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Total Results: 3,987 records

Showing results for "happened".

1781. Impact of a daily huddle on safety in perioperative services. | PSNet
      psnet.ahrq.gov/issue/impact-daily-huddle-safety-perioperative-services
      March 03, 2021 - Study Impact of a daily huddle on safety in perioperative services. Citation Text: Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012. Copy Citation …

1782. 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…

1783. 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…

1784. Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
      September 01, 2015 - Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings Primary Care Practice Facilitation Curriculum Module 22: Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings Agency for Healthcare Research and Quality Advancing Excellence in Heal…

1785. Discharge Against Medical Advice | PSNet
      psnet.ahrq.gov/web-mm/discharge-against-medical-advice
      July 01, 2017 - What happened to him is unknown.

1786. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33758/psn-pdf
      December 01, 2013 - Some other tangential opportunities just happened because you need to write a lot of papers early in

1787. Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
      January 01, 2025 - additional labeling categories as modifiers of events, including device, the location where complications happened … that reports submitted after the FDA panel discussion were more likely to be reporting of events that happened

1788. In Conversation With… Rebecca Smith-Bindman, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
      October 01, 2013 - What really raised awareness of the issue was radiation overdoses at Cedars-Sinai in 2009—though it happened … the doses are just really high so you see the harm right away—the deterministic effect—that's what happened

1789. Aviation Safety Methods: Quickly Adopted but Questions Remain | PSNet
      psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
      January 01, 2006 - JB: What I've seen has paralleled what happened in aviation when people first started requiring team … situations in which this kind of training really prevented an error in health care that would have happened

1790. 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…

1791. 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-…

1792. 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…

1793. 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;…

1794. 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…

1795. 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…

1796. 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…

1797. 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…

1798. 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…

1799. 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…

1800. 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…