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Total Results: 3,987 records

Showing results for "happen".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49602/psn-pdf
    April 01, 2010 - which can lead to transition errors (as in this case) and harm to patients (which, luckily, did not happen

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60857/psn-pdf
    August 26, 2020 - are in place exceeds the permissible ischemia time for the tissue under tourniquet control, as may happen

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49608/psn-pdf
    August 01, 2010 - well studied.(4,20) This is only one of many reasons for under-triaging patients, which can still happen

  4. Tacit Handover, Overt Mishap | PSNet

    psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
    August 01, 2006 - That can happen especially when there is an authority gradient , making the questioner even more reluctant

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60269/psn-pdf
    April 29, 2020 - How could this happen, especially in regard to a life-threatening diagnosis?

  6. Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) | PSNet

    psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
    February 26, 2025 - Situation awareness and contingency planning (what family and staff should look out for and what might happen

  7. Comparative Effectiveness Review No. 258_Diagnostic Errors in the Emergency Department: A Systematic Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/diagnostic-error-executive-summary.pdf
    August 01, 2023 - is “What are the most common and significant medical diagnostic failures in the ED, and why do they happen

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861880/psn-pdf
    January 31, 2024 - Situation awareness and contingency planning (what family and staff should look out for and what might happen

  9. TeamSTEPPS Pocket Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
    May 01, 2023 - ownership Situation Awareness & Contingency Planning y Know what’s going on y Plan for what might happen

  10. Engaging the Nurse, Physician, Patient/Family, CUSP- Learn From Defects | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
    August 01, 2018 - reports Recurring gaps Staff Safety Assessment survey Anything that you do not want to happen

  11. Postdischarge Followup Phone Call Script (Patient Version) | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/postdischarge-phone.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Postdischarge Followup Phone Call Script (Patient Version) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures th…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49427/psn-pdf
    January 01, 2004 - Inadvertent Castration January 1, 2004 Calland FJ. Inadvertent Castration. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/inadvertent-castration The Case An 83-year-old man presented with a left groin mass, "which had been there for years" but had recently increased in size. The patient described persisten…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33705/psn-pdf
    January 01, 2011 - Risk Management and Patient Safety December 1, 2010 Manuel BM, McCarthy JL, Berry WR, et al. Risk Management and Patient Safety. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/risk-management-and-patient-safety Perspective In 1990, a Harvard-based research team reported the incidence of medical errors …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49502/psn-pdf
    February 01, 2006 - Deciphering the Code February 1, 2006 Goldstein MK. Deciphering the Code. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/deciphering-code The Case An 85-year-old man with advanced oxygen-dependent chronic obstructive pulmonary disease (COPD) presented to the emergency department (ED) with increasing shortn…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49851/psn-pdf
    January 01, 2019 - One Bronchoscopy, Two Errors January 1, 2019 Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors The Case A 67-year-old man with a history of hypertension was admitted to the intensive care unit (ICU) with hypoxic respiratory failure…

  16. Create a Safe Medicine List Together (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
    June 02, 2025 - Create a Safe Medicine List Together Create a Safe Medicine List Together AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Presenter Presentation Notes The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Impr…

  17. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
    June 02, 2025 - PowerPoint Presentation Create a Safe Medicine List Together AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Improving Patient Safety in Primary Care Settings by Engagin…

  18. Module 3: Component Kit (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
    May 01, 2017 - Module 3: Component Kit AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 3: Problem Solving and Escalation Problem Solving and Escalation – Standards Component Kit Contents 1. What Are Problem Solving and Escalation? 2 2. What Is a Problem and What Is a Solution? 2 3. Wher…

  19. Release Form for AHRQ To Use Copyrighted Material (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Appendix1-A-PermissionForms.pdf
    April 01, 2024 - For the best experience, open this PDF portfolio in Acrobat X or Adobe Reader X, or later. Get Adobe Reader Now! http://www.adobe.com/go/reader Release Form for AHRQ To Use Copyrighted Material Instructions This form must be completed by Contractors …

  20. Postdischarge Followup Phone Call Script (Patient Version) | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/postdischarge-phone.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Postdischarge Followup Phone Call Script (Patient Version) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures th…
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