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Total Results: 1,482 records

Showing results for "happened".

381. CLABSI and CAUTI Prevention Modules | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/prevention-modules.html
     April 01, 2022 - CLABSI and CAUTI Prevention Modules These modules offer simple steps ICU teams can take to ensure the evidence-based clinical changes that prevent CLABSI and CAUTI are sustained in your unit. The CLABSI prevention and CAUTI prevention modules provide information on how to disrupt the lifecycle of a catheter dev…

382. 148-Investigating-Defect-Lfd-Worksheet (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/148-investigating-defect-lfd-worksheet.docx
     June 02, 2025 - AHRQ Safety Program for MRSA Prevention Investigating A Defect Worksheet ICU & Non-ICUTop Contributing Factors Interventions To Reduce Risk Who Will Do It and By When Status Enter contributing factor Enter intervention Enter responsible staff, deadline Enter status Enter contributing factor Enter intervention Enter re…

383. Long COVID is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/long-covid.html
     March 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders Long COVID is a Case Study of Our Fractured Healthcare System MAR 21 2023 By Edmondo Robinson, M.D., M.B.A., M.S. Chair, AHRQ’s National Advisory Council Edmondo Robinson, M.D. M.B.A., M.S. Editor’s Note:   This blog post…

384. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
     January 01, 2017 - What actually happened? What did you learn? What are your next steps?

385. Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
     January 01, 2024 - Instead of asking who is at fault, we asked where the variance happened, how it happened, and what we

386. Patient and Family-Centered Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-slides.html
     December 01, 2017 - Eliminate steps if possible Create independent checks Learn when things go wrong: What happened

387. Remember T.E.A.M.S. to Improve Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.pdf
     March 01, 2017 - Remember T.E.A.M.S. to Improve Safety Culture T E A M S Team Formation Excellent Communication Assess What’s Working Meet Monthly Sustain Efforts The most effective teams are diverse. Make sure your team includes people of differing perspectives and roles. Communication should be effective. Commu…

388. Module 4: Leadership
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-leadership.pptx
     January 05, 2022 - Module 4: Leadership Module 4 Leadership To Improve Diagnosis TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement course. This presentation will cover Module 4, Leadership To Improve Diagnosis, that you will review as the course facilitator.    Individuals who plan to take the…

389. Making Effective Changes in Antibiotic Decision Making (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
     November 01, 2019 - What happened? 2. Why did it happen? 3.

390. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
     December 01, 2017 - Remember, after a pressure ulcer occurs, it's all well and good to think about what happened, but for … about prevention and acting on risk factors rather than reacting to an adverse event that has already happened … Whenever a new pressure ulcer is noted, we review what happened, but we don't call it root cause analysis

391. Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
     November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities May 13, 2014 Download accessible version of slides (PDF, 1.1 MB) Introducing Nine Levers to Support the Aims and Priorities [Slide 1] Ann Gordon: Welcome to today's event featuring t…

392. Sample Scenario for Magnesium Toxicity In Situ Simulation (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_vbac-abpain.docx
     May 01, 2017 - Sample Scenario for Magnesium Toxicity In Situ Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation Purpose of the tool: The Severe Abdominal Pain/VBAC (vaginal birth after cesarean) In Si…

393. Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-vbac-ab-pain.html
     July 01, 2023 - Sample Scenario for Severe Abdominal Pain/VBAC In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Severe Abdominal Pain/VBAC (vaginal birth after cesarean) In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, c…

394. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
     December 01, 2017 - The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: The Science of Improving Patient Safety and Identifying Defects Say: The topic of this module is the science of patient safety. The discussion will include the importance of unders…

395. H2N Database Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/database-guide-nw.pdf
     June 02, 2025 - listed under and Activity will show up in this field. 3 The Outcome field lets you know what happened

396. T.E.A.M.S. infographic | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.html
     March 01, 2017 - T.E.A.M.S. infographic AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Culture consists of values, attitudes, and beliefs that can have an impact on resident safety, care outcomes, and staff satisfaction. Culture influences how change can occur. T Team Formation The most effective…

397. Presentation: Auditing Your Briefings and Debriefings
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
     December 01, 2017 - Presentation: Auditing Your Briefings and Debriefings Auditing Your Briefings and Debriefings Process AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Implementation SAY: Let’s continue our discussion around briefings and debriefings. T…

398. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_I-rev0921.pdf
     January 01, 2020 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part I Surveys on Patient Safety CultureTM (SOPS®) MEDICAL OFFICE SURVEY: 2020 USER DATABASE REPORT PATIENT SAFETY [This page intentionally left blank] Surveys on Patient Safety CultureTM (SOPS®) Medical Office Surv…

399. Conclusions | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/conclusions.html
     July 01, 2018 - Patient Self-Management Support Programs: An Evaluation Conclusions Previous Page Next Page Table of Contents Patient Self-Management Support Programs: An Evaluation Acknowledgments Introduction and Purpose Summary Background Methodology Design Options for a Self-Management Support Progr…

400. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp-intro.html
     May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Introduction Previous Page Next Page Table of Contents Integrating Primary Care Practices and Community-based Resources to Manage Obesity Acknowledgements Support Foreword Oregon Rural Practice-based Research …