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Showing results for "happen".

1381. Puh-Factraining-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1 Overview Slide AHRQ’s Safety Program for Nursing Homes On-Time Pressure Ulcer Healing Facilitator Training Overview of On-Time Note: This version of the On-Time introduction is for training Facilitators who have not had pre…

1382. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
      January 01, 2021 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care Final Report This page is intentionally blank. Potentially Preventable Readmissions: Conceptual Framewo…

1383. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
      January 01, 2004 - Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology 323 Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology Jiajie Zhang, Vimla L. Patel, Todd R. Johnson, Philip Chung, James P. Turley Abstract Human errors in med…

1384. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
      June 05, 2008 - News Media and Health Care Providers at the Crossroads of Medical Adverse Events News Media and Health Care Providers at the Crossroads of Medical Adverse Events Pamela Whitten, PhD; Mohan J. Dutta, PhD; Serena Carpenter, PhD; Graham D. Bodie Abstract In 2005, Indiana Governor Mitch Daniels issued an executi…

1385. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…

1386. Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
      January 01, 2024 - This may happen once or at different, even multiple, points in time during the course of the preoperative

1387. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
      January 01, 2024 - This could happen one of two ways: first, if individuals in the intervention group were to discuss the

1388. Case 2. Central Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
      November 01, 2014 - Also, some interviewees felt that these "tests" were very optimistic guesses of what would happen and

1389. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
      January 01, 2024 - Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care Adverse Event-Directed Analysis in Ambulatory Primary Care Final Report September 30, 2009 Principal Investigator: Donald Kennerly, MD, PhD Team Members: David Ballard, MD, MSPH, PhD, Co-Investigator S. Quay Mercer, BS, MT (ASCP…

1390. AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Medical-Office-Users-Guide-2021.pdf
      January 01, 2021 - than getting more work done, office processes are good at preventing mistakes, and mistakes do not happen

1391. CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/cpcf.pdf
      December 31, 2015 - DENOMINATOR The number or population representing the total universe in which an event might happen:

1392. Primary Care Practice Facilitation Curriculum Module 31: Facilitating Panel Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-31-facilitating-panel-management.pdf
      September 01, 2015 - clinic is concerned with the entire population of its patients, rather than only those patients who happen

1393. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
      July 18, 2008 - Typically, when a brief does not occur, staff members presume what is going to happen; new or inexperienced

1394. Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/invest-in-trust-guide.pdf
      May 01, 2021 - Availability Bias We use mental shortcuts when judging how likely or frequently an event will happen … If a recent event produced strong emotions in us, we’re more likely to think this event will happen

1395. Final Progress Report: Measuring Quality of Primary Care in Complex Pediatric Patients (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/chen-report.pdf
      January 01, 2025 - Final Progress Report: Measuring Quality of Primary Care in Complex Pediatric Patients Title: Measuring Quality of Primary Care in Complex Pediatric Patients Principal Investigator: Alex Y. Chen, MD, MS Organization: Children’s Hospital Los Angeles Inclusive Dates of Project: 07/01/2009- 06/30/2012 Federal Projec…

1396. Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
      January 01, 2024 - Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System 1 An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System Principal Investigator: Tanya Lord Roger Luckmann, MPH, MD, Thesis Advisor Terry Field, DSc, Chair of Committee Robe…

1397. A Unit Guide To Infection Prevention for Long-Term Care Staff | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
      March 01, 2017 - A Unit Guide To Infection Prevention for Long-Term Care Staff Acknowledgments Content leads for the preparation of this document were as follows: Deb Patterson Burdsall, M.S.N., R.N.-B.C., CIC Infection Preventionist Lutheran Home/Lutheran Life Communities Arlington Heights, IL Steven J. Sc…

1398. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
      January 01, 2024 - Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care Title: Medication Reconciliation: Bridging Communications Across the Continuum of Care Principal Investigator and Team Members: Melinda Muller, MD, Lynn Belcher, RPh, Melissa Blanchard, MP, Amy Caster-Winegeart, …

1399. Final Progress Report:: The National Quality Forum – Annual Meeting 2003 (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/kizer-report.pdf
      January 01, 2024 - Final Progress Report:: The National Quality Forum – Annual Meeting 2003 THE NATIONAL QUALITY FORUM ANNUAL MEETING 2003 PRINCIPAL INVESTIGATOR: KENNETH W. KIZER, MD, MPH TEAM MEMBERS: C. BOCK, L. GORBAN, J. LEWIS, R. NISHIMI, E. POWER, M. STEGUN, L. THOMPSON 9/20/2003 – 9/19/2004 FEDERAL PROJECT OFFICE…

1400. Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
      November 01, 2016 - Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities July 21, 2016 Download accessible version of slides (PDF, 1 MB) The National Quality Strategy and The Public Sector [Slide 1] Operator: Ladies and gentlemen, thank you for stand…