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Total Results: 3,987 records

Showing results for "happen".

  1. Making a Case for Organizational Change in Patient Safety Initiatives (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
    January 01, 2003 - errors that cause serious harm as a significant threat to patient safety; and since such events may happen … This could happen because the organization may no longer be able to afford the resources that were allocated

  2. The Safety of Medical Devices | PSNet

    psnet.ahrq.gov/perspective/safety-medical-devices
    June 01, 2011 - We don't know enough about products or systems that people use to know what can happen. … that there probably is someone thinking, "But what about this," or "Isn't this bad thing likely to happen

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33791/psn-pdf
    September 01, 2015 - have this great EHR, you should be harnessing it for safety, but these transcription errors still happen

  4. Results | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/pfp/haccost2017-results.html
    November 01, 2017 - adverse events in the United States was 134, based on the assumption that all of the OBAE-related deaths happen … Of note, this calculation assumes all OBAE-related deaths happen in the hospital setting, which, if not

  5. The wrong goodbye. | PSNet

    psnet.ahrq.gov/issue/wrong-goodbye
    October 05, 2022 - Newspaper/Magazine Article The wrong goodbye. Citation Text: The wrong goodbye. Sexton J, Schweber N. ProPublica. October 31, 2019. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  6. Uncovering the shocking dangers of misdiagnosis. | PSNet

    psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis
    May 13, 2020 - Audiovisual Uncovering the shocking dangers of misdiagnosis. Citation Text: Uncovering the shocking dangers of misdiagnosis. Graedon T. People’s Pharmacy.  Show 1355. September 8, 2023. Copy Citation Save Save to your library Print Download PDF …

  7. Nahm, Eun-Shim | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/nahm-eun-shim
    January 01, 2023 - Nahm, Eun-Shim A Theory-Based Patient Portal eLearning Program for Older Adults With Chronic Illnesses - Final Report Citation Nahm E. A Theory-Based Patient Portal eLearning Program for Older Adults With Chronic Illnesses - Final Report. (Prepared by the University of Marylan…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49587/psn-pdf
    May 01, 2009 - However, as this case so dramatically presents, rare events do indeed happen and we need to be alert

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49623/psn-pdf
    March 01, 2011 - comprehensive transition to practice program for nurses incorporate so that situations like this don't happen

  10. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
    June 01, 2023 - If teams can better predict and anticipate, the team will know what is supposed to happen and will have

  11. Offering Two-Day Training Content | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/curriculum/situation/teach/two-day.html
    February 01, 2024 - Process,” ask participants to think about how often over the course of a single workday important changes happen

  12. Step 2: Determine Whom To Engage | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step2.html
    March 01, 2019 - Who has the political or professional clout to make change happen?

  13. Appendix: Profiles of the CHIPRA Quality Demonstration States’ Stakeholder Engagement Initiatives | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1app.html
    March 01, 2019 - “There is a nurturing that has to happen [with youth].

  14. Module 1: Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
    June 02, 2025 - This component and the Response and Disclosure component will happen at the same time.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49539/psn-pdf
    June 01, 2007 - Informed or Misled? June 1, 2007 White SM. Informed or Misled? . PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/informed-or-misled The Case A 50-year-old man arrived at the hospital for an elective total knee replacement. Based on preoperative discussions, the patient expected to receive spinal anesthesia.…

  16. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
    February 01, 2018 - PowerPoint Presentation Spotlight Signout Fallout 1 Source and Credits This presentation is based on the February 2018 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Amy J. Starmer, MD, MPH, and Christopher P. Landrigan, MD, MPH, Harvard M…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33855/psn-pdf
    April 01, 2018 - Every patient is different and things happen in the hospitalization, so to get the acute situation under

  18. When is the surgeon too old to operate? | PSNet

    psnet.ahrq.gov/issue/when-surgeon-too-old-operate
    February 12, 2016 - Newspaper/Magazine Article When is the surgeon too old to operate? Citation Text: When is the surgeon too old to operate? Span P. New York Times. February 1, 2019. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  19. Patient Safety Article Collection. | PSNet

    psnet.ahrq.gov/issue/patient-safety-article-collection
    December 19, 2012 - Multi-use Website Patient Safety Article Collection. Citation Text: Patient Safety Article Collection. American Patient Rights Association. 2012-2022. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  20. Mistaking error. | PSNet

    psnet.ahrq.gov/issue/mistaking-error
    July 06, 2011 - Book/Report Mistaking error. Citation Text: Mistaking error. Cook RI, Woods DD. Chapter in: Youngberg BJ, Hatlie, MJ, ed. Patient Safety Handbook, Sudbury, MA: Jones and Bartlett; 2004. Copy Citation Save Save to your library Print Download PDF …
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