-
psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - SPOTLIGHT CASE
What Happened on Telemetry?
Citation Text:
Sandau KE, Funk M. … What Happened on Telemetry?. PSNet [internet]. … What Happened on Telemetry?. PSNet [internet]. … The nurse manager for the unit led a root cause analysis to determine what had happened. … What Happened on Telemetry?. PSNet [internet].
-
psnet.ahrq.gov/issue/what-happened-patient-safety
August 23, 2007 - Audiovisual
What Happened to Patient Safety. … Citation Text:
What Happened to Patient Safety. Sheridan S. Turn on the Lights. … Linkedin
Copy URL
Cite
Citation
Citation Text:
What Happened
-
www.ahrq.gov/hai/cusp/videos/05g-what-happened/index.html
June 01, 2018 - What Happened? … CUSP Helps Find Out What Happened [43 sec.]
-
ce.effectivehealthcare.ahrq.gov/hai/cusp/videos/05g-what-happened/index.html
June 01, 2018 - Healthcare-Associated Infections Program
About the CUSP Method
Videos
What Happened … Videos
Decolonization – Universal and Targeted
Tools
What Happened … CUSP Helps Find Out What Happened [43 sec.] … last reviewed June 2018
Page originally created February 2013
Internet Citation: What Happened … https://www.ahrq.gov/hai/cusp/videos/05g-what-happened/index.html
Back
-
www.ahrq.gov/takeheart/assessing/slide-presentation/index.html
August 01, 2023 - What We Planned, What Happened, and What We Learned
TAKEheart: AHRQ's Initiative to Increase … This PowerPoint Presentation explores what the AHRQ TAKEheart team planned from this project, what happened … AHRQ's Initiative To Increase Patient Participation in Cardiac Rehabilitation
What We Planned, What Happened
-
psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
March 27, 2005 - Meeting/Conference Proceedings
The Emperor’s New Clothes: Or Whatever Happened To … Citation Text:
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? … Cite
Citation
Citation Text:
The Emperor’s New Clothes: Or Whatever Happened
-
psnet.ahrq.gov/issue/events-inspired-change-importance-sharing-what-happened-stop-it-happening-again
August 07, 2024 - Commentary
Events that inspired change: the importance of sharing what happened to … Events that inspired change: the importance of sharing what happened to stop it from happening again. … Events that inspired change: the importance of sharing what happened to stop it from happening again.
-
psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
November 06, 2019 - How could it have happened?
Citation Text:
One doctor. 25 deaths. … How could it have happened? Healy J, Farr I, Feiger L, Duffy C. New York Times. … How could it have happened? Healy J, Farr I, Feiger L, Duffy C. New York Times.
-
psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center
May 02, 2018 - Newspaper/Magazine Article
Inside the preventable deaths that happened within a prominent … Citation Text:
Inside the preventable deaths that happened within a prominent transplant center. … Cite
Citation
Citation Text:
Inside the preventable deaths that happened
-
psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
September 09, 2015 - Book/Report
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. … Citation Text:
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Cullen A. … Cite
Citation
Citation Text:
Deny, Dismiss, Dehumanise: What Happened
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
June 01, 2021 - Please
explain what happened, how it happened, and how it
felt to you. … Please
explain what happened, how it happened, and how it
felt to you. … Please explain what happened, how it happened,
and how it felt to you. … If so, please explain what
happened, how it happened, and how it felt to you. … Please explain what
happened, how it happened, and how it felt to you.
-
psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists
February 28, 2024 - Study
“I had no idea this happened”: electronic feedback on clinical reasoning for … “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. … “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. … February 27, 2019
What happened to my patient?
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/defects.html
May 01, 2017 - What happened? (brief description)
2. Why did it happen? … negative factors
What happened to cause the defect?
3. … Has it happened again?
With whom will we share our learning?
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/learn.html
April 01, 2017 - What happened? (brief description)
2. Why did it happen? … negative factors
What happened to cause the defect?
3. … Has it happened again?
With whom will we share our learning?
-
psnet.ahrq.gov/node/848382/psn-pdf
May 03, 2023 - Events that inspired change: the importance of sharing
what happened to stop it from happening again … Events that inspired change: the importance of sharing what happened to stop it from
happening again … https://psnet.ahrq.gov/issue/events-inspired-change-importance-sharing-what-happened-stop-it-happening … https://psnet.ahrq.gov/issue/events-inspired-change-importance-sharing-what-happened-stop-it-happening-again … https://psnet.ahrq.gov/issue/events-inspired-change-importance-sharing-what-happened-stop-it-happening-again
-
psnet.ahrq.gov/node/46626/psn-pdf
December 22, 2018 - What happened to my patient? … What Happened to My Patient? … https://psnet.ahrq.gov/issue/what-happened-my-patient-educational-intervention-facilitate-postdischarge … https://psnet.ahrq.gov/issue/what-happened-my-patient-educational-intervention-facilitate-postdischarge-patient-follow … https://psnet.ahrq.gov/issue/what-happened-my-patient-educational-intervention-facilitate-postdischarge-patient-follow
-
psnet.ahrq.gov/node/867529/psn-pdf
January 15, 2025 - “I had no idea this happened”: electronic feedback on
clinical reasoning for hospitalists. … “I had no idea this happened”: electronic feedback on clinical
reasoning for hospitalists. … https://psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists … https://psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-schlesinger.pdf
December 14, 2021 - Please explain what happened, how it
happened, and how it felt.
Q3. What could be better? … Please explain what happened, how it happened, and how it felt.
Q4. What was surprising? … Please explain what happened, how it happened, and
how it felt.
Q3: What went poorly? … Please explain what happened, how it happened,
and how it felt.
-
psnet.ahrq.gov/node/61127/psn-pdf
November 11, 2020 - Here's how it happened.
November 11, 2020
Evans T. Indianapolis Star. October 30, 2020. … psnet.ahrq.gov/issue/drug-error-eskenazi-hospital-killed-prominent-cancer-researcher-heres-how-it-
happened … //psnet.ahrq.gov/issue/drug-error-eskenazi-hospital-killed-prominent-cancer-researcher-heres-how-it-happened … //psnet.ahrq.gov/issue/drug-error-eskenazi-hospital-killed-prominent-cancer-researcher-heres-how-it-happened
-
psnet.ahrq.gov/issue/what-happened-my-patient-educational-intervention-facilitate-postdischarge-patient-follow
June 22, 2022 - Commentary
What happened to my patient? … What Happened to My Patient? … What Happened to My Patient?