U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality

Search AHRQ

For an exact phrase match, enclose search terms in double quotes.

Go to Advanced Search
Go to Basic Search

Results

Total Results: 4,075 records

Showing results for "happen".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841305/psn-pdf
    January 27, 2023 - It was always a draft because as the day evolved, things would happen that changed that plan. … All patient care events happen in the context of other people and other parts of the system. … It’s the idea that we think that work—like providing healthcare—will happen a certain way, but when … work actually happens, people often have to make adjustments to make the work happen effectively and

  2. Latent Error (or Latent Condition) | PSNet

    psnet.ahrq.gov/glossary/latent-error-or-latent-condition
    September 13, 2021 - Thus, latent errors are quite literally "accidents waiting to happen."

  3. In Conversation With… Michael Cohen, RPh, MS, ScD (hon) | PSNet

    psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
    October 24, 2021 - We thought for sure that many errors that might have happened in the past wouldn't happen. … We have some really dangerous errors that happen. … A lot of that can happen at the counseling stage, where there's some communication between the pharmacist … And what is the pharmacy chain doing to make sure that something like that doesn't happen?" … supervisor's fault for not addressing the issue to make it much more unlikely or even impossible to happen

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50408/psn-pdf
    October 02, 2019 - delayed-admissions-pediatric-intensive-care-unit-progression-disease-or- errors-emergency Transitions of care happen

  5. 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

  6. 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

  7. 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

  8. 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

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50677/psn-pdf
    November 20, 2019 - What Happens When Doctors Make Diagnostic Errors? November 20, 2019 The Peoples Pharmacy. Show 1186: National Public Radio. October 24, 2019. https://psnet.ahrq.gov/issue/what-happens-when-doctors-make-diagnostic-errors Misdiagnosis growing area of concern in health care. This radio feature explores three commonly …

  10. 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

  11. Communication during trauma resuscitation: do we know what is happening? | PSNet

    psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-happening
    February 03, 2021 - Study Communication during trauma resuscitation: do we know what is happening? Citation Text: Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. Copy Citation Format: Google Scholar …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50719/psn-pdf
    December 04, 2019 - A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! December 4, 2019 ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019 https://psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here The reporting and analysis of incidents i…

  13. 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

  14. 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

  15. 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?"

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50606/psn-pdf
    October 30, 2019 - One doctor. 25 deaths. How could it have happened? October 30, 2019 Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019. https://psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened Systemic failures persistently undermine processes meant to keep patients safe. This news story discu…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851071/psn-pdf
    June 28, 2023 - Inside the preventable deaths that happened within a prominent transplant center. June 28, 2023 Blau M. ProPublica. June 14, 2023. https://psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center Medical errors during organ transplants can have catastrophic consequences. This repo…

  18. 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

  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. Comparing Quality Scores to an Independent Standard | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/translate/compare/choose/standard.html
    January 01, 2023 - These events are preventable and should never happen.”
SHARE:
Facebook Twitter Print Facebook Share

Similar Terms:

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

Click to show only results for the selected site.

psnet.ahrq.gov (1692)

www.ahrq.gov (1577)

effectivehealthcare.ahrq.gov (363)

digital.ahrq.gov (266)

www.uspreventiveservicestaskforce.org (63)

hcup-us.ahrq.gov (57)

integrationacademy.ahrq.gov (16)

meps.ahrq.gov (16)

cds.ahrq.gov (8)

cdsic.ahrq.gov (5)

pso.ahrq.gov (5)

qualityindicators.ahrq.gov (5)

datatools.ahrq.gov (2)