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Showing results for "happened".

421. 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

422. 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

423. 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.

424. In Conversation with...Mark Chassin, MD, MPP, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
     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

425. 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

426. 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

427. 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.

428. 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

429. 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

430. 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

431. 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…

432. 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

433. 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

434. 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

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33588/psn-pdf
     March 15, 2025 - and external turmoil and may be in a state of shock in the midst of trying to both determine what happened

436. Getting to the Root of the Matter | PSNet
     psnet.ahrq.gov/web-mm/getting-root-matter
     September 01, 2005 - The team’s goal is to determine what happened, why it happened, and what can be done to prevent it from

437. 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

438. The Different Count Contributions to Retention (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
     January 01, 2024 - practices unreliable is a lack of transparency and critical thinking when trying to decipher what actually happened … and why it happened after a retained sponge case occurs which impedes learning from the event and application

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33726/psn-pdf
     March 01, 2012 - I publicized the good results, both ways, the settlements that happened early and spared our doctors … patients finally were convinced that we didn't do anything wrong and we avoided a lawsuit that might have happened

440. In Conversation With… Paul McGann, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
     July 10, 2024 - Some tremendous results happened. … Another very interesting thing happened.