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Showing results for "happen".

1441. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
      July 25, 2018 - SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript July 2018 https://www.ahrq.gov/sops/index.html 1 New AHRQ SOPS Health IT Patient Safety Supplemental Items for Hospitals July 25, 2018 – Webcast Transcript Speakers: Joann Sorr…

1442. Implementation Guide for Automatic Referral: Building, Implementing, and Troubleshooting and Automatic Referral for Cardiac Rehabilitation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
      March 01, 2023 - Implementation Guide for Automatic Referral: Building, Implementing, and Troubleshooting and Automatic Referral for Cardiac Rehabilitation Implementation Guide for Automatic Referral Introduction Acronym List Term Abbreviation AHRQ Agency for Healthcare Research and Quality AR Automatic referral CABG Corona…

1443. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
      April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems 135 Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems Ellen Flink, C. Lynn Chevalier, Angelo Ruperto, Peg Dameron, Frederick J. Heigel, Ruth Leslie, Janet Mannion, Robert J. Panzer Abstract New Yor…

1444. Barriers Associated with Medication Information Handoffs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
      January 01, 2004 - Barriers Associated with Medication Information Handoffs 87 Barriers Associated with Medication Information Handoffs K. Bruce Bayley, Lucy A. Savitz, Glenn Rodriguez, William Gillanders, Steve Stoner Abstract Objectives: The transfer of medication information across patient care settings is an important …

1445. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
      April 21, 2008 - Patient Safety Learning Pilot: Narratives from the Frontlines Patient Safety Learning Pilot: Narratives from the Frontlines Shirley E. Kellie, MD, MSc; James B. Battles, PhD; Nancy M. Dixon, PhD; Harold S. Kaplan, MD; Barbara Rabin Fastman, MHA Abstract Although patient safety experts have focused on event…

1446. Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
      February 06, 2008 - Improving Patient Safety Through Provider Communication Strategy Enhancements Improving Patient Safety Through Provider Communication Strategy Enhancements Catherine Dingley RN, PhD, FNP; Kay Daugherty RN, PhD; Mary K. Derieg RN, DNP; Rebecca Persing, RN, DNP Abstract The purpose of this study was to devel…

1447. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
      January 01, 2024 - In these complex non-medical systems, it is highly undesirable to wait for a serious accident to happen

1448. AHRQ Hospital Pilot Study Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
      November 01, 2017 - . 9 12 9/12=75% We look at staff actions and the way we do things to understand why mistakes happen

1449. Asthma Care Quality Improvement: A Workbook for State Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.pdf
      April 01, 2006 - Yet, with small, smart steps, you can make that happen.

1450. Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
      May 01, 2024 - particular update, alert, or new piece of data is worth interruption at any given time; all distractions happen

1451. AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.pdf
      November 01, 2017 - . 9 12 9/12=75% We look at staff actions and the way we do things to understand why mistakes happen

1452. Identifying Key Areas for Delivery System Research (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/paper/casalino_idkeydsr.pdf
      February 01, 2014 - Identifying Key Areas for Delivery System Research Identifying Key Areas for Delivery System Research Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Work for this paper was conducte…

1453. AHRQ Safety Program for Ambulatory Surgery Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
      May 01, 2017 - Staff are told about patient safety problems that happen in this facility. 85% 96% 82% 87% 95% 85% … We are good at changing processes to make sure the same patient safety problems don’t happen again

1454. Identifying Key Areas for Delivery System Research (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/casalino_idkeydsr.pdf
      February 01, 2014 - Identifying Key Areas for Delivery System Research Identifying Key Areas for Delivery System Research Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Work for this paper was conducte…

1455. Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
      July 28, 2016 - Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions TOOLBOX DESIGNING AND DELIVERING WHOLE-PERSON TRANSITIONAL CARE: THE HOSPITAL …

1456. Final Progress Report: Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent ADEs in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
      January 01, 2024 - Final Progress Report: Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent ADEs in the Nursing Home Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient- Centered, Telemedicine-Based Approach to Prevent…

1457. Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
      January 01, 2025 - Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners FINAL PROGRESS REPORT Bridging the Gap between EMS and Health Services Research: A Conference for Researchers an d Practitioners Project Team Members* Derek DeLia, PhD, Principal …

1458. AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
      January 01, 2024 - AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements AHRQ GRANT FINAL PROGRESS REPORT Title: Improving Patient Safety through Provider Communication Strategy Enhancements Principal Investigator: Kay Daugherty, RN, PhD Team Members: Catherine Dingley, RN, F…

1459. SOPS™ 101 Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript-ad.pdf
      June 01, 2020 - SOPS™ 101 Webcast Transcript November 2018 https://www.ahrq.gov/sops/index.html 1 Understanding SOPS Surveys: A Primer for New Users October 23, 2018 – Webcast Transcript Speakers: Laura Gray, M.P.H. Senior Study Director User Network for the AHRQ Surveys on Patient Safety C…

1460. Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture Webinar Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/mowebinar_2014transcript.pdf
      January 01, 2014 - Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture Webinar Transcript Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture September 16, 2014 – Webinar Transcript Speakers Theresa Famolaro, MPS, Database Manager, AHRQ Surveys on Patient Safety Culture, Westat, …