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Showing results for "happen".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/844554/psn-pdf
    February 15, 2023 - Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. February 15, 2023 Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71 https://psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care- providers High-profile medication errors like tha…

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40194/psn-pdf
    June 20, 2011 - What happens when things go wrong? June 20, 2011 Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x. https://psnet.ahrq.gov/issue/what-happens-when-things-go-wrong This commentary reveals a personal story of loss and dis…

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73331/psn-pdf
    May 26, 2021 - issue/cancer-diagnoses-delayed-among-prisoners-washington-state https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors

64. 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

65. 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

66. "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

67. 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

68. 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

69. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47757/psn-pdf
    February 06, 2019 - Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. February 6, 2019 Park A. Time Magazine. January 24, 2019. https://psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they- do-and-how-fix-it This news article reports on the documentar…

70. 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.

71. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867190/psn-pdf
    November 20, 2024 - This article introduces why diagnostic errors happen, commonly misdiagnosed conditions, and strategies

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35181/psn-pdf
    June 23, 2009 - Communication during trauma resuscitation: do we know what is happening? June 23, 2009 Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. https://psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-…

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33648/psn-pdf
    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

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34008/psn-pdf
    March 17, 2011 - They encourage doctors and their insurers to be honest when mistakes happen, offer apologies, and provide

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39489/psn-pdf
    June 11, 2010 - What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. June 11, 2010 Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Qua…

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44359/psn-pdf
    January 06, 2016 - What happens when healthcare innovations collide? January 6, 2016 Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441. https://psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide Innovat…

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36219/psn-pdf
    October 18, 2010 - psnet.ahrq.gov/issue/risk-society-and-system-failure The author discusses why large scale accidents happen

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50827/psn-pdf
    January 22, 2020 - High reliability organizations consistently examine what goes wrong and remain aware that failure can happen

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74276/psn-pdf
    January 19, 2022 - guideline-prevention-unintentionally-retained-surgical-items Retained surgical items (RSI) are a never event, yet they continue to happen

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867653/psn-pdf
    February 26, 2025 - “Why did it happen?” “What are we doing to keep it from happening again?”