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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-webcast.pdf
October 01, 2017 - partner on a development or testing project, please let us know and maybe we can find a way to make that
happen
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-I-508-rev0921.pdf
January 01, 2021 - Communication About Error % Most of the time/Always
We are informed about errors that happen in this … (Item C1)
70% 9.62% 40% 57% 64% 70% 76% 82% 91%
When errors happen in this unit, we discuss ways
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psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - that there probably is someone thinking, "But what about this," or "Isn't this bad thing likely to happen … We don't know enough about products or systems that people use to know what can happen.
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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
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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
-
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
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www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_hca.pdf
April 01, 2019 - Data are
viewed both predictively (what’s going to happen?)
-
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
-
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
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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?
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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].
-
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
-
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
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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.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL20LOINCIntroductionHammond.pdf
February 25, 2008 - Slide 1
An Introduction to LOINC
Logical Observation
Identifier Name and Codes
W. Ed Hammond
February 25, 2008
25 Feburary 2008 Hammond 2
History (1)
• The Regenstrief Institute for Health Care
developed LOINC under the sponsorship
of NLM and other government and private
organizations. It is available at …
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psnet.ahrq.gov/node/33852/psn-pdf
January 01, 2017 - Patient Engagement in Safety
January 1, 2017
Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/patient-engagement-safety
Annual Perspective 2017
Background
In the past 2 decades, patient engagement in safety has evolved from obscurity to maturity. The Ins…
-
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.…
-
psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - We are testifying to things
that didn't actually happen, physical exam findings that we didn't do, or
-
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
-
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