Results

Total Results: 1,692 records

Showing results for "happen".

81. 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

82. 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…

83. 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

84. 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-…

85. In Conversation with...Albert Wu, MD, MPH | PSNet
    psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
    February 26, 2025 - What then needs to happen is the institutions need to track what the solutions are, and they need to … serious incidents, called sentinel events, and any hospital board would like to see these things never happen … Wrong site surgeries are a pretty good example of this—they happen to every big institution a few times

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49468/psn-pdf
    December 16, 2004 - most sophisticated operating theaters and in the hands of highly trained surgeons—can such things happen … Or, in this case, almost happen? … Good systems do not just happen.

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33688/psn-pdf
    October 01, 2009 - As you start reading through these forms, you start seeing the range of things that happen in health … out, but generally the institution did not make an effort to cover it up or to try to say it didn't happen … Part of the job of the media is not only to explain when these events happen but to try to put them … So I think it's an excuse to try to say that it's just the media attention, that these problems happen … Is the goal to make it better or at some point do you just say this is not going to happen?

88. 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…

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47944/psn-pdf
    April 17, 2019 - how-deliver-safer-and-effective-patient-care-tips-team-leaders-and-educators https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866746/psn-pdf
    September 18, 2024 - https://psnet.ahrq.gov/primer/leadership-role-improving-safety https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/844987/psn-pdf
    February 22, 2023 - examining-medication-ordering-errors-using-ahrq-network-patient-safety- databases Medication errors can happen

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/841481/psn-pdf
    January 01, 2023 - trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model https://psnet.ahrq.gov/issue/surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50922/psn-pdf
    February 19, 2020 - organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33710/psn-pdf
    May 01, 2011 - There has been some survey research, and an unsurprising finding is that after these things happen, … 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

95. In Conversation with…Thomas H. Gallagher, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
    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 … Thus, these data do not necessarily speak to what will happen to liability if a physician's disclosure … We are going to do what it takes to make you better and make sure the same thing does not happen again

96. Disclosure of Medical Error | PSNet
    psnet.ahrq.gov/perspective/disclosure-medical-error
    January 01, 2009 - Thus, these data do not necessarily speak to what will happen to liability if a physician's disclosure … We are going to do what it takes to make you better and make sure the same thing does not happen again … 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

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42942/psn-pdf
    February 22, 2024 - elimination-emergency-department-medication-errors-due-estimated-weights https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33613/psn-pdf
    May 01, 2005 - How could such a terrible mistake happen to a team of highly qualified and dedicated individuals in … journey; the transition to an optimal culture of shared responsibility and accountability does not happen … have maintained the status quo, based on the mistaken premise that "mistakes like that could never happen

99. On O.R. Off? | PSNet
    psnet.ahrq.gov/web-mm/or
    August 22, 2013 - 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

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866812/psn-pdf
     September 25, 2024 - the investigation or not, communicating to the patient what was learned so that the error will not happen