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Total Results: 2,150 records

Showing results for "happen".

1981. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-transcript.doc
      July 08, 2014 - Essentially we got an email one day that said, “Hey, we’re starting this and this is going to happen.

1982. Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use (July 8, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-transcript.html
      December 01, 2017 - Essentially we got an email one day that said, “Hey, we're starting this and this is going to happen.

1983. 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…

1984. 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

1985. 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…

1986. Final Progress Report: Teamwork and Error in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/thomas2-report.pdf
      May 01, 2004 - But when there is one member or one person in the system not working, then that teamwork does not happen

1987. Final Progress Report: Teamwork and Error in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
      January 01, 2024 - But when there is one member or one person in the system not working, then that teamwork does not happen

1988. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
      January 01, 2005 - Clearly, the hospital discharge is a time when accidents and adverse events happen because latent conditions

1989. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
      February 26, 2008 - when conducted at least hourly but not when done every 2 hours.54 Studies have shown that falls happen

1990. Final Progress Report: Health Journalism 2011, national conference on healthcare journalism (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
      January 01, 2024 - FIELD TRIP 3 HEALTHCARE CSI To improve healthcare, we need to understand why bad things happen and

1991. Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
      January 01, 2025 - addressed through assessment and care plan development. 14 ST-PRA IN HOME HEALTH CARE This can happen

1992. LEARNING OBJECTIVES OF THIS WORKBOOK (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.doc
      April 01, 2006 - Yet, with small, smart steps, you can make that happen.   

1993. SOPS™ Introducing the New SOPS Hospital Survey 2.0 webcast transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hsops2.0-webcast-transcript.pdf
      January 01, 2020 - For a positively worded survey item like, "We are informed about errors that happen in this unit," a

1994. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
      February 26, 2008 - when conducted at least hourly but not when done every 2 hours.54 Studies have shown that falls happen

1995. Calibrate Dx: A Resource to Improve Diagnostic Decisions (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/calibrate-dx-guide.pdf
      October 01, 2022 - …“What did you think might happen?”…“When/how did you decide to ask someone for help?”

1996. 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

1997. 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

1998. 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.

1999. 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

2000. 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