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www.ahrq.gov/patient-safety/reports/engage/faq.html
April 01, 2018 - patients who are scheduled to identify those times where a Warm Handoff Plus is (a) more likely to happen
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-transcript.pdf
April 01, 2019 - Creative Strategies to Improving Patient Care Experience Webcast Transcript
Creative Strategies to Improve Patient Care Experience
April 2019 Webcast
Speakers
Caren Ginsberg, PhD, CPXP, Director, CAHPS Division, Center for Quality Improvement and Patient Safety,
Agency for Healthcare Research and Quality
I…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/improving-cg-cahps-scores-webcast-transcript.pdf
March 01, 2016 - Evans, Slide 16
In terms of how we made improvement happen, again, most of the examples I'm using today … When you help people see that equation and work together to make something happen for patients, whether … I'd ask that we all not get
paralyzed by that and sometimes we let that happen.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - discharge to be most effective, communication between clinicians, the patient, and family needs to happen … After the training, it is important to assess:
Did the training happen as planned?
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digital.ahrq.gov/sites/default/files/docs/July%20Teleconference%20Transcript.pdf
June 16, 2021 - do the wrong thing, we want to
know about it and then potentially improve the eMAR so that doesn’t happen … before we
AHRQ 7/13/10 Page 26
were kind of into your three, and we were unable to get that to happen
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psnet.ahrq.gov/node/50842/psn-pdf
January 29, 2020 - Misidentification
Report published by the Ponemon Institute, 64% claimed that patient misidentification errors happen
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - That can happen especially when there is an
authority gradient, making the questioner even more reluctant
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - They happen to almost every anesthesiologist sooner or later.
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digital.ahrq.gov/sites/default/files/docs/page/0_Overview_0.pdf
July 13, 2007 - Stakeholder Meeting Debriefing Guide
Debriefing should happen immediately after the stakeholder meeting
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psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
February 01, 2003 - there is no learning from mistakes and near misses, increasing the chances that adverse events will happen
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psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - and assured them that the case would be carefully reviewed to ensure that a similar error wouldn't happen
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digital.ahrq.gov/sites/default/files/docs/page/0_Overview_1.pdf
July 13, 2007 - Stakeholder Meeting Debriefing Guide
Debriefing should happen immediately after the stakeholder meeting
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psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
November 04, 2015 - When mistakes happen, quality suffers, and patients suffer emotional, financial, and physical harm.(
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www.ahrq.gov/ncepcr/tools/obesity/obpcp1.html
May 01, 2014 - champion and small group team and say, "We need to do this, and I'd like for you to help me make this happen
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - The Wrongful Resuscitation
Citation Text:
Teno JM. The Wrongful Resuscitation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
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psnet.ahrq.gov/node/49490/psn-pdf
September 01, 2005 - As we read
about them (luckily, they never happen to us, of course), we are prompted to ask: Which stoves
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pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
January 01, 2020 - A PSO can identify and help your organization
learn from rare and novel events, even before they happen
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - Was the situation communicated as unstable, urgent, or a problem that 'might' happen?
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psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - comprehensive transition to practice program for nurses incorporate so that situations like this don't happen
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psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - However, as this case so dramatically presents, rare events do indeed happen and we need to be alert