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Total Results: 3,974 records

Showing results for "happen".

361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866848/psn-pdf
     September 25, 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

362. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
     December 01, 2017 - Slide 5 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

363. Chapter 5. Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit5.html
     March 01, 2014 - be translatable to any community resource and any practice willing to take the extra step to make it happen

364. Assessing TAKEheart | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/assessing/index.html
     August 01, 2023 - Assessing TAKEheart Through our assessment of TAKEheart, we learned many lessons that will help guide future work in this area. Our Evaluation Report Executive Summary describes the project activities, key findings, lessons learned, and recommendations for future similar efforts. Our Hybrid Cardiac Rehabilita…

365. What happened to my patient? An educational intervention to facilitate postdischarge patient follow-up. | PSNet
     psnet.ahrq.gov/issue/what-happened-my-patient-educational-intervention-facilitate-postdischarge-patient-follow
     June 22, 2022 - Commentary What happened to my patient? An educational intervention to facilitate postdischarge patient follow-up. Citation Text: Narayana S, Rajkomar A, Harrison JD, et al. What Happened to My Patient? An Educational Intervention to Facilitate Postdischarge Patient Follow-Up. J Grad Med…

366. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medicati-7
     January 01, 2023 - What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Citation Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabe…

367. What happens to the medication regimens of older adults during and after an acute hospitalization? | PSNet
     psnet.ahrq.gov/issue/what-happens-medication-regimens-older-adults-during-and-after-acute-hospitalization
     May 19, 2021 - Study What happens to the medication regimens of older adults during and after an acute hospitalization? Citation Text: Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during and after an acute hospitalization? J Patient Saf. 2013;9(3):15…

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33820/psn-pdf
     December 01, 2016 - 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.

369. Auditing Your Briefings and Debriefings Process: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html
     December 01, 2017 - with teammates, when people understand what that plan is, when they have a sense of what’s going to happen … Slide 7: Developing a Briefing Audit Tool Ask: How do you think briefings and debriefings should happen … Ask: What is the worst thing that could happen, and what are we going to do about it if it did? … We know this is important, but it’s tough to make happen. … All of these steps happen before the case begins, or prior to incision.

370. Facilitator Guide: Auditing Your Briefings and Debriefings (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
     December 01, 2017 - with teammates, when people understand what that plan is, when they have a sense of what’s going to happen … Slide 6 Developing a Briefing Audit Tool ASK: How do you think briefings and debriefings should happen … ASK: What is the worst thing that could happen, and what are we going to do about it if it did? … We know this is important, but it’s tough to make happen. … All of these steps happen before the case begins, or prior to incision.

371. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
     January 01, 2024 - month but less than 1x/week 4 Frequent: Likely to occur immediately or within a short period (may happen … times in 1 year) Greater than 1x/year but less than 1x/month 3 Occasional: Probably will occur (may happen … several times in 1 to 2 years) Less than 2x/year 2 Uncommon: Possible to occur (may happen sometime … in 2 to 5 years) Once every 2 - 5 years 1 Remote: Unlikely to occur (may happen sometime in 5 to

372. A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! | PSNet
     psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here
     December 27, 2018 - Newspaper/Magazine Article A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! Citation Text: A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019 Cop…

373. Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. | PSNet
     psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it
     November 20, 2019 - Newspaper/Magazine Article Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Citation Text: Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Park A. Time Magazine. January 24, 2019. Copy Citation…

374. Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN. | PSNet
     psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn
     June 24, 2020 - Newspaper/Magazine Article Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN. Citation Text: Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN. Gillispie-Bell V. USA Today. April 14, 2023. Copy Citation S…

375. Module 2: Component Kit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
     May 01, 2017 - In ambulatory surgery centers (ASCs), huddles can happen once per day with each unit (e.g., the operating … Level 3: Daily huddles happen when the supervisor is not present. … What can you do to make the huddle happen every day?

376. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
     September 10, 2015 - and Analysis is that managing individual performance alone does not ensure that a harm event won’t happen … focusing on individual blame. 11 System And Individual Accountability2 Module 4 12 Why did the event happen

377. Physician Office (pdf file)
     digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/Workflow_Assessment_Checklist.pdf
     June 01, 2005 - Phone in advance Phone for same day appointment Previous visit Does anything happen between

378. Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
     January 01, 2004 - Change Dwight McNeill, Howard Holland, Kerm Henriksen Abstract This paper addresses how to make happen … practices and quality of care will indicate if the models provide useful guidance in making change happen … different approaches for reducing patient harm, increasing the Nation’s knowledge base, and making change happen … In general, the job of action production—i.e., making change happen through implementation—is not done … the seemingly incongruent context of agriculture, provides very useful guidance on how to make this happen

379. Resilient Healthcare and the Safety-I and Safety-II Frameworks | PSNet
     psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
     December 14, 2022 - All these situations happen while considering the conditions, capabilities, and preferences of individual … It was always a draft because as the day evolved, things would happen that changed that plan. … All patient care events happen in the context of other people and other parts of the system. … It’s the idea that we think that work—like providing healthcare—will happen a certain way, but when work … actually happens, people often have to make adjustments to make the work happen effectively and get

380. In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS | PSNet
     psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
     December 14, 2022 - It was always a draft because as the day evolved, things would happen that changed that plan. … All patient care events happen in the context of other people and other parts of the system. … It’s the idea that we think that work—like providing healthcare—will happen a certain way, but when work … actually happens, people often have to make adjustments to make the work happen effectively and get … All these situations happen while considering the conditions, capabilities, and preferences of individual