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Showing results for "happened".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44108/psn-pdf
    November 06, 2015 - highlights how insufficient transparency can prevent patients and their families from learning about what happened

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47636/psn-pdf
    December 12, 2018 - The piece includes the perspectives of the patient's family and from the organization regarding what happened

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48129/psn-pdf
    August 14, 2019 - the author argues that the clinician and organization still have the responsibility to document what happened

64. In Conversation with…John Banja, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
    February 01, 2006 - way to rationalize or excuse the error to avoid its disclosure), and second, if he does discuss what happened … Would you like me to tell you about what happened?" And let's assume she said yes. … Here are two possible answers—look around to see if anyone else saw what happened, then rub the scrape … .( 5 ) The patient who later learns about what happened and suspects a "cover-up" is likely to become … We recommend a simple, four-step approach: (i) tell the patient what happened, using plain language;

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866730/psn-pdf
    September 18, 2024 - Following adverse events, many patients and families welcome disclosure from their providers about what happened

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/842779/psn-pdf
    January 12, 2011 - respond to disruptions, monitor their environment, anticipate future impacts, and learn from what happened

67. Duty to Disclose Someone Else's Error? | PSNet
    psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
    June 01, 2004 - with a patient or family when the error occurred elsewhere, and when there is uncertainty about what happened … place, the physicians at the initial hospital would take the lead on talking with parents about what happened … Listen and empathize throughout • Assess the patient's understanding of what happened • Identify … Explain the facts What happened? … • Identify the adverse event early in the disclosure • Explain what happened in a way that is easy

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/854262/psn-pdf
    October 04, 2023 - towards-conceptualizing-patients-partners-health-systems-systematic-review-and-descriptive https://psnet.ahrq.gov/issue/what-happened-patient-safety

69. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851200/psn-pdf
    July 05, 2023 - Claims that the facility purposely sought to hide information that the suicide happened were unsubstantiated

70. In Conversation with...Diane Rydrych, MA | PSNet
    psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
    February 26, 2025 - We publish an annual report that shows the number of events that happened in each facility, the types … Once it happened and once the first report came out, I think everyone realized that it wasn't going to … there's a concern that the local paper is going to focus on you or target you because of something that happened … been less positive or targeted facilities a bit more, but even so, those worst-case scenarios haven't happened … I get calls sometimes from patients or family members when something really sad has happened to them

71. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47159/psn-pdf
    August 01, 2018 - frequently referred to as Safety-I, involved responding to adverse events and near misses after they happened

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34677/psn-pdf
    February 09, 2011 - Patients wanted disclosure of all harmful errors, why the errors happened, and how recurrences would

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33651/psn-pdf
    June 01, 2007 - We publish an annual report that shows the number of events that happened in each facility, the types … Once it happened and once the first report came out, I think everyone realized that it wasn't going … there's a concern that the local paper is going to focus on you or target you because of something that happened … been less positive or targeted facilities a bit more, but even so, those worst-case scenarios haven't happened … I get calls sometimes from patients or family members when something really sad has happened to them

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851870/psn-pdf
    July 31, 2023 - Based on that event, we were able to alert healthcare workers about what happened to bring attention … You need a feedback loop built into the system to share what happened and what the organization is doing … Being able to take what happened and share those stories across different settings is helpful. … We receive 300,000 reports a year but do not often get information on why something happened or how it … happened.

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44876/psn-pdf
    February 10, 2016 - This analysis of the incident breaks down what happened and explores how attention to mindfulness and

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47335/psn-pdf
    August 22, 2018 - whose daughter died from medical error and the resistance she faced when trying to understand what happened

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45455/psn-pdf
    June 29, 2017 - Recommended best practices for error disclosure include being honest about what happened, explicitly

78. Resilient Health Care Society. | PSNet
    psnet.ahrq.gov/issue/resilient-health-care-society
    October 09, 2019 - October 9, 2019 The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?

79. The Wrong Shot: Error Disclosure | PSNet
    psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
    May 01, 2011 - jargon-free statement that an error occurred and a basic description of what the error was and why it happened … want their physician to apologize, which demonstrates that the physician genuinely cares about what happened … Patients especially value understanding how an error happened and how recurrences will be prevented, … error's cause and prevention may stimulate the physician to think more critically about why the error happened … Determining exactly how an error happened and formulating a plan for preventing recurrences can be especially

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49450/psn-pdf
    June 01, 2004 - jargon-free statement that an error occurred and a basic description of what the error was and why it happened … want their physician to apologize, which demonstrates that the physician genuinely cares about what happened … Patients especially value understanding how an error happened and how recurrences will be prevented, … error's cause and prevention may stimulate the physician to think more critically about why the error happened … Determining exactly how an error happened and formulating a plan for preventing recurrences can be especially