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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
July 01, 2023 - identify new or changing information
Create individual awareness of what’s going on and what is likely to happen … Unfortunately, the reality of patient care is such that sometimes surprises happen or a case is complex
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psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - If we're not going to reimburse, it's just not going to happen. … this is what works, we will need to figure out the financial models, logistically how you make this happen
-
psnet.ahrq.gov/node/863649/psn-pdf
February 28, 2024 - It is easy to talk about how
communication should happen, for example, in a surgery unit in a hospital
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - Today, this doesn't happen.
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effectivehealthcare.ahrq.gov/sites/default/files/module-iv-skills-for-successful-engagement.pdf
October 08, 2025 - Approaches to this thoughtful engagement can happen at several points in the process.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
January 01, 2002 - Effective teams did not just happen.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
January 01, 2008 - Achieving desired outcomes does not happen overnight.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
January 01, 2008 - Achieving desired outcomes does not happen overnight.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure.pptx
July 01, 2023 - safety; however, as examples in aviation and other high-risk industries have shown, the change will not happen
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
July 01, 2023 - safety; however, as examples in
aviation and other high‐risk industries have shown, the change will not happen
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure.pptx
July 01, 2023 - safety; however, as examples in aviation and other high-risk industries have shown, the change will not happen
-
www.ahrq.gov/evidencenow/projects/state/meeting-summary-cooperatives/building-state2.html
October 01, 2024 - Be patient and realistic in terms of the pace at which work gets done; results don’t happen right away
-
psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - standard preoperative huddle and pre-incision checklist likely
contributed to this near miss, which may happen
-
digital.ahrq.gov/sites/default/files/docs/lesson/09-0029-ef-cdm.pdf
January 01, 2009 - Instead, change will happen through
a series of small, incremental steps.
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs022894-pratt-final-report-2020.pdf
January 01, 2020 - For example, selecting the “Vitals Check” event shows a description of
what will happen during this
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hcup-us.ahrq.gov/db/ccr/ip-ccr/CCR_NIS_UserGuide_2001-2019.pdf
January 01, 2019 - This
phenomenon can happen in any year, but in 2005 it had the effect of increasing the national
CCR
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www.ahrq.gov/cahps/quality-improvement/research/index.html
March 01, 2025 - comments from the single open-ended item contained sufficiently specific information about what needs to happen
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - standard preoperative huddle and pre-incision checklist likely contributed to this near miss, which may happen
-
effectivehealthcare.ahrq.gov/health-topics/seizures
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effectivehealthcare.ahrq.gov/health-topics/urinary-incontinence