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Total Results: 4,075 records

Showing results for "happen".

3101. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
      May 01, 2003 - fails to resolve the error’s Physician Event Reporting 357 source, errors will continue to happen

3102. Module 3: Best Practices in Pressure Injury Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
      October 01, 2017 - Note that they have a person or persons responsible to make each task happen by a certain date.

3103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866993/psn-pdf
      October 30, 2024 - That education should happen across the entire system, not just for the prescribers. 

3104. The Need to Eat | PSNet
      psnet.ahrq.gov/web-mm/need-eat
      February 10, 2021 - may have worsened swallow function necessitating PEG tube placement. 16 How does HA malnutrition happen

3105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50755/psn-pdf
      December 18, 2019 - and may have worsened swallow function necessitating PEG tube placement.16 How does HA malnutrition happen

3106. Module 3: Best Practices in Pressure Injury Prevention (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
      June 02, 2025 - Note that they have a person or persons responsible to make each task happen by a certain date.

3107. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
      May 30, 2013 - plan is through briefings and team management, · being aware of what is going on and what is likely to happen

3108. Racial and Ethnic Disparities in Hospitals Patient Safety Events, 2005 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb53.pdf
      June 01, 2008 - Such tears, which can happen even when medical instruments are not used, are often preventable.

3109. Getting on the Same Page: Leveraging an inpatient portal to engage families of hospitalized children – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs027894-kelly-final-report-2023.pdf
      January 01, 2023 - ’m not trying to say that people are neglectful on purpose, but we are all human, and mistakes do happen

3110. Life-Threatening Infant Overdose of Sodium Chloride | PSNet
      psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
      December 23, 2020 - However, without a dietician available, this notification did not happen, which necessitated the ordering

3111. Missed Opportunities for Suicide Risk Assessment | PSNet
      psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
      September 27, 2023 - suicide risk and medical decision-making capacity and while requests to leave against medical advice happen

3112. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
      September 24, 2024 - You just spoke to the fact that harm does happen even in organizations that have a zero-harm goal.

3113. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
      January 01, 2004 - was to report a technical malfunction (such as failure of any recommendations to appear, as would happen

3114. A Tale of Two Falls | PSNet
      psnet.ahrq.gov/web-mm/tale-two-falls
      March 27, 2024 - Falls can happen at any age, but older adults are at higher risk given physiological changes.

3115. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867035/psn-pdf
      October 30, 2024 - Falls can happen at any age, but older adults are at higher risk given physiological changes.

3116. S143 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/s143.pdf
      October 01, 2007 - This work was an extension of work that has been pub- lished.16,17 We sought to demonstrate what might happen

3117. Safe Medication Administration: Oxytocin | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
      July 01, 2023 - Being aware of what is going on and what is likely to happen next.

3118. Services (pdf file)
      meps.ahrq.gov/data_stats/nhc/services.pdf
      September 30, 1997 - US38 How many times did this happen between {REFERENCE START DATE} and {REFERENCE END DATE}?

3119. 2014 Pilot Study: Value and Efficiency Supplemental Items for the Medical Office SOPS Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/medofficevaluepilotreport.pdf
      November 01, 2017 - flow. 9 12 9/12=75% We look at staff actions and the way we do things to understand why mistakes happen

3120. Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
      September 01, 2015 - Patient visits may run late; emergencies will happen. … Hear the other person: sometimes all that needs to happen is for the other person to be heard, so listen