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Total Results: 466 records

Showing results for "happen".

  1. Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) | PSNet

    psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
    February 26, 2025 - Situation awareness and contingency planning (what family and staff should look out for and what might happen

  2. Second Victims: Support for Clinicians Involved in Errors and Adverse Events | PSNet

    psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
    December 15, 2024 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events Citation Text: Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Cit…

  3. EMS Patient Safety in the Field | PSNet

    psnet.ahrq.gov/perspective/ems-patient-safety-field
    July 28, 2021 - EMS quality improvement begins when the EMS providers know what would happen in ideal circumstances but

  4. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet

    psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
    March 25, 2020 - Similar adverse drug events related to different drug concentrations in same-size ampules also happen

  5. In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives | PSNet

    psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
    July 10, 2024 - When these things happen to our members, they end up in the hospital.

  6. Health Plan Patient Safety Initiatives | PSNet

    psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
    July 10, 2024 - When these things happen to our members, they end up in the hospital.

  7. Dying in the Hospital With Advanced Dementia | PSNet

    psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
    November 01, 2016 - How did this happen?

  8. Patient Safety in Frail Older Patients | PSNet

    psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
    November 26, 2019 - Sometimes, that conversation has to also happen with the family to reset their expectations regarding

  9. In Conversation With... Heidi Wald, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-heidi-wald-md
    November 26, 2019 - Sometimes, that conversation has to also happen with the family to reset their expectations regarding

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867845/psn-pdf
    February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary February 26, 2025 https://psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation- summary Summary This innovation describes the Veteran Health Administration (VHA) National Center for Patient Saf…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33593/psn-pdf
    June 15, 2024 - Measurement of Patient Safety June 15, 2024 Measurement of Patient Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/measurement-patient-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient …

  12. Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary | PSNet

    psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
    February 26, 2025 - New Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 26, 2025 Innovation Contact …

  13. Measurement of Patient Safety | PSNet

    psnet.ahrq.gov/primer/measurement-patient-safety
    September 15, 2024 - Measurement of Patient Safety Citation Text: Measurement of Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  14. Pocket Syringe Swap | PSNet

    psnet.ahrq.gov/web-mm/pocket-syringe-swap
    July 01, 2006 - They happen to almost every anesthesiologist sooner or later.

  15. Intubation Mishap | PSNet

    psnet.ahrq.gov/web-mm/intubation-mishap
    April 26, 2023 - SPOTLIGHT CASE Intubation Mishap Citation Text: Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …

  16. Measuring Patient Safety | PSNet

    psnet.ahrq.gov/perspective/measuring-patient-safety
    December 14, 2022 - Errors happen in the ambulatory setting, in the home care setting, and in other facility settings.

  17. In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
    December 14, 2022 - Errors happen in the ambulatory setting, in the home care setting, and in other facility settings.

  18. The Comprehensivist Model of Care: A Hospitalist's View | PSNet

    psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
    November 01, 2018 - And stuff comes up in doctors' lives, they have to move and things happen. … Where does that tradeoff happen? DM : This is an important point.

  19. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough | PSNet

    psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
    September 01, 2003 - could be made that only the physician who put in the vaginal pack can remove it, but then what would happen

  20. In Conversation With… Jack Needleman, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
    September 01, 2012 - around value and maybe even one in which pay is predicated on measureable value, do different things happen
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