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Showing results for "happened".

341. 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…

342. 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-…

343. 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…

344. 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…

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33801/psn-pdf
     February 01, 2016 - 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.

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33849/psn-pdf
     January 01, 2018 - If that happened to be downstairs in radiology with the patient, you couldn't see that chart. … So all of these good things have happened. … She knows what happened overnight. She knows what the labs are.

347. 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…

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49473/psn-pdf
     March 01, 2005 - to keep the team aware of the plan of care would have provided many opportunities to preclude what happened

349. 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…

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46506/psn-pdf
     October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. October 11, 2017 Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017. https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving- surgical-car…

351. 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 …

352. 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…

353. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33704/psn-pdf
     December 01, 2010 - I talk to patients or families, most of them say, "If I only felt like somebody cared about what happened … families around the error, but as an organizational strategy to be very open about bad things that have happened … Certainly it happened to me multiple times as a risk manager.

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47914/psn-pdf
     May 22, 2019 - Hospitals look to computers to predict patient emergencies before they happen. May 22, 2019 Ross C. STAT. May 13, 2019. https://psnet.ahrq.gov/issue/hospitals-look-computers-predict-patient-emergencies-they-happen Nuisance alarms, interruptions, and insufficient staff availability can hinder effective monitoring …

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39080/psn-pdf
     November 04, 2009 - How could this happen? November 4, 2009 Westfall SS; Mascia K. People. October 5, 2009. https://psnet.ahrq.gov/issue/how-could-happen This story discusses an instance of mistakenly implanted embryos and the impact of the error on the two families involved. https://psnet.ahrq.gov/issue/how-could-happen

356. Could it happen here? Learning from other organizations' safety errors. | PSNet
     psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors
     February 17, 2017 - Newspaper/Magazine Article Could it happen here? Learning from other organizations' safety errors. Citation Text: Conway JB. Could it happen here? Learning from other organizations' safety errors. Healthcare Executive. 2008;23(6):64, 66-67. Copy Citation Format: Google Sc…

357. Program encourages reporting accidents waiting to happen: the Good Catch Awards. | PSNet
     psnet.ahrq.gov/issue/program-encourages-reporting-accidents-waiting-happen-good-catch-awards
     February 13, 2013 - Newspaper/Magazine Article Program encourages reporting accidents waiting to happen: the Good Catch Awards. Citation Text: Program encourages reporting accidents waiting to happen: the Good Catch Awards. Minnesota Hospital Association. Copy Citation Save Save …

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33825/psn-pdf
     January 01, 2017 - RCA takes a structured, systems-oriented approach to identify what happened (the course of events), … why an incident happened (the root cause, or causes), and how to prevent it from recurring in the future

359. The Role of the Patient in Improving Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
     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. That makes me really happy.

360. In Conversation With… David Urbach, MD, MSc | PSNet
     psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
     June 12, 2019 - What were your concerns about what could have happened methodologically that might have explained a difficult … And then 3 months later introduce a checklist, look at the outcomes, and compare what happened after … to what happened before.