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Showing results for "happened".

361. 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.

362. 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.

363. 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 …

364. In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS | PSNet
     psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
     December 14, 2022 - 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

365. Resilient Healthcare and the Safety-I and Safety-II Frameworks | PSNet
     psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
     December 14, 2022 - 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

366. Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. | PSNet
     psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it
     November 20, 2019 - Newspaper/Magazine Article Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Citation Text: Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Park A. Time Magazine. January 24, 2019. Copy Citation…

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33679/psn-pdf
     January 01, 2009 - occur in one conversation, there will be an entire process that follows to determine what actually happened

368. 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.

369. 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

370. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
     psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
     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

371. Application of Safety-II Principles | PSNet
     psnet.ahrq.gov/perspective/application-safety-ii-principles
     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

372. 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.

373. What happens to the medication regimens of older adults during and after an acute hospitalization? | PSNet
     psnet.ahrq.gov/issue/what-happens-medication-regimens-older-adults-during-and-after-acute-hospitalization
     May 19, 2021 - Study What happens to the medication regimens of older adults during and after an acute hospitalization? Citation Text: 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):15…

374. 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…

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838972/psn-pdf
     October 27, 2022 - unaware of these events until the on-call physician contacted the unit for more information about what happened … Had this process happened in the current case, the patient may have considered staying in the hospital

376. Bad things can happen: are medical students aware of patient centered care and safety? | PSNet
     psnet.ahrq.gov/issue/bad-things-can-happen-are-medical-students-aware-patient-centered-care-and-safety
     July 06, 2022 - Study Bad things can happen: are medical students aware of patient centered care and safety? Citation Text: Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/…

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33784/psn-pdf
     April 01, 2015 - What were your concerns about what could have happened methodologically that might have explained a … And then 3 months later introduce a checklist, look at the outcomes, and compare what happened after … to what happened before.

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33837/psn-pdf
     July 01, 2017 - communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters patients, provide a full explanation of what happened … , and provide an apology that is appropriate to why the event happened—either "I'm sorry this happened

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867651/psn-pdf
     February 26, 2025 - psnet.ahrq.gov//#4 https://psnet.ahrq.gov//#4 https://psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error … The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Chapter In: Dekker SWA, ed.

380. Preventing lawsuits: Coalition pushes apologies and cash up-front. Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients, supporters say. | PSNet
     psnet.ahrq.gov/issue/preventing-lawsuits-coalition-pushes-apologies-and-cash-front-dealing-medical-errors-when
     February 20, 2019 - Newspaper/Magazine Article Preventing lawsuits: Coalition pushes apologies and cash up-front. Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients, supporters say. Citation Text: Preventing lawsuits: Coalition pushes apologies and cash up-fr…