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Showing results for "happened".

81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41993/psn-pdf
    April 21, 2015 - available, and 97% of participants reported that they would want the checklist used if one of these crises happened

82. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
    May 01, 2011 - suitable quiet room, avoid distractions Listen and empathize – assess patient’s understanding of what happened … , provide support Explain the facts – identify the adverse event early, explain clearly what happened … another institution (under the care of other providers) There is some uncertainty about exactly what happened

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36836/psn-pdf
    January 29, 2015 - Their objectives included understanding what happened in Bristol, assessing the quality of care and

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44626/psn-pdf
    November 04, 2015 - The process begins with a preliminary investigation into what happened and who was involved, followed

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33628/psn-pdf
    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. … Jones, what happened was your mother was supposed to receive 10 units of insulin, and there was an … instead you're dancing around the periphery saying, "We had this problem, and we're sorry that it happened

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49858/psn-pdf
    April 01, 2019 - What Happened on Telemetry? April 1, 2019 Sandau KE, Funk M. What Happened on Telemetry? … https://psnet.ahrq.gov/web-mm/what-happened-telemetry Case Objectives Describe current hospital practices … https://psnet.ahrq.gov/web-mm/what-happened-telemetry Continuous monitoring of a patient's electrocardiographic … The nurse manager for the unit led a root cause analysis to determine what had happened.

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49425/psn-pdf
    November 01, 2003 - manufacturer and presented in similar packaging, it may be slightly easier to understand how the error happened … medication, found that patients wanted disclosure of all harmful errors and sought information about what happened … physicians disclosed the adverse event, they often avoided stating that an error had occurred, why it happened

88. Misread Label | PSNet
    psnet.ahrq.gov/web-mm/misread-label
    August 28, 2024 - manufacturer and presented in similar packaging, it may be slightly easier to understand how the error happened … medication, found that patients wanted disclosure of all harmful errors and sought information about what happened … physicians disclosed the adverse event, they often avoided stating that an error had occurred, why it happened

89. Resilience Engineering in Practice: a Guidebook. | PSNet
    psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
    February 06, 2019 - respond to disruptions , monitor their environment, anticipate future impacts, and learn from what happened

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/840174/psn-pdf
    August 28, 2024 - He confirmed that she understood what happened, including the miscommunication among operating room … patient’s death, she may have wondered about the facts of his care, possibly misinterpreting what happened … should also be reassured that a root cause analysis (RCA) will be carried out to determine exactly what happened … that is a good time to ask the widow to tell the attendees about her husband as they likely know what happened … conversation.html The latter explanation is particularly important, as most families want to know that what happened

91. Service members are left in dark on health errors. | PSNet
    psnet.ahrq.gov/issue/service-members-are-left-dark-health-errors
    July 09, 2014 - highlights how insufficient transparency can prevent patients and their families from learning about what happened

92. National Review of Maternity Services in England 2022 to 2024. | PSNet
    psnet.ahrq.gov/issue/national-review-maternity-services-england-2022-2024
    November 13, 2024 - It happened to me, as a pregnant OB-GYN.

93. 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…

94. 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…

95. Conceptualising learning from resilient performance: a scoping literature review. | PSNet
    psnet.ahrq.gov/issue/conceptualising-learning-resilient-performance-scoping-literature-review
    October 09, 2024 - Descriptions include knowing what has happened; learning from the factual; learning from experience;

96. Missed CANDOR Implementation Opportunities. | PSNet
    psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
    November 11, 2020 - He confirmed that she understood what happened, including the miscommunication among operating room team … the patient’s death, she may have wondered about the facts of his care, possibly misinterpreting what happened … also be reassured that a root cause analysis (RCA) will be carried out to determine exactly what happened … that is a good time to ask the widow to tell the attendees about her husband as they likely know what happened … The latter explanation is particularly important, as most families want to know that what happened to

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73145/psn-pdf
    April 28, 2021 - If there has been an infection, they will use that visit to go back and work out what happened, as the … When you go back and say, “well, what happened here,” it acts as another safeguard and allows us to … When a PD patient gets peritonitis, nearly every time you can trace back and figure out what happened … That is some of the troubleshooting and evaluation we do to try to figure out what could have happened … What has happened, as I referenced before, is that the advent of Bluetooth technology has lessened the

98. Recognizing Excellence in Diagnosis. | PSNet
    psnet.ahrq.gov/issue/recognizing-excellence-diagnosis
    November 03, 2023 - June 8, 2023 Events that inspired change: the importance of sharing what happened to

99. 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…

100. 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…