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Total Results: 3,974 records

Showing results for "happen".

401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836877/psn-pdf
     May 16, 2022 - in the prehospital setting, or the context of care delivery, impact the patient safety events that happen

402. Fault Tree Analysis | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fault-tree-analysis
     January 01, 2023 - Pay closest attention to failures that are the most likely to happen.

403. Presentation: Science of Improving Patient Safety and Identifying Defects
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
     December 01, 2017 - These skills are required for changes that will result in safer surgical care. 5 How Do These Errors Happen … Science of Improving Patient Safety ‹#› AHRQ Safety Program for Surgery – Onboarding SAY: Errors happen … a powerful exercise in which teams evaluate their processes to identify gaps that allow mistakes to happen … Anything that happens that you do not want to happen again. … : Simply put, a defect is any clinical or operational event or situation that you would not want to happen

404. Understanding CAHPS Surveys: A Primer for New Users - CAHPS 101 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/fry-administering.pdf
     June 02, 2025 - Understanding CAHPS Surveys: A Primer for New Users - CAHPS 101 CAHPS 101 Stephanie Fry Senior Study Director Westat 12 What is Patient Experience? Patient experience refers to what happened in a health care setting. It encompasses the range of interactions that patients have with the health care system, inc…

405. Pf-Engagement-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
     May 01, 2017 - Medical providers are committed to caring for their patients; however, adverse events can happen.

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33857/psn-pdf
     July 01, 2012 - I foresee that that's what's going to happen in the world of data. … who put in the original wells or created the infrastructure, who at some level don't want that to happen … the fabric of life, instead of fighting them people would turn to improving them—and that that would happen

407. In Conversation with…John Banja, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
     February 01, 2006 - He "feels" himself and his world intensely, so that when an error comes along, two things happen: first … As I started learning about errors, how they happen, and how complex and multi-factorial they often are … and, number two, "What's going to happen to me as a result of this?"

408. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet
     psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
     July 20, 2010 - How could such a terrible mistake happen to a team of highly qualified and dedicated individuals in an … journey; the transition to an optimal culture of shared responsibility and accountability does not happen … have maintained the status quo, based on the mistaken premise that "mistakes like that could never happen

409. Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. | PSNet
     psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
     November 30, 2016 - Book/Report Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. Citation Text: Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. Wiley K, Davies JM. Edmonton, AB: Canadia…

410. McDowell I et al. 1989 "Computerized reminders to encourage cervical screening in family-practice." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mcdowell-i-et-al-1989-0
     January 01, 2023 - Reminders issued to the physician provide a low-cost opportunistic approach to reach women who happen

411. Program Impact - Transforming Healthcare Through Digital Innovation | Digital Healthcare Research
     digital.ahrq.gov/program-overview/program-impact
     January 01, 2023 - innovation to: Make healthcare safe, effective, and efficient Show where and when errors can happen

412. Non-English speakers find ERs hard to reach. | PSNet
     psnet.ahrq.gov/issue/non-english-speakers-find-ers-hard-reach
     January 18, 2023 - April 26, 2023 Hospitals look to computers to predict patient emergencies before they happen

413. ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. | PSNet
     psnet.ahrq.gov/issue/ed-revamp-team-approach-care-reduces-errors-boosts-patient-and-clinician-satisfaction
     June 14, 2023 - March 17, 2021 Hospitals look to computers to predict patient emergencies before they happen

414. CAHPS Child Hospital Survey-Using Data and New Narrative Items - The Child HCAHPS Narrative Item Set (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-martino.pdf
     January 01, 2023 - CAHPS Child Hospital Survey-Using Data and New Narrative Items - The Child HCAHPS Narrative Item Set The Child HCAHPS Narrative Item Set Steven Martino, PhD Senior Behavioral Scientist RAND Why Gather Patient Narratives on a CAHPS Survey? • Patient narratives can provide a rich source of valuable information to…

415. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety | PSNet
     psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
     October 01, 2009 - As you start reading through these forms, you start seeing the range of things that happen in health … out, but generally the institution did not make an effort to cover it up or to try to say it didn't happen … Part of the job of the media is not only to explain when these events happen but to try to put them in … So I think it's an excuse to try to say that it's just the media attention, that these problems happen … Is the goal to make it better or at some point do you just say this is not going to happen?

416. In Conversation with... Charles Ornstein | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-ornstein
     October 01, 2009 - As you start reading through these forms, you start seeing the range of things that happen in health … out, but generally the institution did not make an effort to cover it up or to try to say it didn't happen … Part of the job of the media is not only to explain when these events happen but to try to put them in … So I think it's an excuse to try to say that it's just the media attention, that these problems happen … Is the goal to make it better or at some point do you just say this is not going to happen?

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41280/psn-pdf
     December 31, 2014 - information, and forecast the implications of this information (i.e., adverse consequences that might happen

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42900/psn-pdf
     September 19, 2016 - psychiatric units, but a prior Joint Commission sentinel event alert suggested that nearly 15% of attempts happen

419. Patients should know who's operating, surgeons say. | PSNet
     psnet.ahrq.gov/issue/patients-should-know-whos-operating-surgeons-say
     May 15, 2024 - Status December 18, 2019 Program encourages reporting accidents waiting to happen

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49624/psn-pdf
     May 01, 2011 - Angry and upset, the parents asked repeatedly, "How could this happen? … another health care worker's error can help ensure that these challenging but important conversations happen