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Total Results: 3,974 records

Showing results for "happen".

  1. HCBS CAHPS Survey Database: What You Need to Know - GINSBERG (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-ginsberg.pdf
    June 02, 2025 - HCBS CAHPS Survey Database: What You Need to Know - GINSBERG 5 AHRQ’S CAHPS® PROGRAM Caren Ginsberg, Ph.D., CPXP Director, CAHPS and Surveys on Patient Safety Culture (SOPS) Programs Center for Quality Improvement & Patient Safety, AHRQ 6 AHRQ’s Core Competencies • Health Systems Research: Invest in research…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33875/psn-pdf
    March 01, 2019 - And how can we make sure this doesn't happen again? … And that often doesn't happen, or it happens in a flurry of white coats being led around without getting

  3. In Conversation with...Sorrel King | PSNet

    psnet.ahrq.gov/perspective/conversation-withsorrel-king
    March 01, 2007 - lawyer at Hopkins, and said, "What happened to Josie, that little strike of lightning, that doesn't happen … These systems are eventually going to break down and something is going to happen that wasn't that doctor's … But something bad is going to happen and it's going to look like it's that person's fault or that person

  4. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - and Analysis is that managing individual performance alone does not ensure that a harm event won't happen

  5. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - GINSBERG (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-ahrq.pdf
    January 01, 2021 - Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - GINSBERG AHRQ’S CAHPS® PROGRAM Caren Ginsberg, Ph.D., CPXP Director, CAHPS and Surveys on Patient Safety Culture (SOPS) Programs Center for Quality Improvement & Patient Safety, AHRQ 6 7 AHRQ’s Core Compe…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39721/psn-pdf
    September 20, 2011 - Barriers to reporting included a belief that it wasn’t their responsibility, nothing would happen from

  7. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-0
    February 28, 2015 - February 13, 2013 Program encourages reporting accidents waiting to happen: the Good

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33716/psn-pdf
    September 01, 2011 - In Conversation With…Kaveh G. Shojania, MD September 1, 2011 In Conversation With…Kaveh G. Shojania, MD. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md Editor's note: Kaveh G. Shojania, MD, is the Canada Research Chair in Patient Safety and Quality Improvement and t…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50392/psn-pdf
    September 01, 2019 - I remember Ken Kizer announcing these eight things that should never happen in health care and they … The notion that some things should not happen, that we should have a high degree of accuracy around, … "This should always happen"; "this should never happen."

  10. Illinois | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/illinois
    January 01, 2023 - This can only happen through the widespread adoption of health information technology and information

  11. Preventing medication errors during codes. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-during-codes
    February 22, 2023 - Related Resources Hospitals look to computers to predict patient emergencies before they happen

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842919/psn-pdf
    February 01, 2023 - of basal and/or nutritional insulin in a patient with type 1 diabetes is an event that should never happen … Ask what will happen with your medicines. 3. Know what will happen with your diet. 4. … Find out what will happen when you go home.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853240/psn-pdf
    September 06, 2023 - Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. September 6, 2023 McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety eve…

  14. CAHPS 101 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-03-fry.pdf
    June 02, 2025 - CAHPS 101 WHAT IS PATIENT EXPERIENCE AND HOW DOES CAHPS MEASURE IT? Stephanie Fry Senior Study Director Westat What is Patient Experience? Patient experience encompasses the range of interactions that patients have with the health care system, including: 13 Coordinated care from doctors and nurses in he…

  15. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet

    psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
    August 01, 2009 - time at the right dose without asking the nurses to do endless workarounds to make sure that will all happen … Now without stopping the work, what could happen at that point is that the nurse does go procure the … RW: Does this not happen in health care because the nurse doesn't think about her work that way? … If you look at the financial market, what will happen is that for all the finger pointing that's going … Maybe the first measures are very simple: yes or no, did a never event happen?

  16. Workarounds and Resiliency on the Front Lines of Health Care | PSNet

    psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
    August 01, 2009 - time at the right dose without asking the nurses to do endless workarounds to make sure that will all happen … Now without stopping the work, what could happen at that point is that the nurse does go procure the … RW: Does this not happen in health care because the nurse doesn't think about her work that way? … If you look at the financial market, what will happen is that for all the finger pointing that's going … Maybe the first measures are very simple: yes or no, did a never event happen?

  17. Understanding CAHPS® Surveys: A Primer for New Users - Fry (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/webinar-012220-fry.pdf
    June 02, 2025 - Understanding CAHPS® Surveys: A Primer for New Users - Fry WHAT IS PATIENT EXPERIENCE AND HOW DOES CAHPS MEASURE IT? Stephanie Fry Senior Study Director Westat What is Patient Experience? Patient experience encompasses the range of interactions that patients have with the health care system, including: Co…

  18. Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. | PSNet

    psnet.ahrq.gov/issue/intraoperative-adverse-events-abdominal-surgery-what-happens-operating-room-does-not-stay
    January 23, 2017 - Study Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. Citation Text: Bohnen JD, Mavros MN, Ramly EP, et al. Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay in …

  19. Missed CANDOR Implementation Opportunities. | PSNet

    psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
    November 11, 2020 - for the liaison to set expectations for surviving family members so they can prepare for what will happen … explanation is particularly important, as most families want to know that what happened to them will not happen

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33863/psn-pdf
    August 01, 2018 - You can imagine 1 week in 5 for circumstances that virtually never happen. … I imagine that some of it they're training over and over again for things that essentially never happen … someone is saying "push a drug," then there has to be someone behind the curtain showing what would happen
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