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Showing results for "happen".

1241. Situation Monitoring: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - or changing information • Create individual awareness of what’s going on and what is likely to happen … Unfortunately, the reality of patient care is such that sometimes surprises happen or a case is complex

1242. Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) (pdf file)
      www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
      January 01, 2025 - FDs occur roughly once every 2.4 min and happen most frequently during the final patient transfer and … that this apparent sequence may in fact be an effect of hindsight bias, and that instead accidents happen

1243. Severe Hypertension Scenarios: PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
      July 01, 2023 - Severe Hypertension Scenarios: PowerPoint Presentation Severe Hypertension Scenarios Safety Program for Perinatal Care II Teamwork Toolkit SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Frontline SPPC-II SCRIPT In this handout we have compiled all of the case scenarios presented in the SPPC-II Teamwork Toolkit f…

1244. Case Example #7: Cherokee Health Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-7.html
      July 01, 2019 - inspired to make a change or test an idea, the QI team huddles with them to figure out how to make it happen

1245. Case 5. Heights Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
      November 01, 2014 - "Our intent is to be a corporation peopled by problem solvers, and we see that beginning to happen….The … Our intent is to be a corporation of problem solvers, and we see that beginning to happen."

1246. Six Building Blocks How-To-Implement Toolkit: Design and Implement Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
      February 18, 2021 - Will edits happen in person or over email? … Will edits happen in person or over email? d.

1247. Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
      January 01, 2003 - constructive approach to educating lower levels around ways to lessen the probability for such a mistake to happen … Maybe they get caught before they happen, like giving someone a wrong drug dose. … the correct course of diagnostic or treatment activities for a given patient), lest the same mistake happen

1248. New Models of Primary Care Workforce and Financing - Case Example #7: Cherokee Health Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
      October 01, 2016 - inspired to make a change or test an idea, the QI team huddles with them to figure out how to make it happen

1249. Strategy 1: Working with Patients & Families as Advisors (Tool 5)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pptx
      June 02, 2025 - That can happen when you are working with a team as an advisor, too.

1250. 2024 Network of Patient Safety Databases Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
      January 01, 2024 - nine patient safety event types that represent the majority of reported preventable injuries that happen

1251. Preparing Data from CAHPS Surveys for Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/preparing-data-for-analysis.pdf
      May 15, 2017 - data is less imperative with Web surveys and optical scanning because most of these problems cannot happen

1252. Meeting Minutes, July 2017 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
      November 01, 2017 - Khanna responded that, were that to happen, AHRQ would remain as a singular enterprise, although it could

1253. Preparing Data from CAHPS Surveys for Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/preparing-data-for-analysis.pdf
      May 15, 2017 - data is less imperative with Web surveys and optical scanning because most of these problems cannot happen

1254. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
      May 01, 2017 - plan is through briefings and team management, · being aware of what is going on and what is likely to happen

1255. Final Progress Report: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
      January 01, 2025 - that we are able to give feedback to the physicians and advanced practice providers, this work will happen

1256. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
      March 31, 2008 - system accepted both anonymous and confidential reports of “medical events you don’t wish to have happen

1257. Person-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P): Rapid Scan Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
      May 01, 2025 - Tools to make the right care happen include resource registries, which are described as lists of resources … Community Care Hubs: making social care happen.

1258. 2013 Child Core Set Measure Retirement Process Summary of SNAC Scoring: Round II – Final Scoring (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc3.pdf
      September 01, 2014 - 2013 Child Core Set Measure Retirement Process Summary of SNAC Scoring: Round II – Final Scoring The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ and the Centers for Medicare & Medicaid Services (CMS). N…

1259. On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facguide.html
      December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide AHRQ’s Safety Program for Nursing Homes: Implementation of the Healing Reports Note: This part of the training primarily consists of exercises and does not have any associated slides. Review of Self-Assessment Worksheet Say:   Y…

1260. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
      October 01, 2017 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices Training Guide Module Aim The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices. Module Goals The goals of Module 5 are to have the Implementation T…