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Showing results for "happened".

1221. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
      May 01, 2016 - varied, the great majority of both patients and clinicians supported disclosure with details about what happened … , how it happened, how it will be corrected, and an apology.

1222. Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
      July 28, 2016 - this one- page interview guide prompts clinical or quality staff to elicit a recounting of what happened … Would you mind telling me about what happened between the time you left the hospital and the time you

1223. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
      May 01, 2016 - varied, the great majority of both patients and clinicians supported disclosure with details about what happened … , how it happened, how it will be corrected, and an apology.

1224. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
      December 01, 2015 - Council report out Event Analysis Tool 66 Learn from Defects Have own tool but process of what happened

1225. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
      January 01, 2004 - Post-fielding Surveillance of a Guideline-based Decision Support System 331 Post-fielding Surveillance of a Guideline- based Decision Support System Albert S. Chan, Susana B. Martins, Robert W. Coleman, Hayden B. Bosworth, Eugene Z. Oddone, Michael G. Shlipak, Samson W. Tu, Mark A. Musen, Brian B. Hoffman, …

1226. Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
      May 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis 323 Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis Kathleen A. Harder, John R. Bloomfield, Sue E. Sendelbach, Michele F. Shepherd, Pam S. Rush, Jamie S. Sinclair,…

1227. Module 3: Best Practices in Pressure Injury Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
      October 01, 2017 - Module 3: Best Practices in Pressure Injury Prevention Training Guide Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Module Goals The goals of…

1228. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
      March 13, 2013 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) Key Takeaways Hospital leaders have a critical role in creating and sustaining a supportive environment for patient and family engagement. Leaders make a commitment to patient and family engagement by: Modeling partnerships with patie…

1229. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 2. Determine Surgical Site Infection Rates (continued) Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive S…

1230. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
      May 30, 2013 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate AHRQ Safety Program for Perinatal Care Safe Medication Administration Magnesium Sulfate Safe Medication Administration—Magnesium Sulfate Purpose of the tool: This tool describes the key perinatal safety elements with examples for…

1231. Puh-Implementation-Factraining-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1 Implementation of the Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports Note: This part of the training primarily consists of exercises …

1232. Research on Improving Patient Experience | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/research/index.html
      March 01, 2025 - Research on Improving Patient Experience Many researchers study the feasibility and value of using CAHPS surveys to support efforts to improve patient experience in various healthcare settings. This page summarizes current and recent research funded under AHRQ’s CAHPS grants related to: Improving patient experi…

1233. CAHPS American Indian Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/american-indian-eng-851.pdf
      March 04, 2009 - CAHPS American Indian Survey CAHPS® American Indian Survey Version: Adult Language: English For assistance with this survey, please contact the CAHPS Help Line at 800-492-9261 or cahps1@westat.com. File name: american-indian-eng-851.docx Last updated: March 4, 2009 mailto:cahps1@westat.com CAHPS America…

1234. Module 3: Best Practices in Pressure Injury Prevention (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
      June 02, 2025 - Module 3: Best Practices in Pressure Injury Prevention Module 3: Best Practices in Pressure Injury Prevention Module Aim The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. Mo…

1235. Faclearncusp (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
      January 01, 2009 - SAY: The “Learn About CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces CUSP and provides an overview of resources to use when applying the CUSP model. Slide 1 SAY: This module offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and expl…

1236. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
      December 01, 2017 - CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles Slide Presentation Slide 1 CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles Diane Byrum, RN, MSN, CCRN, CCNS, FCCM Manager, Quality I…

1237. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
      April 09, 2004 - Memberships of these advisory groups were initially structured with 3-year cycles, which never happened

1238. Developing a Community-Wide Electronic Shared Medication List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
      June 15, 2005 - this clinic we have defined protocols about reporting and discussing medication mistakes that almost happened

1239. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
      July 25, 2018 - Obviously a lot has happened in the hospital.

1240. Mutual Support: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
      July 01, 2023 - Sonentag, obstetrician SCRIPT The L&D director begins with a description of what happened, as she