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Showing results for "happen".

  1. 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…

  2. 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…

  3. Flying Object Hits MRI | PSNet

    psnet.ahrq.gov/web-mm/flying-object-hits-mri
    September 01, 2005 - Flying Object Hits MRI Citation Text: Gosbee JW, Gosbee LL. Flying Object Hits MRI. 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 7 XML Endnote t…

  4. To Resuscitate or Not? | PSNet

    psnet.ahrq.gov/web-mm/resuscitate-or-not
    November 01, 2011 - To Resuscitate or Not? Citation Text: Wu AW, Pronovost P. To Resuscitate or Not?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  5. 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…

  6. XL or Smaller? | PSNet

    psnet.ahrq.gov/web-mm/xl-or-smaller
    September 13, 2017 - XL or Smaller? Citation Text: Kozer E. XL or Smaller?. 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 7 XML Endnote tagged PubMedId RIS …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49396/psn-pdf
    April 01, 2003 - The 2-Week Itch April 1, 2003 Cohen MR. The 2-Week Itch. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/2-week-itch The Case A 40-year-old woman with bipolar disorder (on trazodone) came to her primary care physician with new urticaria. She received a handwritten prescription for Zyrtec and Atarax. The ha…

  8. Listen to the Family | PSNet

    psnet.ahrq.gov/web-mm/listen-family
    April 15, 2015 - Listen to the Family Citation Text: Campbell D. Listen to the Family. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  9. Moved Too Soon | PSNet

    psnet.ahrq.gov/web-mm/moved-too-soon
    November 01, 2006 - Moved Too Soon Citation Text: Lindenauer PK. Moved Too Soon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  10. 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 …

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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.

  19. 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

  20. 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
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