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Showing results for "happened".

1181. Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.doc
      January 01, 2004 - Background -- AHRQ and other funders interest in promoting faster movement from research to practice/science to service/TRIP/T Advances in Patient Safety: Vol. 4 Development of a Research Dissemination Tool Development of a Planning Tool to Guide Research Dissemination Deborah Carpenter, Veronica Nieva, Tarek Al…

1182. Co-producing a Diagnosis
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/09-diagnostic-safety-practice-orientation.pptx
      November 24, 2020 - Co-producing a Diagnosis Engaging Patients To Improve Diagnostic Safety Practice Orientation AHRQ Publication No. 21-0047-8-EF August 2021 1 Diagnostic Errors Are a Big Challenge Nearly every person will experience a diagnostic error in their lifetime. Diagnostic error is the leading patient safety challenge…

1183. Innovative Use of Technology in Primary Care Delivery - Slide Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
      September 14, 2023 - Innovative Use of Technology in Primary Care Delivery - Slide Presentation National Center for Excellence in Primary Care Research Presents Innovative Use of Technology in Primary Care Delivery September 14, 2023 Presented by: Anjana Estelle Sharma, MD, MAS Adrian Aguilera, PhD Ryan J Coller, MD, MPH Nicole…

1184. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
      January 01, 2004 - or the software occurred that appeared out of the ordinary interaction, we asked the nurse what had happened

1185. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
      January 01, 2004 - adverse event, several investigators, many of whom were not affiliated with this particular protocol, happened

1186. Severe Hypertension Scenarios: PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
      July 01, 2023 - Severe Hypertension Scenarios: PowerPoint Presentation Severe Hypertension Scenarios Safety Program for Perinatal Care II Teamwork Toolkit SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Frontline SPPC-II SCRIPT In this handout we have compiled all of the case scenarios presented in the SPPC-II Teamwork Toolkit f…

1187. Introducing the CAHPS Cancer Care Survey" Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-cancer-care-transcript.pdf
      June 01, 2017 - So, a patient experience of care question will ask whether something happened or how often something … happened.

1188. Six Building Blocks How-To-Implement Toolkit: Design and Implement Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
      February 18, 2021 - Six Building Blocks How-To-Implement Toolkit: Design and Implement Guide DESIGN AND IMPLEMENT GUIDE i Table of Contents Introduction ......................................................................................................................................1 What Is the Design and Implement Guide? …

1189. Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
      January 01, 2003 - Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians 15 Implementing Safety Cultures in Medicine: What We Learn by Watching Physicians Timothy J. Hoff, Henry Pohl, Joel Bartfield Abstract This study explores the workplace dynamics associated with physicians and medical mistakes. …

1190. Final Progress Report: A Formal Approach to Detecting and Correcting Simultaneous Masking in the IEC 60601-1-8 International Medical Alarm Standard (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
      January 01, 2024 - Conversely, there was no significant difference in false-alarm rates between the two conditions, which happened

1191. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
      February 04, 2022 - TeamSTEPPS for Improving Diagnosis Participant Workbook TeamSTEPPS® for Diagnosis Improvement Participant Workbook Participant Workbook This page is intentionally blank. Contents Introduction: TeamSTEPPS for Diagnosis Improvement ........................................................1 Module 1: Introducti…

1192. 2013 Child Core Set Measure Retirement Process Summary of SNAC Scoring: Round II – Final Scoring (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc3.pdf
      September 01, 2014 - 2013 Child Core Set Measure Retirement Process Summary of SNAC Scoring: Round II – Final Scoring The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ and the Centers for Medicare & Medicaid Services (CMS). N…

1193. Person-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P): Rapid Scan Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
      May 01, 2025 - Person-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P): Rapid Scan Report Patient-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P) Task Order: 75Q80124F32002 Task #2b: Rapid Scan May 1, 2025 1 AHRQ Action IV Task Order #16 Person-Centered Care Plannin…

1194. Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
      January 01, 2002 - Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense 425 Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense Heidi B. King, Beth Kohsin, Mary Salisbury Abstract Advancing to a culture of safety requires a systems change. Teamw…

1195. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
      May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians 353 Physician Event Reporting: Training the Next Generation of Physicians Quang-Tuyen Nguyen, Joanna Weinberg, Lee H. Hilborne Abstract Physician reporting of adverse events and unsafe situations remains extremely low, despite the increa…

1196. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
      April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System Debora Simmons, RN, MSN, CCRN, CCNS; JoAnn Mick, PhD, RN, MBA, AOCN, CNAA, BC; Krisanne Graves, RN, BSN, CPHQ; Sharon K. Martin, ME…

1197. Appendix VII: Public Comments Submitted Between March 7 and March 21, 2008 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apvii.html
      June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix VII: Public Comments Submitted Between March 7 and March 21, 2008 Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Execu…

1198. On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facguide.html
      December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide AHRQ’s Safety Program for Nursing Homes: Implementation of the Healing Reports Note: This part of the training primarily consists of exercises and does not have any associated slides. Review of Self-Assessment Worksheet Say:   Y…

1199. TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
      January 01, 2008 - TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                                   …

1200. Module 7: Putting It All Together
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
      January 01, 2008 - Module 7: Putting It All Together Module 7 Putting It All Together TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 7, Putting It All Together, that you will review as the course facilitator. The purpose of this summary module is…