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Total Results: 1,692 records

Showing results for "happened".

281. The wisdom of patients and families: ignore it at our peril. | PSNet
     psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
     March 13, 2013 - June 5, 2019 Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.

282. 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.

283. 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

284. 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

285. Hospitals look to computers to predict patient emergencies before they happen. | PSNet
     psnet.ahrq.gov/issue/hospitals-look-computers-predict-patient-emergencies-they-happen
     June 16, 2021 - Newspaper/Magazine Article Hospitals look to computers to predict patient emergencies before they happen. Citation Text: Hospitals look to computers to predict patient emergencies before they happen. Ross C. STAT. May 13, 2019. Copy Citation Save Save to your libr…

286. Adverse outcomes: why bad things happen to good people. | PSNet
     psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people
     August 30, 2023 - Commentary Adverse outcomes: why bad things happen to good people. Citation Text: Sonnenberg A. Adverse outcomes: why bad things happen to good people. Clin Gastroenterol Hepatol. 2015;13(5):820-3.e1. doi:10.1016/j.cgh.2014.07.064. Copy Citation Format: DOI Google Scholar P…

287. 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.

288. 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

289. 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

290. 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

291. 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.

292. 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

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836877/psn-pdf
     May 16, 2022 - If we don't notice that a mistake happened, it's very hard to report and it's very hard to improve upon … For something that happened hours ago, am I going to accurately remember what time I gave each medication

294. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety | PSNet
     psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
     October 01, 2009 - It cannot just be frequency: the heparin dosing error experienced by the Quaid twins has happened hundreds … A couple of things happened in the summer of 2003 that caused us to focus on King/Drew. … RW: You mentioned that there was a second thing that happened? … Then, not only is the problem what actually happened, but the problem is that you tried to cover it up … RW: If a hospital that had the same deficiencies and the same Joint Commissioner or state reports happened

295. In Conversation with... Charles Ornstein | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-ornstein
     October 01, 2009 - A couple of things happened in the summer of 2003 that caused us to focus on King/Drew. … RW: You mentioned that there was a second thing that happened? … Then, not only is the problem what actually happened, but the problem is that you tried to cover it up … RW: If a hospital that had the same deficiencies and the same Joint Commissioner or state reports happened … It cannot just be frequency: the heparin dosing error experienced by the Quaid twins has happened hundreds

296. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. | PSNet
     psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
     December 22, 2008 - Diagnostic Safety and Quality April 26, 2023 Deny, Dismiss, Dehumanise: What Happened

297. The role of quality improvement and patient safety in academic promotion: results of a survey of chairs of departments of internal medicine in North America. | PSNet
     psnet.ahrq.gov/issue/role-quality-improvement-and-patient-safety-academic-promotion-results-survey-chairs
     July 13, 2016 - View More Related Resources Inside the preventable deaths that happened

298. 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.

299. The effect of visitation restrictions on ED error. | PSNet
     psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error
     July 01, 2016 - It happened to me, as a pregnant OB-GYN.

300. 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