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Total Results: 1,790 records

Showing results for "happen".

241. Hospitals target risks of color wristbands. | PSNet
     psnet.ahrq.gov/issue/hospitals-target-risks-color-wristbands
     August 17, 2016 - , 2023 Hospitals look to computers to predict patient emergencies before they happen

242. 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.

243. 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

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50392/psn-pdf
     September 01, 2019 - I remember Ken Kizer announcing these eight things that should never happen in health care and they … The notion that some things should not happen, that we should have a high degree of accuracy around, … "This should always happen"; "this should never happen."

245. 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

246. 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?

247. 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

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842919/psn-pdf
     February 01, 2023 - of basal and/or nutritional insulin in a patient with type 1 diabetes is an event that should never happen … Ask what will happen with your medicines. 3. Know what will happen with your diet. 4. … Find out what will happen when you go home.

249. The lurking danger in the “business case” for patient safety | PSNet
     psnet.ahrq.gov/issue/lurking-danger-business-case-patient-safety
     May 13, 2020 - June 2, 2010 When mistakes happen.

250. A piece of my mind. Trials and tribulations. | PSNet
     psnet.ahrq.gov/issue/piece-my-mind-trials-and-tribulations
     October 19, 2022 - It could happen to you.

251. Algorithm that detects sepsis cut deaths by nearly 20 percent. | PSNet
     psnet.ahrq.gov/issue/algorithm-detects-sepsis-cut-deaths-nearly-20-percent
     October 12, 2022 - May 20, 2020 Hospitals look to computers to predict patient emergencies before they happen

252. Recognizing Excellence in Diagnosis. | PSNet
     psnet.ahrq.gov/issue/recognizing-excellence-diagnosis
     November 03, 2023 - Multi-use Website Recognizing Excellence in Diagnosis. Citation Text: Recognizing Excellence in Diagnosis. The Leapfrog Group. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy…

253. In Conversation With... Remle P. Crowe, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
     May 16, 2022 - in the prehospital setting, or the context of care delivery, impact the patient safety events that happen

254. Identifying Safety Events in the Prehospital Setting | PSNet
     psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
     May 16, 2022 - in the prehospital setting, or the context of care delivery, impact the patient safety events that happen

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840256/psn-pdf
     November 16, 2022 - of diagnostic accuracy and antibiotic stewardship, and lots of different patient safety issues can happen … department and skilled nursing facility staff had some disconnected and conflicting ideas of what needed to happen … We don’t know what they are, but we know that stuff is going to happen.

256. Wired hospitals: can high tech save your life? | PSNet
     psnet.ahrq.gov/issue/can-high-tech-save-your-life
     August 07, 2024 - 31, 2023 Hospitals look to computers to predict patient emergencies before they happen

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33760/psn-pdf
     February 01, 2014 - Enrico Coiera: Interruptions happen every day to every clinician, nurse, and doctor. … EC: I think what will happen is that we'll increasingly be able to use computer systems for information … A lot of such intelligence can happen in the background once technology focuses on the physical context

258. Error in medicine. | PSNet
     psnet.ahrq.gov/issue/error-medicine
     November 02, 2014 - human errors will occur and that are designed to minimize their occurrence and absorb them when they happen

259. Implementing a Patient Safety Program at a Large National Health System | PSNet
     psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
     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

260. In Conversation with…Jennifer Daley, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
     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