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Showing results for "happened".

321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40194/psn-pdf
     June 20, 2011 - What happens when things go wrong? June 20, 2011 Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x. https://psnet.ahrq.gov/issue/what-happens-when-things-go-wrong This commentary reveals a personal story of loss and dis…

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45874/psn-pdf
     February 22, 2017 - Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. February 22, 2017 Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Evaluation, and Response to Medical…

323. Kaiser-Santa Clara hospital fined after baby's death: $25,000 penalty for Kaiser's drug error. | PSNet
     psnet.ahrq.gov/issue/kaiser-santa-clara-hospital-fined-after-babys-death-25000-penalty-kaisers-drug-error
     September 16, 2015 - July 12, 2023 Inside the preventable deaths that happened within a prominent transplant

324. Frequency and outcome of cervical cancer prevention failures in the United States. | PSNet
     psnet.ahrq.gov/issue/frequency-and-outcome-cervical-cancer-prevention-failures-united-states
     April 09, 2013 - June 21, 2023 Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33789/psn-pdf
     August 01, 2015 - If an error happened on the floor in the old days, the nurse would have tapped the doctor on the shoulder … better for rheumatoid arthritis through a lengthy complex double blind trial, we'll be looking at what happened

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47757/psn-pdf
     February 06, 2019 - Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. February 6, 2019 Park A. Time Magazine. January 24, 2019. https://psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they- do-and-how-fix-it This news article reports on the documentar…

327. 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…

328. 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-…

329. 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…

330. 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…

331. Patient Safety in Home Dialysis | PSNet
     psnet.ahrq.gov/perspective/patient-safety-home-dialysis
     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

332. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
     August 01, 2015 - patient requiring the brain MRI had the same initials as another patient on the same unit who also happened … patients-the-x-factor-for-health-information-exchange 14 This Case Greater outreach and education to providers is needed to ensure what happened

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33781/psn-pdf
     March 01, 2015 - I think what has happened subsequently was an incredible change in the acceptance of HSMRs. … problems, there's a commitment to change and reorganize, and yet, as you've pointed out, not much happened

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44132/psn-pdf
     May 13, 2015 - Adverse outcomes: why bad things happen to good people. May 13, 2015 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. https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people This commentary…

335. Safely Home: What Happens When People Leave Hospital Care Settings? | PSNet
     psnet.ahrq.gov/issue/safely-home-what-happens-when-people-leave-hospital-care-settings
     August 02, 2023 - Book/Report Safely Home: What Happens When People Leave Hospital Care Settings? Citation Text: Safely Home: What Happens When People Leave Hospital Care Settings? London, UK: Healthwatch England; July 2015. Copy Citation Save Save to your library Print D…

336. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33682/psn-pdf
     April 01, 2009 - We have imperfect tools to assess exactly what happened in the course of an adverse event. … But knowing what happened in one is not enough information to understand what the vulnerabilities are

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47678/psn-pdf
     December 19, 2018 - When mistakes happen. December 19, 2018 Beck DL. ASH Clinical News. December 1, 2018. https://psnet.ahrq.gov/issue/when-mistakes-happen This article provides an overview of efforts to understand and improve patient safety and covers topics such as the epidemiology of error, its impact on the individuals involved, …

338. 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 …

339. When bad things happen: training medical students to anticipate the aftermath of medical errors. | PSNet
     psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath-medical-errors
     July 29, 2020 - Study When bad things happen: training medical students to anticipate the aftermath of medical errors. Citation Text: Musunur S, Waineo E, Walton E, et al. When bad things happen: training medical students to anticipate the aftermath of medical errors. Acad Psychiatry. 2020;44(5):586-591…

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33662/psn-pdf
     January 01, 2008 - particular hospital, but it captured all the salient features of some of the terrible things that happened