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Showing results for "happen".

301. Safely Home: What Happens When People Leave Hospital Care Settings? | PSNet
     psnet.ahrq.gov/issue/safely-home-what-happens-when-people-leave-hospital-care-settings
     August 02, 2023 - Book/Report Safely Home: What Happens When People Leave Hospital Care Settings? Citation Text: Safely Home: What Happens When People Leave Hospital Care Settings? London, UK: Healthwatch England; July 2015. Copy Citation Save Save to your library Print D…

302. Ambulatory Procedure/Surgery Center Survey on Patient Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.docx
     June 02, 2025 - Staff are told about patient safety problems that happen in this facility ........................... … We are good at changing processes to make sure the same patient safety problems don’t happen again

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36499/psn-pdf
     January 07, 2011 - Web-based reporting system to monitor types of medication errors and near misses, determine when they happen

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850358/psn-pdf
     June 14, 2023 - What Happened to Patient Safety. June 14, 2023 Sheridan S. Turn on the Lights. Institute for Healthcare Improvement.  May 2023 https://psnet.ahrq.gov/issue/what-happened-patient-safety Patient engagement is an important component in patient safety. This episode from the Turn on the Lights podcast (hosted by I…

305. In Conversation With... James P. Bagian, MD, PE | PSNet
     psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
     February 26, 2025 - The way I would look at it is to try to understand what happened, why did it happen, and what do you … Why did it happen? What are we going to do to prevent it in the future? … Our goal is to make sure that this cannot or is very unlikely to happen in the future and whether there's … Unfortunately, in today's health care industry there are many places where that doesn't happen.

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33789/psn-pdf
     August 01, 2015 - Interoperability, systems that can talk to each other, I don't think will happen on its own in that … or in some cases actually detrimental to making it happen. … Government has a role to convene and build incentives and maybe requirements to make it happen. … The market will not make privacy and security happen well enough by itself. … Some of that will happen with the same changes that promote interoperability.

307. TeamSTEPPS® Diagnosis Improvement: Module 4 Leadership - Facilitator’s Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-presenters-notes.pdf
     January 05, 2022 - These  examples  can  be  from  actual  experience  or  situations  that  you  imagine could happen. … Slide 11 could happen. 3. … • How could that happen in your setting? … • Did everything happen for a patient or patients that was intended? … These  examples  can  be from  actual  experience  or  situations  that  you  imagine  could  happen

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844047/psn-pdf
     February 08, 2023 - failure, the process of allowing or interrupting failure, and how they decide to allow failure to happen

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73534/psn-pdf
     July 28, 2021 - its-big-part-being-good-surgeons-surgical-trainees-perceptions-error-recovery-operating-room https://psnet.ahrq.gov/issue/surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical

310. Strategy 3: Bedside Shift Report (Tool 2) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_2_Nurse_Chklst_508.docx
     June 02, 2025 - “What do you want to happen during the next 12 hours?”

311. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
     July 01, 2023 - Question 2: Why did it happen? Question 3: What will you do to reduce the risk of reoccurrence? … Defects or failures are clinical or operational events that you do not want to happen again.

312. Patient portal use among older adults: what Is really happening nationwide? | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/theory-based-patient-portal-elearning-program-older-adults-chronic-illnesses/citation/patient
     January 01, 2023 - Patient portal use among older adults: what Is really happening nationwide? Citation Nahm ES, Zhu S, Bellantoni M, et al. Patient portal use among older adults: what Is really happening nationwide? J Appl Gerontol 2018 May 1:733464818776125. doi:10.1177/0733464818776125. [Epub ahead of print]. PMID: 2…

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47885/psn-pdf
     May 01, 2019 - Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. May 1, 2019 Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236. https://psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital Patient stories offer important insights regarding the impact m…

314. The Business Case for CUSP (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/business-case.html
     April 01, 2013 - set the stage with this one, that if you do the improvements in quality and patient safety, what can happen … It isn’t going to happen. … Let’s go to slide number 25 and take a look at what does happen to hospital throughput. … What would happen if you put a sign up in your hospital that said, 25 minutes since our last hospital … You’re spending more, but what’s going to happen is you’ll stop the spread of infection from staff to

315. The Science of Improving Patient Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
     March 01, 2009 - deaths from central line-associated blood stream infections per year8 4 4 How Can These Errors Happen … Why did it happen? How will you reduce the risk of recurrence? How will you know it worked?

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33686/psn-pdf
     August 01, 2009 - time at the right dose without asking the nurses to do endless workarounds to make sure that will all happen … Now without stopping the work, what could happen at that point is that the nurse does go procure the … RW: Does this not happen in health care because the nurse doesn't think about her work that way? … If you look at the financial market, what will happen is that for all the finger pointing that's going … Maybe the first measures are very simple: yes or no, did a never event happen?

317. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
     December 01, 2017 - Slide 6: How Do These Errors Happen? … Say: Errors happen because people are fallible. … a powerful exercise in which teams evaluate their processes to identify gaps that allow mistakes to happen … Simply put, a defect is any clinical or operational event or situation that you would not want to happen

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866583/psn-pdf
     August 28, 2024 - assessing-stops-framework-coping-intraoperative-errors-evidence-efficacy-hints-hubris-and https://psnet.ahrq.gov/issue/surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical

319. Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-grob-narrative-elicitation-protocol.pdf
     June 02, 2025 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care The CAHPS Narrative Elicitation Protocol Rachel Grob, Ph.D. Director of National Initiatives and Clinical Professor, Center for Patient Partnerships Madison, WI www.ahrq.gov/cahps CAHPS Narrative Elicitation Protocol • A …

320. Managing Gout: A Review of the Research for Adults (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/gout_consumer.pdf
     January 01, 2017 - The joint most often affected is the big toe, but gout can happen in any joint (such as the ankles, … But, an attack can happen again. Over time, attacks may last longer and may happen more often. … � Side effects happen about as often with allopurinol (Zyloprim®) as with febuxostat (Uloric®).