Results

Total Results: 1,686 records

Showing results for "happen".

321. Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pandemic. | PSNet
     psnet.ahrq.gov/issue/covid-19-assessing-risk-public-protection-posed-doctor-result-concerns-about-their-practice
     July 15, 2015 - September 30, 2020 When bad things happen: training medical students to anticipate the

322. How CUSP Enables Nurse Empowerment (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/empowerment.html
     April 01, 2013 - was the defect, a brief description of what happened, and then talk about with the staff: Why did it happen … written daily goal sheet which was helpful to focus communication, to say, “This is what’s going to happen

323. CMV_27_M3_CUSP_SSA_Premortem
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
     January 01, 2017 - Why did it happen? How will you reduce the risk of it happening again?

324. Strategy 4: IDEA Discharge Planning (Tool 4)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
     April 01, 2011 - collaboratively with patients and family members should make everyone clear about what should and should not happen … The doctor gives the order for discharge, but, this should not be a surprise or happen in a vacuum. … What needs to happen? Who is responsible? … As you play out the scene, the objectives are to make sure that: Emily is fully aware of what will happen … As you play out the scene, the objectives are to make sure that: Arnold is fully aware of what will happen

325. NAA National Webinar, February 2025: Establishing Psychological Safety for Healthcare Workers (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/psychological-safety-slides.pdf
     March 18, 2025 - Communicate to clinical staff about importance of CRP, resources to support clinicians when harm events happen

326. Protection of Human Subjects in Research | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/process/grant-app-basics/hsubjects.html
     August 01, 2018 - This may happen for various reasons, some related to the claims about the research protocol (e.g., for

327. Systems Approach | PSNet
     psnet.ahrq.gov/primer/systems-approach
     June 15, 2024 - How could this happen? … By contrast, latent errors are literally accidents waiting to happen—failures of organization or design

328. Chapter 4. Results and Key Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
     August 01, 2022 - What caused the patient safety event to happen? Where did the patient safety event happen?

329. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
     January 01, 2025 - This study did three things: Aim 1: We looked at how many diagnostic errors happen among patients who … advanced analysis techniques, we gained a comprehensive understanding of how often diagnostic errors happen … Less information exists about how often diagnostic errors happen in hospitals, what factors increase

330. Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/action-plan-trip-fac-guide.html
     February 01, 2017 - State your objectives and make a prediction about what will happen and why. … Ask: What did you predict would happen? What actually happened? What did you learn?

331. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
     psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
     September 24, 2024 - We can make sure these processes happen the right way every time. … You cannot force that care pathway to happen a certain way every time. … And you do not know what is going to happen. … kind of thing where you can say, “Zero things will go wrong,” because I don't know how it's going to happen

332. Accreditation and Regulation: Can They Help Improve Patient Safety? | PSNet
     psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
     April 01, 2009 - That is likely to happen through a combination of other policy tools, such as pay-for-performance and … different from routine process breakdowns because they represent unique sequences of errors that will never happen … into improvement, but when public stakeholders say that adverse events keep happening that should not happen … We have seen this happen with CPOE implementation and other kinds of IT implementation. … If you do not get the process working right before you automate it, bad things can happen to patients

333. On-Time Prevention Program for Long Term Care: Clinical Decision Support | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/spectorhudaktxt.html
     December 01, 2017 - HIT for Prevention in Nursing Homes   Pressure ulcers, falls, and preventable hospitalizations happen

334. AHRQ Slide Template 2004 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/spectorhudak.ppt
     December 01, 2013 - Using HIT for Prevention in Nursing Homes Pressure ulcers, falls, and preventable hospitalizations happen

335. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
     March 18, 2025 - • Anything that you do not want to happen again Errors Provide Useful Information • We can learn … From view of person involved Why did it happen? How will you reduce it happening again?

336. Label Health Care Quality Measures in Plain English | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/translate/labels/measures.html
     July 01, 2016 - Label Health Care Quality Measures in Plain English   The public does not speak the same language as health professionals. To reach the public, you will have to translate many terms that are common in the health world into the language of lay people. This includes not only medical terms but also those that po…

337. Recognizing Excellence in Diagnosis. | PSNet
     psnet.ahrq.gov/issue/recognizing-excellence-diagnosis
     November 03, 2023 - Multi-use Website Recognizing Excellence in Diagnosis. Citation Text: Recognizing Excellence in Diagnosis. The Leapfrog Group. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy…

338. 6 Tk1 T2-Talking With Residents Family Members Final (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.docx
     October 01, 2016 - An allergic reaction doesn’t often happen, but sometimes it does. 1. … Side effects happen sometimes, but usually aren’t too much of a problem.

339. Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti-rev091721.pdf
     January 01, 2019 - Composites Definition: The extent to which… Communication About Mistakes Staff discuss mistakes that happen … Response to Mistakes The pharmacy examines why mistakes happen, helps staff learn from mistakes, and … punishing them (C4) 83 We look at staff actions and the way we do things to understand why mistakes happen … We look at staff actions and the way we do things to understand why mistakes happen in this pharmacy

340. Technology Usability | Digital Healthcare Research
     digital.ahrq.gov/health-care-theme/technology-usability
     January 01, 2023 - Context is Critical: Understanding When and Why Electronic Health Record-Related Safety Hazards Happen