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Total Results: 1,692 records

Showing results for "happened".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37024/psn-pdf
    January 02, 2017 - describe the implementation of a nonpunitive reporting system at their hospital and the improvements that happened

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/864863/psn-pdf
    March 20, 2024 - girl-who-cried-pain-bias-against-women-treatment-pain https://psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865595/psn-pdf
    January 01, 2024 - psnet.ahrq.gov/primer/maternal-safety https://psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn

64. 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.

65. 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

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43739/psn-pdf
    December 03, 2014 - The father's quest to understand what happened led to a comprehensive inquiry that revealed regulatory

67. 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

68. 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

69. To err is human, but what happens when surgeons err? | PSNet
    psnet.ahrq.gov/issue/err-human-what-happens-when-surgeons-err
    August 04, 2021 - Study To err is human, but what happens when surgeons err? Citation Text: Lin JS, Olutoye OO, Samora JB. To err is human, but what happens when surgeons err? J Pediatr Surg. 2023;58(3):496-502. doi:10.1016/j.jpedsurg.2022.06.019. Copy Citation Format: DOI Google Scholar Bib…

70. What Happens When Doctors Make Diagnostic Errors? | PSNet
    psnet.ahrq.gov/issue/what-happens-when-doctors-make-diagnostic-errors
    December 18, 2019 - Audiovisual Presentation What Happens When Doctors Make Diagnostic Errors? Citation Text: What Happens When Doctors Make Diagnostic Errors? The Peoples Pharmacy. Show 1186: National Public Radio. October 24, 2019. Copy Citation Save Save to your library Prin…

71. 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

72. 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

73. 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

74. What happens when things go wrong? | PSNet
    psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
    April 24, 2018 - Commentary What happens when things go wrong? Citation Text: Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

75. What happens when healthcare innovations collide? | PSNet
    psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
    December 06, 2017 - Commentary What happens when healthcare innovations collide? Citation Text: Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441. Copy Citation Format: DOI Google S…

76. 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

77. 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

78. 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

79. 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

80. 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