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Total Results: 1,482 records

Showing results for "happen".

381. Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti-rev091721.pdf
     January 01, 2019 - Composites Definition: The extent to which… Communication About Mistakes Staff discuss mistakes that happen … Response to Mistakes The pharmacy examines why mistakes happen, helps staff learn from mistakes, and … punishing them (C4) 83 We look at staff actions and the way we do things to understand why mistakes happen … We look at staff actions and the way we do things to understand why mistakes happen in this pharmacy

382. Candor-Impguide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
     April 01, 2016 - ___________________________________________________________________ Steps How will this happen? … [Be specific and include important steps to make the idea/activity happen.] … Who will make this happen? [Be specific for each task.] … What other information do I need to make this happen?

383. Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
     November 01, 2015 - We never figure out why they happen. We think it's part of being in the hospital. … My part of the talk will focus on what else can happen, and obviously the big pathogen that we are troubling … You then acquire C. diff from the environment and one of the two things will very quickly happen. … attractive because if they get C. diff colitis, then of course there's all the treatment that needs to happen … What will happen if somebody gets a recurrence of C. diff or they get severe disease?

384. Rafael Borja (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
     September 09, 2014 - We never figure out why they happen. We think it’s part of being in the hospital. … My part of the talk will focus on what else can happen, and obviously the big pathogen that we are troubling … You then acquire C. diff from the environment and one of the two things will very quickly happen. … attractive because if they get C. diff colitis, then of course there’s all the treatment that needs to happen … What will happen if somebody gets a recurrence of C. diff or they get severe disease?

385. Transcript: How To Create Team Buy-In and Motivation To Get to Zero Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-buy-in-transcript.pdf
     April 01, 2022 - It's just dealing with patients who are sick, they are at risk, and sometimes these things happen. … And so, not to say that when things just happen and they go right we should celebrate, but when we intervene

386. Medical Office Survey on Patient Safety Culture: 2018 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2018mosopsdatabasereport-part1-rev0921.pdf
     April 01, 2018 - (F2) 85 Mistakes happen more than they should in this office. … (E1R) 47 They overlook patient care mistakes that happen over and over. … This office is good at changing office processes to make sure the same problems don’t happen again. … Mistakes happen more than they should in this office. … They overlook patient care mistakes that happen over and over.

387. Coop_Context_Info_Assessment_Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context.pdf
     June 01, 2013 - Coop_Context_Info_Assessment_Final COOPERATIVE CONTEXT ASSESSMENT INFORMATION What is the importance of context? Cooperatives’ initiatives are taking place in different settings and have a variety of different partners and stakeholders involved. Understanding these projects requires examination of the cont…

388. 6 Tk1 T6-Managing Resident And Family Expectations Final (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.docx
     October 01, 2016 - Tool 6. Managing Resident and Family Expectations Nurses, prescribing clinicians, and any other staff who discuss or dispense medication may experience pressure from residents and family members to prescribe antibiotics. This is a template for discussing this topic and introducing the talking points to use with residen…

389. 6 Tk1 T6-Managing Resident And Family Expectations Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
     October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Educate & Engage Residents, Family Toolkit To Educate and Engage Residents and Family Members Tool 6. Managing Resident and Family Expectations Nurses, prescribing clinicians, and any other staff who discuss or dispense medication may experience pressure from residen…

390. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
     January 01, 2024 - clinically-integrated digital health apps have the potential to more accurately predict risk of adverse events that may happen

391. A Model for Sustaining and Spreading Safety Interventions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
     October 01, 2015 - How To Use This Document Planning for sustainability should happen early in the process of implementing … Defects” A defect is any clinical event or situation that a staff member or provider would not want to happen … Why did it happen? What will we do to reduce the risk of recurrence?

392. Family-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
     June 01, 2021 - Defining goals of care should happen before emergent situations come up. … Depending on the situation, this may need to happen more than once.

393. 011-Ss-Decolonization-Strategies-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/011-ss-decolonization-strategies-fg.docx
     April 01, 2025 - These are: what happened, why did it happen, how to reduce the likelihood of it happening again, and

394. Using Artificial Intelligence To Improve Breast Cancer Screening and Enhance Workflow | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-hsu.html
     May 01, 2023 - AHRQ funding serves as the catalyst to make all of this happen,” Dr. Hsu said.

395. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
     January 01, 2025 - This study did three things: Aim 1: We looked at how many diagnostic errors happen among patients who … advanced analysis techniques, we gained a comprehensive understanding of how often diagnostic errors happen … Less information exists about how often diagnostic errors happen in hospitals, what factors increase

396. Preventing the Voltage Drop: Keeping Practice-Based Research Network (PBRN) Practices Engaged in Studies | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/projects/urinary/resources/preventing-voltage-drop.html
     January 01, 2014 - Back to MUI Resources Preventing the Voltage Drop: Keeping Practice-Based Research Network (PBRN) Practices Engaged in Studies Resource Full Article on PubMed. Summary Practice-based research continues to evolve and has become a major methodology for many pragmatic studies. W…

397. Patient and Family Engagement | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
     July 01, 2018 - Patient and Family Engagement The Patient and Family Engagement module of the CUSP Toolkit focuses on making sure patients and their family members understand what is happening during the patient's hospital stay, are active participants in the patient's care, and are prepared for discharge. This module expl…

398. Exhibit 3. Reporting of patient safety events | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh3.html
     August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Exhibit 3. Reporting of patient safety events Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Desi…

399. Strategy 4: IDEA Discharge Planning (Tool 4)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
     April 01, 2011 - collaboratively with patients and family members should make everyone clear about what should and should not happen … The doctor gives the order for discharge, but, this should not be a surprise or happen in a vacuum. … What needs to happen? Who is responsible? … As you play out the scene, the objectives are to make sure that: Emily is fully aware of what will happen … As you play out the scene, the objectives are to make sure that: Arnold is fully aware of what will happen

400. Optimize Briefings and Debriefings: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
     December 01, 2017 - We know this because wrong-sided surgeries would never happen if timeouts were more effective. … Slide 29: Debriefings in the Operating Room Say: Structure debriefings so that they happen before … Debriefing Say: It took having physician champions and surgeons onboard that made the implementation happen