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Total Results: 1,790 records

Showing results for "happened".

421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836839/psn-pdf
     March 31, 2022 - greater odds of reporting near-miss safety events that were perceived as more serious and “nearly happened … ” versus those that only “could have happened.”

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836879/psn-pdf
     April 27, 2022 - tracking the last year of medical data on my wearable device (or implanted device), and I can show what happened

423. In Conversation With… Sidney Dekker, MA, MSc, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
     February 26, 2025 - 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

424. In Conversation With… John Halamka, MD, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
     March 27, 2024 - Problem two, and I sat in on over 200 committee meetings in the Obama Administration, so I saw how this happened … Let me tell you what happened. … the data and from where I sit as a doctor, I think I'm on Epic, but all sorts of other things have happened

425. In Conversation With… Eric J. Topol, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
     February 26, 2025 - It is amazing to me that that has not already happened. It is not that hard to do. … goes between doctor and patient fully captured and processed the way it ought to be, but it has not happened

426. In Conversation With… Christine Cassel, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-christine-cassel-md
     February 26, 2025 - In Conversation With… Christine Cassel, MD June 1, 2015  Citation Text: In Conversation With… Christine Cassel, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation For…

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33642/psn-pdf
     November 01, 2006 - Right about that time, Three Mile Island happened, and I got called in with a bunch of other psychologists

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840256/psn-pdf
     November 16, 2022 - Our participatory design process happened right at the beginning of COVID, so we moved a lot of things

429. In Conversation With... Chris Cebollero, BS, CCEMT-P | PSNet
     psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
     May 26, 2021 - figure out the “why” when you’re looking at errors in clinical care to ensure that we can teach what happened

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61083/psn-pdf
     October 28, 2020 - Were there any upstream things that happened that made the transfer potentially preventable? … If the fall was prevented, that broken hip wouldn't have happened and the hospitalization would have

431. In Conversation with…Jennifer Daley, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
     January 01, 2008 - any particular hospital, but it captured all the salient features of some of the terrible things that happened

432. Safety Culture in EMS | PSNet
     psnet.ahrq.gov/perspective/safety-culture-ems
     May 26, 2021 - figure out the “why” when you’re looking at errors in clinical care to ensure that we can teach what happened

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49468/psn-pdf
     December 16, 2004 - Mark My Limb December 1, 2004 Jacott WE, O'Leary D. Mark My Limb. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/mark-my-limb The Case A patient went to the operating room (OR) for surgery on the lower leg. Per the Universal Protocol, the surgeon marked the proper leg prior to bringing the patient to the O…

434. EHR Copy and Paste and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
     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.

435. Implementing a Patient Safety Program at a Large National Health System | PSNet
     psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
     January 01, 2008 - any particular hospital, but it captured all the salient features of some of the terrible things that happened

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33680/psn-pdf
     March 22, 2009 - RW: Let me shock you by telling you that story would not surprise anybody if it happened here [at UCSF … somebody ordered an x-ray, and I haven't heard back," the patient might actually try to find out what happened

437. In Conversation With… Susan Haas, MD, MSc | PSNet
     psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
     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.

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33788/psn-pdf
     June 01, 2015 - In Conversation With… Christine Cassel, MD June 1, 2015 In Conversation With… Christine Cassel, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-christine-cassel-md Editor's note: Christine Cassel, MD, is President and CEO of the National Quality Forum (NQF). Dr. Cassel, one of the foun…

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49483/psn-pdf
     June 01, 2005 - The team’s goal is to determine what happened, why it happened, and what can be done to prevent it from

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33792/psn-pdf
     September 01, 2015 - It is amazing to me that that has not already happened. It is not that hard to do. … goes between doctor and patient fully captured and processed the way it ought to be, but it has not happened