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Total Results: 3,974 records

Showing results for "happen".

3521. Patient and Family Roles in Safety | PSNet
      psnet.ahrq.gov/perspective/patient-and-family-roles-safety
      June 14, 2023 - I asked, “is the momentum so great now that family-centered care will just happen, and we can go away

3522. MyMediHealth: A Paradigm for Children-centered Medication Management - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs018168-johnson-final-report-2013.pdf
      January 01, 2013 - [so] if he happen to be on the nebulizer, I do, I still do the medicine.”] 2.

3523. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
      January 01, 2005 - Clearly, the hospital discharge is a time when accidents and adverse events happen because latent conditions

3524. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
      February 26, 2008 - when conducted at least hourly but not when done every 2 hours.54 Studies have shown that falls happen

3525. SOPS™ Introducing the New SOPS Hospital Survey 2.0 webcast transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hsops2.0-webcast-transcript.pdf
      January 01, 2020 - For a positively worded survey item like, "We are informed about errors that happen in this unit," a

3526. LEARNING OBJECTIVES OF THIS WORKBOOK (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.doc
      April 01, 2006 - Yet, with small, smart steps, you can make that happen.   

3527. Final Progress Report: Teamwork and Error in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
      January 01, 2024 - But when there is one member or one person in the system not working, then that teamwork does not happen

3528. Final Progress Report: Health Journalism 2011, national conference on healthcare journalism (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
      January 01, 2024 - FIELD TRIP 3 HEALTHCARE CSI To improve healthcare, we need to understand why bad things happen and

3529. Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
      January 01, 2025 - addressed through assessment and care plan development. 14 ST-PRA IN HOME HEALTH CARE This can happen

3530. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
      February 26, 2008 - when conducted at least hourly but not when done every 2 hours.54 Studies have shown that falls happen

3531. Enhancing Clinical Decision Support Applications for Community Pharmacist-Delivered Medication Therapy Management - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs025005-snyder-final-report-2019.pdf
      January 01, 2019 - 6iv A consequence statement telling the user what might happen if the alert is ignored; (medical or

3532. DEcIDE 32: The Incident User Design in Comparative Effectiveness Research (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/incident-user-design_research.pdf
      May 01, 2012 - antipsychotic therapies.35 It’s harder to assign a meaningful incidence date for an intervention that did not happen

3533. Disposition of Comments for CER 153 Non-Muscle-Invasive Bladder Cancer (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/bladder-cancer-non-muscle-invasive_disposition-comments.pdf
      October 27, 2015 - applicability of this to clinical practice is potentially biased, as this two surgeon scenario will never happen

3534. AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.pdf
      November 01, 2017 - . 9 12 9/12=75% We look at staff actions and the way we do things to understand why mistakes happen

3535. AHRQ Hospital Pilot Study Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
      November 01, 2017 - . 9 12 9/12=75% We look at staff actions and the way we do things to understand why mistakes happen

3536. Asthma Care Quality Improvement: A Workbook for State Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.pdf
      April 01, 2006 - Yet, with small, smart steps, you can make that happen.

3537. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
      January 01, 2024 - In these complex non-medical systems, it is highly undesirable to wait for a serious accident to happen

3538. Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
      May 01, 2024 - particular update, alert, or new piece of data is worth interruption at any given time; all distractions happen

3539. Health Information Exchange Utilization and Inter-hospital Transfer Outcomes - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs026732-usher-final-report-2023.pdf
      January 01, 2023 - More-over transfer of responsibilities does not happen at the time of hand- off, but when the patient

3540. Enhancing Medication CPOE Quality & Safety by Indications Based Prescribing - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs023694-schiff-final-report-2018.pdf
      January 01, 2018 - What is needed next is multi-stakeholder leadership to make it happen.