-
psnet.ahrq.gov/issue/quality-framework-remote-antenatal-care-qualitative-study-women-healthcare-professionals-and
October 21, 2020 - It happened to me, as a pregnant OB-GYN.
-
psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
February 26, 2025 - The way I would look at it is to try to understand what happened, why did it happen, and what do you … JB : W cubed: What happened? Why did it happen? … management have the courage to look a reporter in the eye and say, "First we need to understand what happened
-
psnet.ahrq.gov/node/866370/psn-pdf
July 31, 2024 - 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.
-
psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - If there has been an infection, they will use that visit to go back and work out what happened, as the … When you go back and say, “well, what happened here,” it acts as another safeguard and allows us to identify … When a PD patient gets peritonitis, nearly every time you can trace back and figure out what happened … That is some of the troubleshooting and evaluation we do to try to figure out what could have happened … What has happened, as I referenced before, is that the advent of Bluetooth technology has lessened the
-
psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - Finally, look at how often (and under
what circumstances) this or something similar has happened, either … It is about telling stories of what happened.
-
psnet.ahrq.gov/issue/paediatric-international-patient-safety-and-quality-community
September 30, 2015 - October 6, 2021
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?
-
psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
March 13, 2013 - June 5, 2019
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
-
psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse
September 04, 2016 - March 1, 2023
Medication mix-up: what happened at Vanderbilt and how it impacts health
-
psnet.ahrq.gov/issue/attitudes-and-practices-related-clinical-alarms
April 18, 2018 - January 18, 2012
WebM&M Cases
What Happened on Telemetry
-
psnet.ahrq.gov/issue/development-high-value-care-culture-survey-modified-delphi-process-and-psychometric
December 22, 2018 - Download Citation
Related Resources From the Same Author(s)
What happened
-
digital.ahrq.gov/ahrq-funded-projects/parentlink-better-and-safer-emergency-care-children
January 01, 2023 - "The parent is able to input information like what happened, how and why it happened, the child's age
-
psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - Medical records are viewed as
the truth of what happened to a patient. … from the learners themselves and to help the
learners come to their own guided understanding of what happened
-
psnet.ahrq.gov/issue/there-evidence-better-health-care-cancer-patients-after-second-opinion-systematic-review
May 03, 2023 - View More
Related Resources
Deny, Dismiss, Dehumanise: What Happened
-
psnet.ahrq.gov/issue/incidence-duration-and-risk-factors-associated-delayed-and-missed-diagnostic-opportunities
May 19, 2021 - It happened to me, as a pregnant OB-GYN.
-
digital.ahrq.gov/sites/default/files/docs/impact-pcc-slides-032317.pdf
March 23, 2017 - Ancker, Barron, et al., JGIM 2011
49
Disparities Project: What
Happened Next
Opt-in policy … involvement
• Clinician check-in
• Method for recording declines
50
Disparities Project: What
Happened … Next
Ancker et al., in press, Health Policy & Technology
51
Disparities Project: What
Happened … Disparities in Portal Access
Project 1: Disparities in Portal Access
Disparities Project: What Happened
-
psnet.ahrq.gov/node/33867/psn-pdf
October 01, 2018 - We thought for sure that many errors that might have
happened in the past wouldn't happen. … conversation between the pharmacist and the patient, a lot of errors that we saw in the past would not have
happened … If you go to our website, it's very easy—just tell us what happened. … When I need reports regarding how many of this happened, they
do that for me.
-
psnet.ahrq.gov/perspective/conversation-charles-ornstein
October 01, 2009 - A couple of things happened in the summer of 2003 that caused us to focus on King/Drew. … RW: You mentioned that there was a second thing that happened? … Then, not only is the problem what actually happened, but the problem is that you tried to cover it up … RW: If a hospital that had the same deficiencies and the same Joint Commissioner or state reports happened … It cannot just be frequency: the heparin dosing error experienced by the Quaid twins has happened hundreds
-
psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - It cannot just be frequency: the heparin dosing error experienced by the Quaid twins has happened hundreds … A couple of things happened in the summer of 2003 that caused us to focus on King/Drew. … RW: You mentioned that there was a second thing that happened? … Then, not only is the problem what actually happened, but the problem is that you tried to cover it up … RW: If a hospital that had the same deficiencies and the same Joint Commissioner or state reports happened
-
psnet.ahrq.gov/issue/saying-it-without-words-qualitative-study-oncology-staffs-experiences-speaking-about-safety
November 05, 2014 - June 28, 2023
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
-
psnet.ahrq.gov/issue/exploring-physician-perspectives-residency-holdover-handoffs-qualitative-study-understand
April 27, 2015 - July 2, 2014
What happened to my patient?