U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality

Search AHRQ

For an exact phrase match, enclose search terms in double quotes.

Go to Advanced Search
Go to Basic Search

Results

Total Results: 3,974 records

Showing results for "happen".

  1. Blackbox: A Multidisciplinary Team-Based Framework for HIT Error Pattern Detection - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related/final-report
    January 01, 2023 - Context is Critical: Understanding When and Why Electronic Health Record-Related Safety Hazards Happen

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36219/psn-pdf
    October 18, 2010 - psnet.ahrq.gov/issue/risk-society-and-system-failure The author discusses why large scale accidents happen

  3. Narrative Items for the CAHPS Clinician & Group Visit Survey 4.0 (beta) | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
    July 01, 2021 - Narrative Items for the CAHPS Clinician & Group Visit Survey 4.0 (beta) These supplemental items are designed to be used with the CAHPS Clinician & Group Visit Survey 4.0 (beta). Learn about the CAHPS Patient Narrative Item Sets . Learn about the Clinician & Group Visit Survey 4.0 (beta) . Placing …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867653/psn-pdf
    February 26, 2025 - “Why did it happen?” “What are we doing to keep it from happening again?”

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40194/psn-pdf
    June 20, 2011 - What happens when things go wrong? June 20, 2011 Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x. https://psnet.ahrq.gov/issue/what-happens-when-things-go-wrong This commentary reveals a personal story of loss and dis…

  6. 110-Ss-Lfd-Sample (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
    April 01, 2025 - A defect is any clinical or operational event or situation that you would not want to happen again. … Why Did It Happen? Below is a framework to help you review and evaluate your case.

  7. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/briefing-slides/Morning-Briefing-and-Shadowing-July-12-2011-508.ppt
    January 01, 2011 - -- An Overview Members of the team have an understanding of what’s going on and what is likely to happen … procedure Establishes competence Who has what skills Who performs what Who knows what Predicts what will happen

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33651/psn-pdf
    June 01, 2007 - RW: When you send out a safety alert, would it be because you've seen this thing happen once or because … know that they're very earnest in identifying reportable events and wanting to understand why they happen … across states would also be a real leap forward in terms of what we could learn about why these events happen … One thing that we've learned is that there are a lot of reasons why these events happen and why they

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49468/psn-pdf
    December 16, 2004 - most sophisticated operating theaters and in the hands of highly trained surgeons—can such things happen … Or, in this case, almost happen? … Good systems do not just happen.

  10. Building Capacity for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/building-capacity-patient-safety
    July 31, 2023 - that is a known risk of wheelchair usage, it is not one that staff may often think about or expect to happen … When we reviewed the event, we noted there is a warning on the package insert that a reaction could happen … It does not happen often, and most people don’t make that association. … What actions are you taking as an organization to make sure that this does not happen again? … still be viewed as airing dirty laundry, instead of sharing adverse events so similar events do not happen

  11. In Conversation with... Regina Hoffman about Building Capacity for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
    July 31, 2023 - that is a known risk of wheelchair usage, it is not one that staff may often think about or expect to happen … When we reviewed the event, we noted there is a warning on the package insert that a reaction could happen … It does not happen often, and most people don’t make that association. … What actions are you taking as an organization to make sure that this does not happen again? … still be viewed as airing dirty laundry, instead of sharing adverse events so similar events do not happen

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33688/psn-pdf
    October 01, 2009 - As you start reading through these forms, you start seeing the range of things that happen in health … out, but generally the institution did not make an effort to cover it up or to try to say it didn't happen … Part of the job of the media is not only to explain when these events happen but to try to put them … So I think it's an excuse to try to say that it's just the media attention, that these problems happen … Is the goal to make it better or at some point do you just say this is not going to happen?

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866746/psn-pdf
    September 18, 2024 - https://psnet.ahrq.gov/primer/leadership-role-improving-safety https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors

  14. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/tools/obesity/obpcp-intro.html
    May 01, 2014 - What didn't happen? There was no discussion of diet and nutrition as part of Ms. … Why didn't it happen?

  15. 103-How-To-Integrate-Cusp-Approach-Periop-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/103-how-to-integrate-cusp-approach-periop-fg.docx
    April 01, 2025 - A defect is defined as anything “you do not want to happen again.” … What happened, why did it happen using system lenses, what could you do to reduce the risk of it happening … An effective CUSP team knows mistakes happen and is committed to being vigilant to prevent them—and when

  16. Strategy 3: Nurse Bedside Shift Report (Tool 1) (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.docx
    June 02, 2025 - If nurse bedside shift report does not happen, call the nurse manager at [insert phone number].

  17. Implementation Guide Appendix J Coaching Tool Instructions and Observation Tool With Coaching Section (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-j.pdf
    June 02, 2025 - Implementation Guide Appendix J Coaching Tool Instructions and Observation Tool With Coaching Section AHRQ Safety Program for Ambulatory Surgery Appendix J. Coaching Tool Instructions and Observation Tool With Coaching Section After using the observation tool to collect information regarding the processes perfor…

  18. Communication during trauma resuscitation: do we know what is happening? | PSNet

    psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-happening
    February 03, 2021 - Study Communication during trauma resuscitation: do we know what is happening? Citation Text: Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. Copy Citation Format: Google Scholar …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39489/psn-pdf
    June 11, 2010 - What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. June 11, 2010 Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Qua…

  20. Module 3: Conversations Around Device Necessity | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3-slides.html
    February 01, 2023 - Slide 5 What Do You Think Will Happen? Images: Photo of "Nurse Sally" and "Nurse Molly."
SHARE:
Facebook Twitter Print Facebook Share

Similar Terms:

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

Click to show only results for the selected site.

psnet.ahrq.gov (1692)

www.ahrq.gov (1482)

effectivehealthcare.ahrq.gov (363)

digital.ahrq.gov (274)

hcup-us.ahrq.gov (57)

www.uspreventiveservicestaskforce.org (50)

integrationacademy.ahrq.gov (17)

meps.ahrq.gov (16)

cds.ahrq.gov (8)

cdsic.ahrq.gov (5)

qualityindicators.ahrq.gov (5)

pso.ahrq.gov (3)

datatools.ahrq.gov (2)