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Total Results: 1,692 records

Showing results for "happened".

321. 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.

322. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? | PSNet
     psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
     June 24, 2020 - Finally, look at how often (and under what circumstances) this or something similar has happened, either … It is about telling stories of what happened.

323. 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

324. In Conversation With…Christine A. Sinsky, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withchristine-sinsky-md
     February 26, 2025 - That takes effort, and I don't think that's happened as much as it could. … We probably didn't talk about how great it was when this or that happened. … But we talked more about how frustrating it was when negative things happened.

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45664/psn-pdf
     July 02, 2017 - Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. July 2, 2017 Bohnen JD, Mavros MN, Ramly EP, et al. Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay in the Operating Room. Ann Surg. 2017;…

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838180/psn-pdf
     January 01, 2023 - To err is human, but what happens when surgeons err? September 28, 2022 Lin JS, Olutoye OO, Samora JB. To err is human, but what happens when surgeons err? J Pediatr Surg. 2023;58(3):496-502. doi:10.1016/j.jpedsurg.2022.06.019. https://psnet.ahrq.gov/issue/err-human-what-happens-when-surgeons-err Clinicians involv…

327. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42567/psn-pdf
     September 11, 2013 - What happens to the medication regimens of older adults during and after an acute hospitalization? September 11, 2013 Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during and after an acute hospitalization? J Patient Saf. 2013;9(3):150-3. doi:10.1097/PTS.0b013e3182…

328. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850356/psn-pdf
     June 14, 2023 - Prescribing errors in children: why they happen and how to prevent them. June 14, 2023 Conn R, Fox A, Carrington A, et al. Prescribing errors in children: why they happen and how to prevent them. Pharmaceutical Journal. 2023;310:7973. doi:10.1211/pj.2023.1.184013. https://psnet.ahrq.gov/issue/prescribing-errors-ch…

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36149/psn-pdf
     September 29, 2010 - When incidents happen. September 29, 2010 Newfield JS. When Incidents Happen. Home Health Care Manag Pract. 2006;18(5). doi:10.1177/1084822306287998. https://psnet.ahrq.gov/issue/when-incidents-happen The author discusses post-incident documentation for the home care setting and addresses legal issues. https://ps…

330. 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 …

331. 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…

332. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
     August 01, 2009 - Similar to what happened in Boston, a bunch of people stood up and said, "Well, we've tried everything … Why do you think the problem happened? What can we do to help?" … proves to be a difficult problem, are part of the constant experimentation to discover why the problem happened … How could that have happened?" … don't avoid meeting the patient's needs but call attention to the problem so we can understand why it happened

333. Workarounds and Resiliency on the Front Lines of Health Care | PSNet
     psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
     August 01, 2009 - Similar to what happened in Boston, a bunch of people stood up and said, "Well, we've tried everything … Why do you think the problem happened? What can we do to help?" … proves to be a difficult problem, are part of the constant experimentation to discover why the problem happened … How could that have happened?" … don't avoid meeting the patient's needs but call attention to the problem so we can understand why it happened

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39923/psn-pdf
     September 03, 2014 - Sued for misdiagnosis? It could happen to you. September 3, 2014 Lippman H, Davenport J. Sued for misdiagnosis? It could happen to you. J Fam Pract. 2010;59(9):498-508. https://psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you This article explains how to avoid diagnostic error, minimize litigation, and pr…

335. 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…

336. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38215/psn-pdf
     November 14, 2011 - Could it happen here? Learning from other organizations' safety errors. November 14, 2011 Conway JB. Could it happen here? Learning from other organizations' safety errors. Healthcare Executive. 2008;23(6):64, 66-67. https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors This…

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49824/psn-pdf
     March 01, 2018 - Transmission of the ECG may be hampered by technical problems, as happened in this case. … What happened in this case represents a failed handoff of care.

338. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33875/psn-pdf
     March 01, 2019 - When I asked what happened, the doctor said, "Oh, the name [of the backup physician] is on the wall, … Tell me from your perspective what happened.

339. In Conversation with...Sorrel King | PSNet
     psnet.ahrq.gov/perspective/conversation-withsorrel-king
     March 01, 2007 - After we signed the legal papers, I called Rick Kidwell, the lawyer at Hopkins, and said, "What happened … They're great things that happened.

340. 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…