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Total Results: 3,987 records

Showing results for "happened".

1881. Carpe Diem (Seize the Day) | PSNet
      psnet.ahrq.gov/web-mm/carpe-diem-seize-day
      September 01, 2012 - As my legal colleagues remind me, "If it is not written in the chart, it never happened."

1882. Check the Anesthesia Machine | PSNet
      psnet.ahrq.gov/web-mm/check-anesthesia-machine
      August 01, 2006 - We do not really know all that happened in this case. How did the vaporizer get turned on?

1883. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33731/psn-pdf
      June 01, 2012 - I found myself asking whether a checklist-like story could have happened in the UK, based on the system's

1884. Transfusion "Slip" | PSNet
      psnet.ahrq.gov/web-mm/transfusion-slip
      June 14, 2011 - wristband, medication, and person intending to administer it, regardless of who or where the recipient happened

1885. Feeling No Pain | PSNet
      psnet.ahrq.gov/web-mm/feeling-no-pain
      August 30, 2023 - Improving Patient Care and Meeting Workforce Challenges August 30, 2023 What Happened

1886. Implement Teamwork and Communication Alternative Text | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/implement/alt-text.html
      April 01, 2013 - Implement Teamwork and Communication Alternative Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The “Teamwork and Collaboration” module of the CUSP Toolkit. The CUSP toolkit is a modular approach to patient sa…

1887. Appendix P. Evaluating and Selecting Hand Hygiene Products: Transcript/Facilitator Notes - Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-p-fac-notes.html
      May 01, 2017 - Appendix P. Evaluating and Selecting Hand Hygiene Products: Transcript/Facilitator Notes - Implementation Guide Slide 1: Appendix P. Evaluating and Selecting Hand Hygiene Products Hello, my name is Tim Landers. I'm an assistant professor at the Ohio State University College of Nursing. Thank you so much for…

1888. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-p-transcript.docx
      June 02, 2025 - Strategy 2: Communicating to Improve Quality (Tool 3) AHRQ Safety Program for Ambulatory Surgery Implementation Guide Appendix P. Evaluating and Selecting Hand Hygiene Products Transcript/Facilitator Notes Tim: (Slide 1) Hello, my name is Tim Landers. I'm an assistant professor at the Ohio State University Colle…

1889. 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;…

1890. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838180/psn-pdf
      January 01, 2023 - To err is human, but what happens when surgeons err? September 28, 2022 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. https://psnet.ahrq.gov/issue/err-human-what-happens-when-surgeons-err Clinicians involv…

1891. 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…

1892. 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…

1893. 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…

1894. 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…

1895. 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…

1896. 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…

1897. 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…

1898. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35181/psn-pdf
      June 23, 2009 - Communication during trauma resuscitation: do we know what is happening? June 23, 2009 Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. https://psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-…

1899. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44359/psn-pdf
      January 06, 2016 - What happens when healthcare innovations collide? January 6, 2016 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. https://psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide Innovat…

1900. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44132/psn-pdf
      May 13, 2015 - Adverse outcomes: why bad things happen to good people. May 13, 2015 Sonnenberg A. Adverse outcomes: why bad things happen to good people. Clin Gastroenterol Hepatol. 2015;13(5):820-3.e1. doi:10.1016/j.cgh.2014.07.064. https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people This commentary…