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. Appendix J. Coaching Tool Instructions and Observation Tool With Coaching Section - Implementation Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-j.html
    May 01, 2017 - Appendix J. Coaching Tool Instructions and Observation Tool With Coaching Section - Implementation Guide After using the observation tool to collect information regarding the processes performed in the operating room or procedure room, use the coaching tool to coach the team on what it is doing well and how it …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50922/psn-pdf
    February 19, 2020 - organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841481/psn-pdf
    January 01, 2023 - trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model https://psnet.ahrq.gov/issue/surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844987/psn-pdf
    February 22, 2023 - examining-medication-ordering-errors-using-ahrq-network-patient-safety- databases Medication errors can happen

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35181/psn-pdf
    June 23, 2009 - Communication during trauma resuscitation: do we know what is happening? June 23, 2009 Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. https://psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44359/psn-pdf
    January 06, 2016 - What happens when healthcare innovations collide? January 6, 2016 Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441. https://psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide Innovat…

  7. Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-items.pdf
    January 01, 2015 - We are good at changing processes to make sure the same patient safety problems don’t happen again. … Staff are told about patient safety problems that happen in this facility.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33613/psn-pdf
    May 01, 2005 - How could such a terrible mistake happen to a team of highly qualified and dedicated individuals in … journey; the transition to an optimal culture of shared responsibility and accountability does not happen … have maintained the status quo, based on the mistaken premise that "mistakes like that could never happen

  9. In Conversation with...Albert Wu, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
    February 26, 2025 - What then needs to happen is the institutions need to track what the solutions are, and they need to … serious incidents, called sentinel events, and any hospital board would like to see these things never happen … Wrong site surgeries are a pretty good example of this—they happen to every big institution a few times

  10. On O.R. Off? | PSNet

    psnet.ahrq.gov/web-mm/or
    August 22, 2013 - result of a complex system with multiple communication failures, which is how most medical mistakes happen … No one had the big picture of what was supposed to happen. … result of a complex system with multiple communication failures, which is how most medical mistakes happen … No one had the big picture of what was supposed to happen. … concern, and the promotion of situational awareness, where all the team members know what is going to happen

  11. Strategy 3: Bedside Shift Report (Tool 2) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_2_Nurse_Chklst_508.pdf
    June 02, 2025 - o “What do you want to happen during the next 12 hours?”

  12. Root Cause Analysis | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
    January 01, 2023 - occurrence, and to develop means to prevent the issue from recurring or reduce the probability that it will happen

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42942/psn-pdf
    February 22, 2024 - elimination-emergency-department-medication-errors-due-estimated-weights https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866812/psn-pdf
    September 25, 2024 - the investigation or not, communicating to the patient what was learned so that the error will not happen

  15. Coaching Clinical Teams Module | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-slides.html
    May 01, 2017 - "Can you help me understand why that didn't happen?

  16. Session 1 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
    October 01, 2014 - They have learned how to avoid those situations and, when they do happen, to fix them as well as they … A situation in which a care provider's actions are not well-intended may happen; that person may have … Sometimes, there is a situation that can be called "an accident waiting to happen." … Fixing "accidents waiting to happen."

  17. Supplemental Items for the CAHPS Child Hospital Survey: Narrative Comments | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/surveys-guidance/item-sets/ch/suppl-narrative-items-child-hospital-survey.html
    November 01, 2023 - Supplemental Items for the CAHPS Child Hospital Survey: Narrative Comments Population version: Child Learn about: CAHPS Patient Narrative Item Sets CAHPS Child Hospital Narrative Item Set   Placing the items in the survey: Insert these supplemental items before the "About You" section of the sur…

  18. Latent Error (or Latent Condition) | PSNet

    psnet.ahrq.gov/glossary/latent-error-or-latent-condition
    September 13, 2021 - Thus, latent errors are quite literally "accidents waiting to happen."

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33710/psn-pdf
    May 01, 2011 - There has been some survey research, and an unsurprising finding is that after these things happen, … We really feel bad when bad things happen. We all want to behave like human beings. … I think it's because we have such a disbelief that these things happen that when something really goes

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50408/psn-pdf
    October 02, 2019 - delayed-admissions-pediatric-intensive-care-unit-progression-disease-or- errors-emergency Transitions of care happen
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)