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Showing results for "happen".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33694/psn-pdf
    April 01, 2010 - In Conversation with…Janet Corrigan, PhD, MBA April 1, 2010 In Conversation with…Janet Corrigan, PhD, MBA. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba Editor's note: Janet M. Corrigan, PhD, MBA, is president and CEO of the National Quality Forum (NQF), a priva…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49751/psn-pdf
    January 01, 2016 - New Patient Mistakenly Checked in as Another January 1, 2016 Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another The Case A 55-year-old man, presented to a primary care physician's office for an initial vis…

  3. 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…

  4. 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…

  5. 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 …

  6. 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…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49494/psn-pdf
    January 01, 2006 - One Dose, Fifty Pills November 1, 2005 Smith L. One Dose, Fifty Pills . PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/one-dose-fifty-pills The Case A middle-aged man was admitted to the medical service of a teaching hospital with suspected vasculitis. When the initial diagnostic studies failed to provide …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49572/psn-pdf
    October 01, 2008 - Mistaken Identity October 1, 2008 Hall LW. Mistaken Identity. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mistaken-identity The Case An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status and a reported fall. After finding tenderness in her left hip, the p…

  9. 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…

  10. Near Miss With Neonate | PSNet

    psnet.ahrq.gov/web-mm/near-miss-neonate
    August 15, 2018 - Near Miss With Neonate Citation Text: Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  11. Misleading Complaint | PSNet

    psnet.ahrq.gov/web-mm/misleading-complaint
    December 01, 2009 - Misleading Complaint Citation Text: Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  12. Appendix B. Example Data Collection Tools | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/reports/cost-guide/collection-tools.html
    February 01, 2017 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Appendix B. Example Data Collection Tools Previous Page Next Page Table of Contents Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report Background A Practical Guide…

  13. PREGNANCY, INCLUDING PRETERM BIRTH #12 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pregnancy-horizon-scan-high-impact-1406.pdf
    June 01, 2014 - PREGNANCY, INCLUDING PRETERM BIRTH #12 AHRQ Healthcare Horizon Scanning System – Potential High-Impact Interventions Report Priority Area 12: Pregnancy, Including Preterm Birth Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither R…

  14. 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…

  15. 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…

  16. Special Considerations for Measurement of Diagnostic Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
    June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Special Considerations for Measurement of Diagnostic Safety Previous Page Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurement of Diagn…

  17. Blood Thinner Pills: Your Guide to Using Them Safely | Agency for Healthcare Research and Quality

    www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.html
    March 01, 2023 - Blood Thinner Pills: Your Guide to Using Them Safely The Agency for Healthcare Research and Quality offers a free booklet and a video about blood thinner medicines. Staying Active and Healthy with Blood Thinners , a 10-minute video, features easy-to-understand explanations of how blood thinners wor…

  18. Physician and Staff Engagement: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
    March 01, 2017 - Physician and Staff Engagement: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Physician and Staff Engagement Say: Today, we will give you an overview of physician and staff engagement. Slide 2: Learning Objectives Say: After this session, you will be able to…

  19. If You Say So: Taking a Syringe at Face Value in the Operating Room | PSNet

    psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
    January 01, 2015 - If You Say So: Taking a Syringe at Face Value in the Operating Room Citation Text: Lyndon A, Lim S. If You Say So: Taking a Syringe at Face Value in the Operating Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Cita…

  20. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
    January 01, 2021 - Spotlight Spotlight The Consequences of Miscommunication Regarding a Possible Artifact Source and Credits • This presentation is based on the June 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Kriti Gwal, MD o AHRQ WebM&M Edit…
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