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Showing results for "happened".

  1. Data collection for adverse events reporting by US dental schools. | PSNet

    psnet.ahrq.gov/issue/data-collection-adverse-events-reporting-us-dental-schools
    December 22, 2021 - Study Data collection for adverse events reporting by US dental schools. Citation Text: Rooney D, Barrett K, Bufford B, et al. Data collection for adverse events reporting by US dental schools. J Patient Saf. 2020;16(3):e126-e130. doi:10.1097/pts.0000000000000281. Copy Citation For…

  2. Improving patient safety by identifying latent failures in successful operations. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-identifying-latent-failures-successful-operations
    September 15, 2010 - Study Improving patient safety by identifying latent failures in successful operations. Citation Text: Catchpole K, Giddings AEB, Wilkinson M, et al. Improving patient safety by identifying latent failures in successful operations. Surgery. 2007;142(1):102-10. Copy Citation Forma…

  3. Teaching medical students to recognise and report errors. | PSNet

    psnet.ahrq.gov/issue/teaching-medical-students-recognise-and-report-errors
    March 01, 2023 - Commentary Teaching medical students to recognise and report errors. Citation Text: Mohsin SU, Ibrahim Y, Levine D. Teaching medical students to recognise and report errors. BMJ Open Qual. 2019;8(2):e000558. doi:10.1136/bmjoq-2018-000558. Copy Citation Format: DOI Google Sc…

  4. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
    January 01, 2018 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Facility Action Plan Template The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplis…

  5. Frequency and outcome of cervical cancer prevention failures in the United States. | PSNet

    psnet.ahrq.gov/issue/frequency-and-outcome-cervical-cancer-prevention-failures-united-states
    April 09, 2013 - June 21, 2023 Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33789/psn-pdf
    August 01, 2015 - If an error happened on the floor in the old days, the nurse would have tapped the doctor on the shoulder … better for rheumatoid arthritis through a lengthy complex double blind trial, we'll be looking at what happened

  7. Topic (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/sustainability-guideapa.pdf
    January 01, 2009 - Topic AHRQ Safety Program for Reducing CAUTI in Hospitals A Model for Sustaining and Spreading Safety Interventions Appendix A. Action Plan Tool for Project Sustainability The Purpose of This Tool This tool is intended to support sustainability efforts for your catheter-associated urinary tract infect…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861286/psn-pdf
    January 24, 2024 - Surgical safety does not happen by accident: learning from perioperative near miss case studies. January 24, 2024 Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning from perioperative near miss case studies. J Perianesth Nurs. 2024;39(1):10-15. doi:10.1016/j.jopa…

  9. Zikmund (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/zikmund.pdf
    October 08, 2025 - Zikmund Slide  1: The  Right Tool is What They  Need, Not What We  Have: A Taxonomy  of Appropriate   Levels of Precision in Patient Risk Communication Brian J. Zikmund-­‐Fisher, Ph.D. Assistant Professor, Health Behavior & Health Education University of Michigan School of…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60844/psn-pdf
    August 26, 2020 - Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. August 26, 2020 Gabrysz-Forget F, Young M, Zahabi S, et al. Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fell…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60877/psn-pdf
    September 02, 2020 - When bad things happen: training medical students to anticipate the aftermath of medical errors. September 2, 2020 Musunur S, Waineo E, Walton E, et al. When bad things happen: training medical students to anticipate the aftermath of medical errors. Acad Psychiatry. 2020;44(5):586-591. doi:10.1007/s40596-020-01278-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843080/psn-pdf
    January 25, 2023 - Bad things can happen: are medical students aware of patient centered care and safety? January 25, 2023 Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/dx-2022-0072. https://psnet.ahr…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45664/psn-pdf
    July 02, 2017 - Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. July 2, 2017 Bohnen JD, Mavros MN, Ramly EP, et al. Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay in the Operating Room. Ann Surg. 2017;…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42567/psn-pdf
    September 11, 2013 - What happens to the medication regimens of older adults during and after an acute hospitalization? September 11, 2013 Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during and after an acute hospitalization? J Patient Saf. 2013;9(3):150-3. doi:10.1097/PTS.0b013e3182…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45874/psn-pdf
    February 22, 2017 - Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. February 22, 2017 Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Evaluation, and Response to Medical…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36149/psn-pdf
    September 29, 2010 - When incidents happen. September 29, 2010 Newfield JS. When Incidents Happen. Home Health Care Manag Pract. 2006;18(5). doi:10.1177/1084822306287998. https://psnet.ahrq.gov/issue/when-incidents-happen The author discusses post-incident documentation for the home care setting and addresses legal issues. https://ps…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39923/psn-pdf
    September 03, 2014 - Sued for misdiagnosis? It could happen to you. September 3, 2014 Lippman H, Davenport J. Sued for misdiagnosis? It could happen to you. J Fam Pract. 2010;59(9):498-508. https://psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you This article explains how to avoid diagnostic error, minimize litigation, and pr…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40194/psn-pdf
    June 20, 2011 - What happens when things go wrong? June 20, 2011 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. https://psnet.ahrq.gov/issue/what-happens-when-things-go-wrong This commentary reveals a personal story of loss and dis…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38215/psn-pdf
    November 14, 2011 - Could it happen here? Learning from other organizations' safety errors. November 14, 2011 Conway JB. Could it happen here? Learning from other organizations' safety errors. Healthcare Executive. 2008;23(6):64, 66-67. https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors This…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39489/psn-pdf
    June 11, 2010 - What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. June 11, 2010 Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Qua…
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