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Showing results for "happened".
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptxMay 01, 2017 - team members participate before the patient is transferred to recovery Team members reflect on what happened
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psnet.ahrq.gov/issue/frequency-and-outcome-cervical-cancer-prevention-failures-united-statesApril 09, 2013 - June 21, 2023 Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/estimator.htmlApril 01, 2013 - What happened? Now, let's go and investigate it so it doesn't happen again."
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdfMarch 21, 2008 - The study defined error as “anything that happens in your own practice that should not have happened … or did not happen that should have happened,” a definition used in other primary care error-reporting
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33789/psn-pdfAugust 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 -
Topic (pdf file)
www.ahrq.gov/sites/default/files/publications/files/sustainability-guideapa.pdfJanuary 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… -
psnet.ahrq.gov/issue/quality-improvement-patient-safety-and-continuing-education-qualitative-study-currentApril 03, 2013 - Study Quality improvement, patient safety, and continuing education: a qualitative study of the current boundaries and opportunities for collaboration between these domains. Citation Text: Kitto S, Goldman J, Etchells E, et al. Quality improvement, patient safety, and continuing educatio…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861286/psn-pdfJanuary 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… -
Zikmund (pdf file)
effectivehealthcare.ahrq.gov/sites/default/files/zikmund.pdfOctober 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60844/psn-pdfAugust 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60877/psn-pdfSeptember 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-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843080/psn-pdfJanuary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45664/psn-pdfJuly 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;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42567/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45874/psn-pdfFebruary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36149/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39923/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40194/psn-pdfJune 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38215/psn-pdfNovember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39489/psn-pdfJune 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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