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Total Results: 1,577 records

Showing results for "happen".

381. 025-Ss-Why-Choose-Cusp-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/025-ss-why-choose-cusp-fg.docx
     April 01, 2025 - a defect is defined as “any clinical or operational event or situation that you do not want to have happen … Our goal is to fix the systems in which we operate, so that errors do not happen again.

382. SOPS Nursing Home Survey Version 2.0 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english-2.0.docx
     June 05, 2025 - incident ☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐ 9 Section B: Communication How often do the following things happen

383. Webinar Transcript - National Quality Strategy Webinar: Using Measurement for Quality Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/events/webinar-using-measurement-for-quality-improvement.html
     November 01, 2016 - And we've also really recognized the critical redundancies that happen when measures are slightly different … So we decided that we should make that happen, that we needed to really work at least within HHS to try … And there are certainly some great measures that happen through claims, but we all know that measuring … programs and quality improvement efforts like QIOs, like the Partnership for Patients—all of that needs to happen

384. Monitoring for Perinatal Safety: Electronic Fetal Monitoring | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
     July 01, 2023 - plan is through briefings and team management, being aware of what is going on and what is likely to happen … provide timely, clear information to patient and family to explain what is happening, what needs to happen

385. Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/summary.html
     July 01, 2018 - Some changes happen sooner, some later.

386. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/131-ss-swiss-cheese.pptx
     April 01, 2025 - Defect: Anything You Do Not Want To Happen Again | 3 AHRQ Safety Program for MRSA Prevention | Surgical

387. Simulation Facguide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.docx
     May 01, 2017 - correct diagnosis, appropriate treatment) Timeliness—which measures how long it took for something to happen

388. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
     May 01, 2017 - plan is through briefings and team management, · being aware of what is going on and what is likely to happen … transfer to recovery); being aware of what is going on throughout the case; and anticipating what is to happen … provide timely, clear information to patient and family to explain what is happening, what needs to happen

389. Remember T.E.A.M.S. to Improve Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.pdf
     March 01, 2017 - Remember T.E.A.M.S. to Improve Safety Culture T E A M S Team Formation Excellent Communication Assess What’s Working Meet Monthly Sustain Efforts The most effective teams are diverse. Make sure your team includes people of differing perspectives and roles. Communication should be effective. Commu…

390. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
     July 01, 2023 - plan is through briefings and team management, being aware of what is going on and what is likely to happen … other delegated staff speaks to patient and partner regarding the urgency of the situation and what may happen

391. A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
     June 11, 2003 - when determining who will be assigned as reviewers include the following: • Did the occurrence happen … • Did this happen within a certain specialty? • Are any licensed providers involved?

392. Aseptic-Catheter-Insertion-Practices-Inthe Ed Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-inthe_ED_transcript.docx
     June 02, 2015 - On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany June 2, 2015 ED Coaching Call Sarah: Hello everyone. Thank you for listening today. My name is Sarah Dalton. I am a Program Specialist with the Health Research and Educational Trust. Welcome to the fourth mini-presentation in the CAUTI Cohort 9 Educat…

393. Aseptic Catheter Insertion Practices in the Emergency Department | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-practices-ed-transcript.html
     December 01, 2017 - Aseptic Catheter Insertion Practices in the Emergency Department Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany June 2, 2015 ED Coaching Call Sarah: Hello everyone. Thank you for listening today. My name is Sarah Dalton. I am a Program Specialist with the Health Re…

394. Aseptic Catheter Insertion Practices in the Emergency Department | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-transcript.html
     December 01, 2017 - Aseptic Catheter Insertion Practices in the Emergency Department Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany June 2, 2015 ED Coaching Call Sarah: Hello everyone. Thank you for listening today. My name is Sarah Dalton. I am a Program Specialist with the Health Rese…

395. Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-vbac-ab-pain.html
     July 01, 2023 - Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Severe Abdominal Pain/VBAC (vaginal birth after cesarean) In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, c…

396. Sample Scenario for Magnesium Toxicity In Situ Simulation (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_vbac-abpain.docx
     May 01, 2017 - Sample Scenario for Magnesium Toxicity In Situ Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation Purpose of the tool: The Severe Abdominal Pain/VBAC (vaginal birth after cesarean) In Si…

397. 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.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

398. 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

399. 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?

400. 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?