off those "this could happen" alerts, there's a concern

234. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. | PSNet
     psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban
     February 22, 2011 - Study What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Citation Text: Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambu…

235. In Conversation With... Chris Cebollero, BS, CCEMT-P | PSNet
     psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
     May 26, 2021 - How do we shift the thinking to the idea that these are harms that may happen to the patient, be it a … for bringing something forward that only makes the organization better, but unfortunately that does happen … Why did this error happen? … 12 Conclusion Increasing the transition of EMS to a Just Culture is not something that can happen

236. Safety Culture in EMS | PSNet
     psnet.ahrq.gov/perspective/safety-culture-ems
     May 26, 2021 - 12 Conclusion Increasing the transition of EMS to a Just Culture is not something that can happen … How do we shift the thinking to the idea that these are harms that may happen to the patient, be it a … for bringing something forward that only makes the organization better, but unfortunately that does happen … Why did this error happen?

237. Ordering of continuous renal replacement therapy in a computerized provider order entry system. | PSNet
     psnet.ahrq.gov/issue/ordering-continuous-renal-replacement-therapy-computerized-provider-order-entry-system
     April 01, 2024 - September 19, 2007 How could this happen?

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867651/psn-pdf
     February 26, 2025 - Hollnagel terms this the causality credo, which he defines as “the belief that adverse outcomes happen … “Work-as-imagined" describes what is expected to happen under anticipated normal working conditions, … Nonetheless, because these events are frequent, if we can understand how and why they happen, we can

239. Healthcare industry representatives: maximizing benefits and reducing risks. | PSNet
     psnet.ahrq.gov/issue/healthcare-industry-representatives-maximizing-benefits-and-reducing-risks
     March 18, 2010 - December 16, 2014 Program encourages reporting accidents waiting to happen: the Good

240. For doctors, diagnosing gets a technological boost. | PSNet
     psnet.ahrq.gov/issue/doctors-diagnosing-gets-technological-boost
     May 18, 2005 - August 21, 2019 Hospitals look to computers to predict patient emergencies before they happen