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Showing results for "happen".

41. Teaching medical error apologies: development of a multi-component intervention. | PSNet
    psnet.ahrq.gov/issue/teaching-medical-error-apologies-development-multi-component-intervention
    August 04, 2021 - October 19, 2022 Surgical safety does not happen by accident: learning from perioperative … July 26, 2023 View More Related Resources Bad things can happen

42. Sorry Works! | PSNet
    psnet.ahrq.gov/issue/sorry-works
    November 15, 2024 - They encourage doctors and their insurers to be honest when mistakes happen, offer apologies, and provide

43. Fatal mistakes: why do ten-fold medication errors in children keep happening? | PSNet
    psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening
    April 21, 2021 - View More Related Resources Prescribing errors in children: why they happen

44. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851870/psn-pdf
    July 31, 2023 - that is a known risk of wheelchair usage, it is not one that staff may often think about or expect to happen … When we reviewed the event, we noted there is a warning on the package insert that a reaction could happen … It does not happen often, and most people don’t make that association. … What actions are you taking as an organization to make sure that this does not happen again? … still be viewed as airing dirty laundry, instead of sharing adverse events so similar events do not happen

45. A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. | PSNet
    psnet.ahrq.gov/issue/national-mixed-methods-evaluation-preparedness-general-surgery-residency-and-association
    September 02, 2020 - September 9, 2020 When bad things happen: training medical students to anticipate the … September 2, 2020 Surgical errors happen, but are learners trained to recover from them

46. In Conversation With… Christine Cassel, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-christine-cassel-md
    February 26, 2025 - list, and the definition is serious and harmful, largely preventable, patient safety issues—harms that happen … ; medication errors should never happen. … So we are eager to work with the electronic data world in order to make that happen. … But it's very hard to measure something that doesn't happen. … The patient safety world is all about measuring when mistakes or bad things happen.

47. Safety culture and the positive association of being a primary care training practice during COVID-19: the results of the multi-country European PRICOV-19 Study. | PSNet
    psnet.ahrq.gov/issue/safety-culture-and-positive-association-being-primary-care-training-practice-during-covid-19
    January 08, 2025 - Improving Diagnostic Safety and Quality April 26, 2023 Bad things can happen … September 30, 2020 When bad things happen: training medical students to anticipate the

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49473/psn-pdf
    March 01, 2005 - result of a complex system with multiple communication failures, which is how most medical mistakes happen … No one had the big picture of what was supposed to happen. … result of a complex system with multiple communication failures, which is how most medical mistakes happen … No one had the big picture of what was supposed to happen. … concern, and the promotion of situational awareness, where all the team members know what is going to happen

49. One doctor. 25 deaths. How could it have happened? | PSNet
    psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
    November 06, 2019 - Newspaper/Magazine Article One doctor. 25 deaths. How could it have happened? Citation Text: One doctor. 25 deaths. How could it have happened? Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019. Copy Citation Save Save to your library P…

50. In Conversation with...Diane Rydrych, MA | PSNet
    psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
    February 26, 2025 - RW: When you send out a safety alert, would it be because you've seen this thing happen once or because … know that they're very earnest in identifying reportable events and wanting to understand why they happen … across states would also be a real leap forward in terms of what we could learn about why these events happen … One thing that we've learned is that there are a lot of reasons why these events happen and why they

51. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33674/psn-pdf
    February 01, 2009 - If you are going to promulgate a policy that either publicly reports adverse events that happen in hospitals … to be sure that the hospital is not being blamed, for lack of a better word, for things that didn't happen … Sometimes patients are sent to us because they've had bad things happen—they're very ill and it's our … That in fact, hospitals should be paying for things that shouldn't happen, and that this type of policy … system where we will pay for a given diagnosis, I think it is inevitable that when adverse events happen

52. Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an exploratory cross-sectional study. | PSNet
    psnet.ahrq.gov/issue/second-victims-among-baccalaureate-nursing-students-aftermath-patient-safety-incident
    June 09, 2021 - February 1, 2023 Bad things can happen: are medical students aware of patient centered … December 23, 2020 When bad things happen: training medical students to anticipate the

53. "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. | PSNet
    psnet.ahrq.gov/issue/its-big-part-being-good-surgeons-surgical-trainees-perceptions-error-recovery-operating-room
    August 26, 2020 - Download Citation Related Resources From the Same Author(s) Surgical errors happen … September 1, 2021 Surgical errors happen, but are learners trained to recover from them

54. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. | PSNet
    psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists
    February 28, 2024 - Study “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. Citation Text: Kotwal S, Udayappan KM, Kutheala N, et al. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. J Gen Intern Med. 2024;39(16):3271-3277. d…

55. In Conversation with…Albert Wu, MD, MPH | PSNet
    psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
    March 24, 2025 - There has been some survey research, and an unsurprising finding is that after these things happen, people … We really feel bad when bad things happen. We all want to behave like human beings. … I think it's because we have such a disbelief that these things happen that when something really goes

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73542/psn-pdf
    July 28, 2021 - psnet.ahrq.gov/issue/diagnostic-safety-event-reporting Adverse event reporting can clarify when mistakes happen

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33878/psn-pdf
    April 01, 2019 - Politically, how were they able to make that happen? JM: The history is interesting. … Often an investigation needs to happen to elucidate the facts if it's a complex error.

58. In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
    February 26, 2025 - Politically, how were they able to make that happen? JM : The history is interesting. … Often an investigation needs to happen to elucidate the facts if it's a complex error.

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33788/psn-pdf
    June 01, 2015 - , and the definition is serious and harmful, largely preventable, patient safety issues—harms that happen … ; medication errors should never happen. … So we are eager to work with the electronic data world in order to make that happen. … But it's very hard to measure something that doesn't happen. … The patient safety world is all about measuring when mistakes or bad things happen.

60. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33678/psn-pdf
    January 01, 2009 - We also know very little about how patients want disclosure to happen in the moment. … organization are doing to mitigate the harm to that particular patient and fix the problem so it doesn't happen