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Total Results: 3,974 records

Showing results for "happened".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33686/psn-pdf
    August 01, 2009 - Similar to what happened in Boston, a bunch of people stood up and said, "Well, we've tried everything … Why do you think the problem happened? What can we do to help?" … proves to be a difficult problem, are part of the constant experimentation to discover why the problem happened … How could that have happened?" … don't avoid meeting the patient's needs but call attention to the problem so we can understand why it happened

  2. Improving Patient Safety in Long-Term Care Facilities, Module 2 (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
    June 01, 2012 - staff – benefits from an environment that supports discussion and learning from unwanted events that happened … or nearly happened. … for Nursing Assistants In the case of nursing assistants, the important information is: what just happened

  3. When is the surgeon too old to operate? | PSNet

    psnet.ahrq.gov/issue/when-surgeon-too-old-operate
    February 12, 2016 - How could it have happened?

  4. A girl dies during restraint at hospital already criticized for problems. | PSNet

    psnet.ahrq.gov/issue/girl-dies-during-restraint-hospital-already-criticized-problems
    March 16, 2011 - October 25, 2023 Inside the preventable deaths that happened within a prominent transplant

  5. Whistle-blowing nurse is acquitted in Texas. | PSNet

    psnet.ahrq.gov/issue/whistle-blowing-nurse-acquitted-texas
    May 28, 2008 - How could it have happened?

  6. An infection, unnoticed, turns unstoppable. | PSNet

    psnet.ahrq.gov/issue/infection-unnoticed-turns-unstoppable
    November 07, 2012 - How could it have happened?

  7. Mistaking error. | PSNet

    psnet.ahrq.gov/issue/mistaking-error
    July 06, 2011 - December 22, 2008 The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?

  8. The Audit (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/23KAofmVPv2qeqPqxBqfXE
    How often during the last year have you been unable to remember what happened the night before because

  9. Snowball in a Blizzard: A Physician's Notes on Uncertainty in Medicine. | PSNet

    psnet.ahrq.gov/issue/snowball-blizzard-physicians-notes-uncertainty-medicine
    March 20, 2019 - Debriefing for Clinical Learning November 18, 2021 Deny, Dismiss, Dehumanise: What Happened

  10. Patient Stories 2013: Time for Change. | PSNet

    psnet.ahrq.gov/issue/patient-stories-2013-time-change
    November 14, 2011 - 2013 View More Related Resources Deny, Dismiss, Dehumanise: What Happened

  11. Fatal mistakes. | PSNet

    psnet.ahrq.gov/issue/fatal-mistakes
    October 19, 2016 - September 4, 2019 Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.

  12. Using the web or an app instead of seeing a doctor? Caution is advised. | PSNet

    psnet.ahrq.gov/issue/using-web-or-app-instead-seeing-doctor-caution-advised
    December 16, 2015 - How could it have happened?

  13. Medical errors still claiming many lives. | PSNet

    psnet.ahrq.gov/issue/medical-errors-still-claiming-many-lives
    September 19, 2007 - It happened to me, as a pregnant OB-GYN.

  14. Patient Safety Article Collection. | PSNet

    psnet.ahrq.gov/issue/patient-safety-article-collection
    December 19, 2012 - May 29, 2019 Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.

  15. Medical misdiagnoses can have fatal consequences. | PSNet

    psnet.ahrq.gov/issue/medical-misdiagnoses-can-have-fatal-consequences
    July 27, 2011 - March 9, 2022 Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.

  16. When doctors get it wrong: misdiagnoses are getting a closer look. | PSNet

    psnet.ahrq.gov/issue/when-doctors-get-it-wrong-misdiagnoses-are-getting-closer-look
    October 24, 2012 - Here's how it happened.

  17. Escape Fire: Designs for the Future of Health Care. | PSNet

    psnet.ahrq.gov/issue/escape-fire-designs-future-health-care
    May 26, 2010 - May 21, 2019 Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.

  18. Coming clean on medical mistakes. | PSNet

    psnet.ahrq.gov/issue/coming-clean-medical-mistakes
    February 20, 2019 - Here's how it happened.

  19. Intraoperative Awareness during Rhinoplasty | PSNet

    psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
    January 29, 2021 - and embarrassed that the patient remembered waking up during the operation but could not explain what happened … Details of what is recalled should be elicited and compared with what happened during the operation. … It is therefore very important to review the anesthetic record to understand what happened. … It will be obvious if the patient truly remembers things that happened during the procedure.

  20. 162-Example-Completed-Learning-Defects-Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
    October 01, 2024 - Provide a clear, thorough, and objective explanation of what happened. II. … What happened? In the space below, identify the MRSA infection or other event.
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