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Total Results: 4,075 records

Showing results for "happen".

421. 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

422. 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

423. 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

424. 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…

425. 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

426. 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

427. 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

428. 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

429. 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

430. 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

431. 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

432. 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

433. 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…

434. 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…

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47861/psn-pdf
     April 24, 2019 - Laney's story: the problem of delayed diagnosis of pediatric stroke. April 24, 2019 Fitzsimons BT, Fitzsimons LL, Sun LR. Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. Pediatrics. 2019;143(4):e20183458. doi:10.1542/peds.2018-3458. https://psnet.ahrq.gov/issue/laneys-story-problem-delayed-dia…

436. 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?

437. 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?

438. 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…

439. 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…

440. 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