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Total Results: 1,692 records

Showing results for "happened".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33806/psn-pdf
    April 01, 2016 - RW: What did you have to do in terms of logistics, the timing of handoffs and when it happened, the … RW: Do you worry about what has happened in some of the checklist literature, which is people began to

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33816/psn-pdf
    October 01, 2016 - which is a great improvement over learning only about individuals to whom something important has happened

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33700/psn-pdf
    October 01, 2010 - causal inference of why the benefits were sustained, but when I speak to staff and ask clinicians what happened

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33760/psn-pdf
    February 01, 2014 - In Conversation With… Enrico Coiera, MB, BS, PhD February 1, 2014 In Conversation With… Enrico Coiera, MB, BS, PhD. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd Editor's note: Enrico Coiera, MB, BS, PhD, is a professor and director of the Centre for Health Informa…

  5. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.98_slideshow.ppt
    June 01, 2005 - organized by patient safety or quality improvement program Goals of Root Cause Analysis What happened

  6. In Conversation With… J. Bryan Sexton, PhD, MA | PSNet

    psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
    February 26, 2025 - BS : The idea of the checklist became the symbol of how it happened.

  7. In Conversation With… Leah Binder, MA, MGA | PSNet

    psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
    February 26, 2025 - We found several examples, but one that was most interesting to the board was what had happened in Los

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49388/psn-pdf
    February 01, 2003 - What happened to this patient illustrates an example of faulty drug identity checking, where two drugs … To understand the causes of errors, we must examine what happened, what was the root cause, and what

  9. Failure to Report | PSNet

    psnet.ahrq.gov/web-mm/failure-report
    July 01, 2008 - By not acknowledging the mistake, the health care team made no attempt to inform the parent of what happened … the physicians and nurses in the unit could have participated in a frank discussion about what had happened

  10. Mark My Limb | PSNet

    psnet.ahrq.gov/web-mm/mark-my-limb
    February 10, 2015 - Mark My Limb Citation Text: Jacott WE, O'Leary D. Mark My Limb. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  11. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet

    psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
    July 01, 2017 - liability insurers commit to disclose adverse events to 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

  12. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
    July 01, 2017 - liability insurers commit to disclose adverse events to 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

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33752/psn-pdf
    August 01, 2013 - BS: The idea of the checklist became the symbol of how it happened.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33804/psn-pdf
    March 03, 2016 - Some tremendous results happened. … Another very interesting thing happened.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33708/psn-pdf
    March 01, 2011 - What do you think has happened to the safety of handoffs since we first began cutting duty hours?

  16. Teaching medical error apologies: development of a multi-component intervention. | PSNet

    psnet.ahrq.gov/issue/teaching-medical-error-apologies-development-multi-component-intervention
    August 04, 2021 - Study Teaching medical error apologies: development of a multi-component intervention. Citation Text: Gillies RA, Speers SH, Young SE, et al. Teaching medical error apologies: development of a multi-component intervention. Fam Med. 2011;43(6):400-6. Copy Citation Format: …

  17. In Conversation With… Andrew Gettinger, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
    September 01, 2017 - of federal funding really changed the inflection point and pushed adoption faster than it would have happened … Thus, unforeseen events happened more frequently and were more severe than anyone predicted.( 12 ) Over

  18. Patient Safety During Hospital Discharge | PSNet

    psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
    April 01, 2018 - We never saw them as a tool for communication or as essential to communicating what happened in the hospital … Our study showed that they cannot recount the basic facts of their condition or what happened to them

  19. Unexpected hypoglycemia in a critically ill patient. | PSNet

    psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient
    July 25, 2018 - Study Classic Unexpected hypoglycemia in a critically ill patient. Citation Text: Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  20. Safety culture and the positive association of being a primary care training practice during COVID-19: the results of the multi-country European PRICOV-19 Study. | PSNet

    psnet.ahrq.gov/issue/safety-culture-and-positive-association-being-primary-care-training-practice-during-covid-19
    January 08, 2025 - Study Safety culture and the positive association of being a primary care training practice during COVID-19: the results of the multi-country European PRICOV-19 Study. Citation Text: Silva B, Ožvačić Adžić Z, Vanden Bussche P, et al. Safety culture and the positive association of being a…
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