Results

Total Results: 4,082 records

Showing results for "happened".

341. 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.

342. 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.

343. 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.

344. 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.

345. 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?

346. 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

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

348. 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”?

349. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
     January 01, 2024 - 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. 19 19 … It will be obvious if the patient truly remembers things that happened during the procedure.

350. 019-Ss-Periop-Infection-Prevention-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
     April 01, 2025 - The Learning From Defects process is structured around four basic questions: · What happened? … First, what happened? Slide 31 Case Example: What Happened? … The most straightforward approach was to simply watch the SSI rates and see what happened over time.

351. 019-Perioperative-Infection-Prevention-Strategies-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
     April 01, 2025 - The Learning From Defects process is structured around four basic questions: · What happened? … First, what happened? Slide 31 Case Example: What Happened? … The most straightforward approach was to simply watch the SSI rates and see what happened over time.

352. 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

353. Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades? | PSNet
     psnet.ahrq.gov/issue/racial-ethnic-and-payer-disparities-adverse-safety-events-are-there-differences-across
     December 01, 2019 - May 17, 2023 Events that inspired change: the importance of sharing what happened to

354. Millions of people used tainted breathing machines. The FDA failed to use its power to protect them. | PSNet
     psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power-protect-them
     June 28, 2023 - Related Resources From the Same Author(s) Inside the preventable deaths that happened

355. Denied abortion for a doomed pregnancy, she tells Texas court: 'There was no mercy'. | PSNet
     psnet.ahrq.gov/issue/denied-abortion-doomed-pregnancy-she-tells-texas-court-there-was-no-mercy
     April 01, 2020 - It happened to me, as a pregnant OB-GYN.

356. ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. | PSNet
     psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care
     February 15, 2023 - It happened to me, as a pregnant OB-GYN.

357. Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis. | PSNet
     psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis
     August 16, 2023 - It happened to me, as a pregnant OB-GYN.

358. Many people of color worry good health care is tied to their appearance. | PSNet
     psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
     September 20, 2023 - It happened to me, as a pregnant OB-GYN.

359. Wide heart monitor use tied to missed alarms. | PSNet
     psnet.ahrq.gov/issue/wide-heart-monitor-use-tied-missed-alarms
     July 19, 2023 - May 25, 2016 WebM&M Cases What Happened on Telemetry?

360. Patient safety: listen to whistleblowers. | PSNet
     psnet.ahrq.gov/issue/patient-safety-listen-whistleblowers
     May 22, 2019 - September 20, 2023 Events that inspired change: the importance of sharing what happened