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Total Results: 4,075 records

Showing results for "happened".

1941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49794/psn-pdf
      May 01, 2017 - Rather than working together to understand how such an error could have happened, the ICU team and the

1942. 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

1943. 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

1944. Mistaken Identity | PSNet
      psnet.ahrq.gov/web-mm/mistaken-identity
      December 18, 2014 - realized that the orthopedic team had evaluated the wrong patient—the patient's roommate, who also happened

1945. Appendix C. Case Study and Program Examples | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
      December 01, 2017 - P say happened? When was the last time she had been taken to the bathroom?

1946. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73998/psn-pdf
      October 27, 2021 - intravenous catheter placement may result in dislodgment of the catheter into the subcutaneous tissue as happened

1947. Chapter 6. Measure Maps and Profiles (continued, 16) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6o.html
      June 01, 2014 - from an outside specialist, (2) whether the primary care physician discussed with the patient what happened

1948. The 2-Week Itch | PSNet
      psnet.ahrq.gov/web-mm/2-week-itch
      June 16, 2019 - Errors also have happened because of container mix-ups—for instance when alphabetic arrangement of drugs

1949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49610/psn-pdf
      October 01, 2010 - limited visual field, two-dimensional image, and lack of tactile feedback for the surgeon.(10) What happened

1950. AHRQ Webinar - Digital Healthcare Innovations to Engage and Empower Patients in Their Care - Q&As (pdf file)
      digital.ahrq.gov/sites/default/files/docs/digital-healthcare-innovations-engage-empower-qas-10112023.pdf
      October 12, 2023 - We talk about how things are going with them, what positive things have happened to them in the last

1951. Psi90 Factsheet Faq V2 (pdf file)
      qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
      October 05, 2016 - without that safety-related event over up to one year after the discharge during which the index event happened

1952. Do Me a Favor | PSNet
      psnet.ahrq.gov/web-mm/do-me-favor
      September 12, 2016 - Breach of this common standard, as happened here, means that future providers will not have the benefit

1953. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-470
      December 31, 2024 - Study “I had no idea this happened”: electronic feedback on clinical reasoning

1954. After-Visit Confusion | PSNet
      psnet.ahrq.gov/web-mm/after-visit-confusion
      August 21, 2007 - After-visit summaries provide patients with a recap of what happened during their clinic visit or hospitalization

1955. Inadvertent Castration | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-castration
      October 27, 2010 - However, without a dispassionate human factors oriented investigation, it is hard to say what really happened

1956. 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…

1957. In Conversation With... Barbara Drew, RN, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
      May 01, 2016 - In Conversation With... Barbara Drew, RN, PhD May 1, 2016  Also Read an Essay Citation Text: In Conversation With.. Barbara Drew, RN, PhD. PSNet [internet]. 2016.In Conversation With... Barbara Drew, RN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare…

1958. 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…

1959. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47757/psn-pdf
      February 06, 2019 - Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. February 6, 2019 Park A. Time Magazine. January 24, 2019. https://psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they- do-and-how-fix-it This news article reports on the documentar…

1960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46506/psn-pdf
      October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. October 11, 2017 Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017. https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving- surgical-car…