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Showing results for "happen".

2441. Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
      January 01, 2025 - Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience 28 November 2009 Title of Project Creating Safe Ambulatory Care: The Path to Resilience Principal Investigator Christopher Nemeth, PhD Team Members James Walter, MD Robert Wears, MD, MS Richard Cook, MD Organization The University of Ch…

2442. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough | PSNet
      psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
      September 01, 2003 - could be made that only the physician who put in the vaginal pack can remove it, but then what would happen

2443. In Conversation With… Jack Needleman, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
      September 01, 2012 - around value and maybe even one in which pay is predicated on measureable value, do different things happen

2444. In Conversation With... Heidi Wald, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-heidi-wald-md
      November 26, 2019 - Sometimes, that conversation has to also happen with the family to reset their expectations regarding

2445. Patient Safety in Frail Older Patients | PSNet
      psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
      November 26, 2019 - Sometimes, that conversation has to also happen with the family to reset their expectations regarding

2446. In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives | PSNet
      psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
      July 10, 2024 - When these things happen to our members, they end up in the hospital.

2447. Health Plan Patient Safety Initiatives | PSNet
      psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
      July 10, 2024 - When these things happen to our members, they end up in the hospital.

2448. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? | PSNet
      psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
      March 01, 2015 - Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? Ian Scott, MBBS, MHA, MEd | March 1, 2015  Also Read a Conversation View more articles from the same authors. Citation Text: Scott IA. Where Does Risk-Adjusted Mortality Fit Into a Safety …

2449. Intubation Mishap | PSNet
      psnet.ahrq.gov/web-mm/intubation-mishap
      April 26, 2023 - SPOTLIGHT CASE Intubation Mishap Citation Text: Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …

2450. Slide 1
      effectivehealthcare.ahrq.gov/sites/default/files/sensitivity-analysis-chapter-11.pptx
      January 01, 2013 - Slide 1 Sensitivity Analysis for Observational Comparative Effectiveness Research Prepared for: Agency for Healthcare Research and Quality (AHRQ) www.ahrq.gov Sensitivity Analysis for Observational Comparative Effectiveness Research This slide set is based on a user guide titled Developing a Protocol for Observati…

2451. In Conversation with…Carolyn Clancy, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
      September 01, 2005 - health care professionals, are going to be, and what will be the Agency's role in making these changes happen

2452. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
      January 01, 2025 - example, repeating MUSC observations and studies at JHU, as planned as part of the Clemson work, did not happen … between what is viewed as the right thing to do, be transparent with adverse events, and what will happen

2453. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Facilitator Training—Handouts: Preventable Hospital and ED Visits Implementation   Implementation of Preventable Hospital and ED Visits Reports Self-Assessment Scripted Exercise Menu of Implementation…

2454. Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
      January 01, 2024 - Learning about each other did not happen explicitly in the reverse direction (i.e., we did not observe … It also indicates that culture change to shift such dynamics can happen, but it takes time, training … Encourage perspective taking • Discuss as ground rule in prebrief • Focused questions in debrief Doesn’t happen

2455. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
      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?

2456. Preparing for and Recovering After Colorectal Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/colorectal-booklet.pdf
      November 01, 2023 - 4 AHRQ Safety Program for Improving Surgical Care and Recovery Your Body To understand what may happen

2457. The CAHPS Ambulatory Care Improvement Guide: Determining Where to Focus Efforts to Improve Patient Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
      May 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Determining Where to Focus Efforts to Improve Patient Experience The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 5: Determining Where to Focus Efforts to Improve Patient Experience Visit the AHRQ Website for…

2458. Patient-Family-Centered-Care-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-transcript.doc
      April 09, 2013 - interventions, and creating independent checks and learning when things go wrong; what happens, why did it happen … Well, there were times when the family member was willing, but the patient really didn't want that to happen

2459. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
      July 01, 2023 - nurse Danielle Williams, the patient Frontline SPPC-II SCRIPT  Amy finishes with what is expected to happen … about the patient's clinical status, what interventions have been performed thus far, and what needs to happen

2460. Patient and Family-Centered Care (April 9, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
      December 01, 2017 - interventions, and creating independent checks and learning when things go wrong; what happens, why did it happen … Well, there were times when the family member was willing, but the patient really didn't want that to happen