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Total Results: 3,974 records

Showing results for "happen".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73082/psn-pdf
    March 31, 2021 - artificial-intelligence-and-diagnostic-errors https://psnet.ahrq.gov/issue/hospitals-look-computers-predict-patient-emergencies-they-happen

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852456/psn-pdf
    August 16, 2023 - learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors https://psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath-medical-errors

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72830/psn-pdf
    March 10, 2021 - challenge to track medical errors that take place in the home environment, yet it is understood they happen

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60154/psn-pdf
    March 25, 2020 - systematic-review-and-evaluation-physiological-track-and-trigger-warning-systems-identifying https://psnet.ahrq.gov/issue/hospitals-look-computers-predict-patient-emergencies-they-happen

  5. 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

  6. 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

  7. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
    August 01, 2022 - FUTURE RISKS Are there other areas in the organization where this could happen?      

  8. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
    January 01, 2017 - SAY: A defect is anything that can happen clinically or operationally that you do not want to have happen … First ask, how did the defect happen?

  9. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
    February 01, 2017 - Say: A defect is anything that can happen clinically or operationally that you do not want to have … happen again. … First ask, how did the defect happen?

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43513/psn-pdf
    September 10, 2014 - questionable-hospital-chart-documentation-practices-physicians https://psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34854/psn-pdf
    March 28, 2005 - Dealing with medical errors when they happen-- instead of in court--can benefit doctors and patients

  12. Understand the Science of Safety for Perinatal Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
    May 01, 2017 - The first step in comprehending why they happen is accepting that people are not perfect. … • Why did it happen? • What will we do to reduce the recurrence? … • Why did it happen? • How will you reduce the risk of recurrence? • How will you know it worked?

  13. 019-Ss-Periop-Infection-Prevention-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
    April 01, 2025 - · Why did it happen? · How do we reduce the likelihood of this happening again? … Slide 32 Case Example: Why Did it Happen? SAY: So, why did it happen?

  14. 019-Perioperative-Infection-Prevention-Strategies-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
    April 01, 2025 - · Why did it happen? · How do we reduce the likelihood of this happening again? … Slide 32 Case Example: Why Did it Happen? SAY: So, why did it happen?

  15. Talking With Residents and Family Members About Antibiotics (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
    June 01, 2021 - Allergic reactions don’t happen often, but when they do they can cause people to feel pretty uncomfortable

  16. The Four Es of Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
    February 01, 2017 - How can execute our plan and make this happen? … early mobility at our hospital, change the culture, and provide the necessary resources to make it happen … A defect is anything you do not want to happen again. Ask, "What happened and why did it happen?"

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865665/psn-pdf
    April 24, 2024 - medical-students-experiences-perceptions-and-management-second-victim-interview-study https://psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath-medical-errors

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33662/psn-pdf
    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

  19. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-slides.html
    February 01, 2017 - Slide 5: Errors Happen Because… People are fallible: We expect providers to be perfect. … Health care systems are rarely designed to catch mistakes before they happen.

  20. Communication Assessment Guide: Appendix 2 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/ap2.html
    August 01, 2022 - stable; her heart rate, blood pressure, and oxygen level are all in normal ranges, but something did happen
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