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Showing results for "happen".

  1. digital.ahrq.gov/ahrq-funded-projects/anesthesiology-control-tower-feedback-alerts-supplement-treatment-actfast
    January 01, 2023 - the nearby airplanes and helping them to coordinate their activity, and prioritizing what needs to happen
  2. psnet.ahrq.gov/web-mm/dangerous-detour
    November 28, 2018 - risky as a person with a recent hip fracture unattended in a bathroom: both are accidents waiting to happen
  3. psnet.ahrq.gov/web-mm/saved-ecmo
    May 05, 2017 - was appropriate and was likely the safest option, the anesthesia team failed to plan for what would happen
  4. 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
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49591/psn-pdf
    October 01, 2009 - Difficult Encounters: A CMO and CNO Respond October 1, 2009 Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond Case Objectives Appreciate the risk of disruptive behavior and understand institutional respons…
  6. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Developing an Antibiotic Stewardship Program Long-Term Care Slide Title and Commentary Slide Number and Slide Developing an Antibiotic Stewardship Program Long-Term Care SAY: Hello and welcome to the presentation, “Developing an Antibiotic Stewardship Prog…
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
    April 01, 2022 - CAUTI Event Reporting Tool CLABSI Event Report Tool: Data for Event Analysis This event report template is designed to be used as a guide through the initial investigation for a defects analysis where the primary goal is to learn what happened and factors that may have contributed to the central line-associated blo…
  8. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
    March 01, 2017 - because they will fear punishment, and processes may not change and the same mistakes will continue to happen
  9. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
    June 02, 2025 - TAKEheart Automatic Referral Implementation Guide - Module 5 Module 5 Implementation Guide: Building and Implementing a Successful Automatic Cardiac Rehab Referral System Purpose and Overview This implementation guide is designed to help you think through the steps you will need to address in designing and i…
  10. www.ahrq.gov/research/findings/final-reports/stpra/stpraapd2.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix D, Table D2 Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA Devel…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
    May 01, 2017 - When might this happen? 45 Million Lives Campaign.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867357/psn-pdf
    December 18, 2024 - Hypoxemia after Emergency Intubation December 18, 2024 Bohringer C, Liu H. Hypoxemia after Emergency Intubation. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation The Case A 19-month-old child was brought to the emergency department (ED) via ambulance after drowning in a p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49813/psn-pdf
    January 01, 2018 - How did this happen?
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33873/psn-pdf
    February 01, 2019 - In Conversation With… Susan E. Skochelak, MD, PhD February 1, 2019 In Conversation With… Susan E. Skochelak, MD, PhD. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd Editor's note: Dr. Skochelak is the Group Vice President for Medical Education at the American Medica…
  15. psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
    March 24, 2019 - Hypoxemia after Emergency Intubation Citation Text: Bohringer C, Liu H. Hypoxemia after Emergency Intubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…
  16. psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
    September 25, 2024 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected Citation Text: Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…
  17. psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
    July 23, 2024 - They should never happen in the provision of health care. 4   Per the Centers for Medicare and Medicaid
  18. 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. 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. 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 …