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Total Results: 1,790 records

Showing results for "happened".

281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33820/psn-pdf
     December 01, 2016 - The way I would look at it is to try to understand what happened, why did it happen, and what do you … JB: W cubed: What happened? Why did it happen? What are we going to do to prevent it in the future? … management have the courage to look a reporter in the eye and say, "First we need to understand what happened

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841305/psn-pdf
     January 27, 2023 - Medical records are viewed as the truth of what happened to a patient. … from the learners themselves and to help the learners come to their own guided understanding of what happened

283. 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety. | PSNet
     psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research-patient-safety
     July 15, 2020 - June 21, 2023 Events that inspired change: the importance of sharing what happened to

284. Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application. | PSNet
     psnet.ahrq.gov/issue/mixed-methods-evaluation-real-time-safety-reporting-hospitalized-patients-and-their-care
     August 03, 2022 - Help Improve Management of Sepsis May 31, 2023 Deny, Dismiss, Dehumanise: What Happened

285. Is there evidence for a better health care for cancer patients after a second opinion? A systematic review. | PSNet
     psnet.ahrq.gov/issue/there-evidence-better-health-care-cancer-patients-after-second-opinion-systematic-review
     May 03, 2023 - View More Related Resources Deny, Dismiss, Dehumanise: What Happened

286. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. | PSNet
     psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease-2019-pandemic
     May 25, 2022 - May 10, 2023 Events that inspired change: the importance of sharing what happened to

287. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. | PSNet
     psnet.ahrq.gov/issue/what-safety-events-are-reported-ambulatory-care-analysis-incident-reports-patient-safety
     November 24, 2021 - May 24, 2023 Events that inspired change: the importance of sharing what happened to

288. Recovery from COVID-19-related disruptions in cancer detection. | PSNet
     psnet.ahrq.gov/issue/recovery-covid-19-related-disruptions-cancer-detection
     November 16, 2022 - It happened to me, as a pregnant OB-GYN.

289. Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related to tuberculosis: a population-based longitudinal study. | PSNet
     psnet.ahrq.gov/issue/incidence-duration-and-risk-factors-associated-delayed-and-missed-diagnostic-opportunities
     May 19, 2021 - It happened to me, as a pregnant OB-GYN.

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866370/psn-pdf
     July 31, 2024 - embarrassed that the patient remembered waking up during the operation but could not explain what happened … Details of what is recalled should be elicited and compared with what happened during the operation. … It is therefore very important to review the anesthetic record to understand what happened. … It will be obvious if the patient truly remembers things that happened during the procedure.

291. In Conversation With... José A, Morfín, MD, FASN | PSNet
     psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
     April 28, 2021 - If there has been an infection, they will use that visit to go back and work out what happened, as the … When you go back and say, “well, what happened here,” it acts as another safeguard and allows us to identify … When a PD patient gets peritonitis, nearly every time you can trace back and figure out what happened … That is some of the troubleshooting and evaluation we do to try to figure out what could have happened … What has happened, as I referenced before, is that the advent of Bluetooth technology has lessened the

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866622/psn-pdf
     August 28, 2024 - Venkatesan: One challenge early on was that when you're asking frontline teams to describe what actually happened … , the tendency of leaders can be to potentially modify the reality of what happened. … In your existing causal analysis, you can ask what normally happens, not what happened in this instance

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33867/psn-pdf
     October 01, 2018 - We thought for sure that many errors that might have happened in the past wouldn't happen. … conversation between the pharmacist and the patient, a lot of errors that we saw in the past would not have happened … If you go to our website, it's very easy—just tell us what happened. … When I need reports regarding how many of this happened, they do that for me.

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861286/psn-pdf
     January 24, 2024 - Surgical safety does not happen by accident: learning from perioperative near miss case studies. January 24, 2024 Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning from perioperative near miss case studies. J Perianesth Nurs. 2024;39(1):10-15. doi:10.1016/j.jopa…

295. We need to talk: primary care provider communication at discharge in the era of a shared electronic medical record. | PSNet
     psnet.ahrq.gov/issue/we-need-talk-primary-care-provider-communication-discharge-era-shared-electronic-medical
     October 13, 2018 - Patient Safety and the Evolution of WebM&M and PSNet September 1, 2019 What happened

296. A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. | PSNet
     psnet.ahrq.gov/issue/national-analysis-ed-presentations-early-pregnancy-and-complications-implications-post-roe
     September 07, 2016 - It happened to me, as a pregnant OB-GYN.

297. Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. | PSNet
     psnet.ahrq.gov/issue/exploring-physician-perspectives-residency-holdover-handoffs-qualitative-study-understand
     April 27, 2015 - July 2, 2014 What happened to my patient?

298. "We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety. | PSNet
     psnet.ahrq.gov/issue/we-cant-get-along-without-each-other-qualitative-interviews-physicians-about-device-industry
     March 07, 2018 - June 14, 2019 Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.

299. How can specialist investigation agencies inform system-wide learning for patient safety? A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation Branch. | PSNet
     psnet.ahrq.gov/issue/how-can-specialist-investigation-agencies-inform-system-wide-learning-patient-safety
     January 29, 2014 - September 27, 2023 Events that inspired change: the importance of sharing what happened

300. Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. | PSNet
     psnet.ahrq.gov/issue/three-missed-critical-nursing-care-processes-labor-and-delivery-units-during-covid-19
     October 29, 2017 - It happened to me, as a pregnant OB-GYN.