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Total Results: 4,082 records

Showing results for "happened".

  1. psnet.ahrq.gov/issue/nurses-seek-reduce-long-hours-and-fatigue
    March 08, 2019 - It happened to me, as a pregnant OB-GYN.
  2. psnet.ahrq.gov/issue/use-systems-redesign-and-law-prevent-medical-errors-and-accidents
    August 26, 2020 - July 19, 2023 Inside the preventable deaths that happened within a prominent transplant
  3. psnet.ahrq.gov/issue/doctors-wrestle-ai-patient-care-citing-lax-oversight
    August 09, 2023 - How could it have happened?
  4. psnet.ahrq.gov/issue/glaring-loophole-us-virus-response-human-error
    March 18, 2020 - View More Related Resources Inside the preventable deaths that happened
  5. psnet.ahrq.gov/issue/phony-diagnoses-hide-high-rates-drugging-nursing-homes
    December 22, 2021 - How could it have happened?
  6. psnet.ahrq.gov/issue/antifatness-surgical-setting
    October 12, 2022 - Equity in Patient Safety March 27, 2024 Inside the preventable deaths that happened
  7. psnet.ahrq.gov/issue/apsf-20-year-anniversary-first-patient-safety-organization-past-present-future
    October 26, 2022 - Here's how it happened.
  8. psnet.ahrq.gov/primer/debriefing-clinical-learning
    September 15, 2024 - When a person asks, “What happened?” they are initiating the process of debriefing. … What happened last night? Nurse JA is the clinical nurse supervisor on a trauma unit. … JA has a list of personnel who were present and wants to find out what happened, why it happened, and
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33594/psn-pdf
    November 18, 2021 - When a person asks, “What happened?” they are initiating the process of debriefing. … What happened last night? Nurse JA is the clinical nurse supervisor on a trauma unit. … psnet.ahrq.gov/primer/root-cause-analysis has a list of personnel who were present and wants to find out what happened … , why it happened, and how to prevent a similar event from happening ever again.
  10. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
    June 01, 2021 - A simple way to put this approach into action is by asking four questions: · What happened? … Slide 12 What Happened? SAY: Let’s first consider what happened to our resident.
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
    September 03, 2014 - When learning from defects, teams identify: What happened? Why did it happen? … Analyzing what happened and why it happened helps the team understand the contributing factors and processes … What happened? Step 1. Reconstruct the timeline to understand what happened. Step 2. … What happened? 2. Why did it happen? 3. What will you do to reduce the risk of recurrence? 4.
  12. psnet.ahrq.gov/issue/these-patients-had-lobby-correct-diabetes-diagnoses-was-their-race-reason
    July 10, 2024 - It happened to me, as a pregnant OB-GYN.
  13. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-experience-fry-webinar.pdf
    January 01, 2014 - patient reports  Whether something that should happen actually did happen, and how often it happened
  14. psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
    September 01, 2011 - you wouldn't want to do the whole aviation style, let's get the black box and find out exactly what happened … Because otherwise, you'll never really find out what happened and any resulting root cause analysis will … We know that it's very difficult to track down what's happened if weeks to months have gone by. … , and if you can identify them 6 months later, they're probably not going to remember a lot of what happened … They just want to let somebody know that something important happened, and if somebody in a position
  15. psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
    September 01, 2011 - you wouldn't want to do the whole aviation style, let's get the black box and find out exactly what happened … Because otherwise, you'll never really find out what happened and any resulting root cause analysis will … We know that it's very difficult to track down what's happened if weeks to months have gone by. … , and if you can identify them 6 months later, they're probably not going to remember a lot of what happened … They just want to let somebody know that something important happened, and if somebody in a position
  16. psnet.ahrq.gov/issue/why-false-positives-merit-concern-too
    February 19, 2010 - How could it have happened? October 30, 2019 My human doctor.
  17. psnet.ahrq.gov/issue/patient-safety-supplement
    November 01, 2012 - April 30, 2008 The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?
  18. psnet.ahrq.gov/issue/simulation-healthcare
    November 23, 2014 - March 27, 2005 The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?
  19. psnet.ahrq.gov/issue/death-boy-prompts-new-medical-efforts-nationwide
    March 22, 2014 - How could it have happened?
  20. psnet.ahrq.gov/issue/healthcare-industry-representatives-maximizing-benefits-and-reducing-risks
    March 18, 2010 - September 20, 2023 Inside the preventable deaths that happened within a prominent transplant