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Total Results: 3,987 records

Showing results for "happen".

  1. In Conversation with…Donald M. Berwick, MD, MPP | PSNet

    psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
    November 01, 2005 - In Conversation with…Donald M. Berwick, MD, MPP November 1, 2005  Also Read an Essay Citation Text: In Conversation with…Donald M. Berwick, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…

  2. Diagnostic Errors | PSNet

    psnet.ahrq.gov/perspective/diagnostic-errors
    December 01, 2013 - some tension between the acts of research in improvement and the operational work to make improvement happen

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867656/psn-pdf
    February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety February 26, 2025 Savitz LA, Sousane Z, Mossburg SE. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learnin…

  4. In Conversation With… Vineet Chopra, MD, MSc | PSNet

    psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
    February 28, 2024 - pages long) was that no one was going to read a document that lengthy to make a decision that needed to happen

  5. Imp-Handouts (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
    June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1 On-Time Preventable Hospital and ED Visits: Implementation On-Time Preventable Hospital and ED Visits Self-Assessment Scripted Exercise Team consists of:  Facilitator [Tom]  Program Champion (Quality Assessment and…

  6. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
    January 01, 2025 - Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report Leveraging Existing Assessments of Risk Now (LEARN) Final Report PI: Donna Woods, EdM, PhD Jane Holl, MD, MPH; Sally Reynolds, MD; Robert Wears, MD; Ellen Schwalenstocker, PhD; Jonathan Young; O…

  7. Presentation: Program Overview

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
    December 01, 2017 - Presentation: Program Overview Program Overview AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 Overview ‹#› AHRQ Safety Program for Surgery – Onboarding SAY: You have embarked on a unique journey. 1 Never doubt that a small group of thoughtful, committed citizens ca…

  8. NATIONAL WEB-BASED TELECONFERENCE ON HEALTH IT: QUALITY METRICS AND MEASUREMENT (pdf file)

    digital.ahrq.gov/sites/default/files/docs/quality-metrics-transcript-042811.pdf
    December 31, 2007 - But it doesn’t take much to think about many ways this can happen without any real change in the true … Of course in reality, you know there are reasons this doesn’t happen but it certain is a theoretical … an approach will help fight the perverse incentives that make it less desirable for providers who happen

  9. In Conversation With… David Meltzer, MD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-david-meltzer-md-phd
    November 01, 2018 - And stuff comes up in doctors' lives, they have to move and things happen. … Where does that tradeoff happen? DM : This is an important point.

  10. The Comprehensivist Model of Care: A Hospitalist's View | PSNet

    psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
    November 01, 2018 - And stuff comes up in doctors' lives, they have to move and things happen. … Where does that tradeoff happen? DM : This is an important point.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33724/psn-pdf
    February 01, 2012 - Mistakes may happen because you allow people a little bit of room in their training to be autonomous

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33672/psn-pdf
    September 01, 2008 - RW: Given that such a high percentage of errors in the medication process happen at a point that begins

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49783/psn-pdf
    February 01, 2017 - How then did it happen, and what are the implications for the use of checklists and order sets in medicine

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49633/psn-pdf
    September 01, 2011 - safety-and-quality-long-term-care The Commentary This case highlights the reality that serious adverse events happen

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838855/psn-pdf
    October 27, 2022 - post-procedural pneumothorax with CXR, interpretation and communication of the CXR results did not happen

  16. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
    May 01, 2017 - plan is through briefings and team management, being aware of what is going on and what is likely to happen

  17. 035-Importance-Mrsa-Prevention-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
    October 01, 2024 - From MRSA Colonization to Infection SAY: The progression from MRSA colonization to infection can happen

  18. AHRQ Safety Program for MRSA Prevention

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/034-importance-mrsa-prevention-slides.pptx
    October 01, 2024 - Transition From MRSA Colonization to Infection Transition from MRSA colonization to MRSA infection can happen

  19. Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustaining-guide.pdf
    March 01, 2017 - Prevent Healthcare- Associated Infections.1 How To Use This Guide Planning for sustainability should happen

  20. Communication and Optimal Resolution (CANDOR) Toolkit Module 3: Preparing for Implementation: Change Readiness and Gap Analysis

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/module3-assessment-change-readiness-gap-analysis.pptx
    August 25, 2015 - Kotter’s model describes what must happen to achieve system-wide change.
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