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Total Results: 1,790 records

Showing results for "happened".

401. Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. | PSNet
     psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and
     December 13, 2013 - Review Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. Citation Text: Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Eval…

402. On O.R. Off? | PSNet
     psnet.ahrq.gov/web-mm/or
     August 22, 2013 - to keep the team aware of the plan of care would have provided many opportunities to preclude what happened

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848124/psn-pdf
     April 26, 2023 - We all saw the NFL game where the football player got a good resuscitation because it happened immediately … And if so, what happened and what can we learn from them to move this forward?

404. In Conversation With… Vineet Arora, MD, MAPP | PSNet
     psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
     May 31, 2023 - They told me about a case in which a test had happened 5 years prior, but it was buried somewhere in

405. In Conversation With… Lucian Leape, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-lucian-leape-md
     June 12, 2019 - And there probably are some things that have happened along the way that you might not have anticipated

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33863/psn-pdf
     August 01, 2018 - Why hasn't that happened? MW: It's a function of the structure of health care.

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33783/psn-pdf
     April 01, 2015 - And there probably are some things that have happened along the way that you might not have anticipated

408. New Insights on Safety and Health IT | PSNet
     psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
     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

409. In Conversation With… Robert M. Wachter, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
     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

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33841/psn-pdf
     September 01, 2017 - federal funding really changed the inflection point and pushed adoption faster than it would have happened

411. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. | PSNet
     psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban
     February 22, 2011 - Study What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Citation Text: Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambu…

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866848/psn-pdf
     September 25, 2024 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement September 25, 2024 Thomas E, Mossburg S, Lee M. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement. …

413. Root Cause Analysis Gone Wrong | PSNet
     psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
     August 28, 2024 - five whys" technique, fishbone diagrams, change analysis, and others), RCA seeks to understand what happened … organizations now invite peer reviewers from outside the department or organization where the incident happened

414. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
     May 01, 2010 - fairly balance them Look at how often (and under what circumstances) this or something similar has happened

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33791/psn-pdf
     September 01, 2015 - They told me about a case in which a test had happened 5 years prior, but it was buried somewhere in

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33754/psn-pdf
     September 01, 2013 - This happened in aviation in the 1970s and 1980s, when pilots resisted the idea of the importance of … sees different things, who has perhaps a completely different overview of the social order of what happened

417. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-407
     September 27, 2023 - Debriefing after significant clinical events helps affected staff develop a shared mental model of what happened … , why it happened, and how it can be prevented in the future.

418. In Conversation With… Robert Hirschtick, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
     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.

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33626/psn-pdf
     January 01, 2006 - JB: What I've seen has paralleled what happened in aviation when people first started requiring team … situations in which this kind of training really prevented an error in health care that would have happened

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49829/psn-pdf
     May 01, 2018 - five whys" technique, fishbone diagrams, change analysis, and others), RCA seeks to understand what happened … organizations now invite peer reviewers from outside the department or organization where the incident happened