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Showing results for "happen".
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.htmlJuly 01, 2023 - Being aware of what is going on and what is likely to happen next.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/6-improvement-strategies.pdfMarch 01, 2017 - strategies are aimed at physician practices and medical groups because they address aspects of care that happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptxMay 28, 2015 - Monthly data reports Recurring gaps Staff Safety Assessment survey Anything that you do not want to happen
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Small-Conf Impact Final Report (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/small-conf_impact_final_report.docxJanuary 01, 2011 - We need more at these meetings and they need to be longer for team level discussions to happen. · Also -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60542/psn-pdfMay 27, 2020 - However, without a dietician available, this notification did not happen, which necessitated the ordering -
Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture | PSNet
psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-ruptureMarch 15, 2023 - Before this could happen, the patient developed increasing hypoxemia and respiratory distress, ultimately -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49528/psn-pdfJanuary 01, 2015 - The "Customer" Is Always Right February 1, 2007 Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/customer-always-right Case Objectives Understand the importance of identifying a patient's agenda. Appreciate the factors that contribute to unmet patient expectations. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49639/psn-pdfNovember 01, 2011 - Near Miss with Bedside Medications November 1, 2011 Wu AW. Near Miss with Bedside Medications. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/near-miss-bedside-medications Case Objectives Understanding the definition of near miss—also known as close call. Appreciate the importance of close calls in reducin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841139/psn-pdfDecember 14, 2022 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. December 14, 2022 Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. PSNet [internet]. 2022. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852808/psn-pdfAugust 30, 2023 - Prolonged DKA in Pregnancy: A Case of Communication Breakdown. August 30, 2023 Marshall S, Boe NM. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown Disclosure of Relevant Financial Relationship… -
Spotlight (pdf file)
psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdfJanuary 01, 2023 - Spotlight Spotlight Prolonged DKA in Pregnancy: A Case of Communication Breakdown Source and Credits • This presentation is based on the August 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Sarah Marshall, MD and Nina M. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49819/psn-pdfFebruary 01, 2018 - Signout Fallout February 1, 2018 Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/signout-fallout Case Objectives Understand the role of communication failures in medical errors and preventable adverse events. Review the evidence in support of handoff improvement pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854897/psn-pdfOctober 31, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose October 31, 2023 Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/weight-and-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49828/psn-pdfMay 01, 2018 - Out of Sight, Out of Mind: Out-of-Office Test Result Management May 1, 2018 Poon EG. Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management Case Objectives Recognize the general responsibilities of… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49550/psn-pdfDecember 01, 2007 - Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? December 1, 2007 Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals The Case … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49864/psn-pdfJune 01, 2019 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout June 1, 2019 Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/speaking-patient-safety-… -
www.ahrq.gov/research/findings/final-reports/stpra/stpraapd.htmlApril 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix D. Site Visit Process Comparison Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Ch…
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Microbiologic-Specimens-Facilitator-Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-facilitator-guide.docxJune 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Appropriate Collection of Microbiologic Specimens Long-Term Care Slide Title and Commentary Slide Number and Slide Appropriate Collection of Microbiologic Specimens Long-Term Care SAY: Welcome to this presentation, titled, “Appropriate Collection of Microbiol… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdfMay 01, 2017 - Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Publication No. 17-0003-1-EF May 2017 SAY: This module introduces the comprehensive unit-based safety program, …
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040-Mrsa-Surveillance-Notes (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/040-mrsa-surveillance-notes.docxOctober 01, 2024 - AHRQ Safety Program for MRSA Prevention MRSA Surveillance ICU & Non-ICU Slide Title and Commentary Slide Number and Slide MRSA Surveillance SAY: Welcome to this presentation on MRSA Surveillance, which will explain how various approaches to MRSA surveillance help to prevent transmission of MRSA in intensive care u…
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