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Showing results for "happened".

441. 4. Overlap and Coordination of Federal Agency Research Portfolios in HSR and PCR | Agency for Healthcare Research and Quality
     www.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
     June 01, 2020 - 4. Overlap and Coordination of Federal Agency Research Portfolios in HSR and PCR Health Services and Primary Care Research Study: Comprehensive Report The previous chapter described the breadth, scope, and focus of the HSR and PCR portfolios of different federal agencies. That discussion indicated that agenci…

442. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
     June 01, 2021 - PowerPoint Presentation Identifying Targets To Improve Antibiotic Use Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Identifying Targets 1 Objectives Identify opportunities to improve antibiotic prescribing Recognize how to leverage frontline staff to guide saf…

443. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-slides.pptx
     January 01, 2017 - Presentation: Program Overview Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-29-EF January 2017 Science of Safety ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Ob…

444. Conflict Resolution (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict.html
     April 01, 2013 - Luckily, security got there in time, and nothing bad happened. … situation, so I’ll say, “We address this” or “We try to address this on daily goals, but nothing really happened

445. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.pdf
     March 01, 2018 - 2018 Hospital Survey on Patient Safety Culture Part I PATIENT SAFETY HOSPITAL SURVEY ON PATIENT SAFETY CULTURE 2018 User Database Report Surveys on Patient Safety Culture™ The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the A…

446. Learning-Antibiotic-Adverse-Events-Form (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx
     November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use Learning From Antibiotic-Associated Adverse Events An antibiotic-related adverse event is any event or situation involving the prescription or administration of antibiotics that you would not want to happen again because it either caused your patient harm …

447. Communication Strategies to Promote Resident Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
     September 01, 2016 - Communication Strategies to Promote Resident Safety Communication Strategies To Promote Resident Safety AHRQ Pub. No. 16-0003-13-EF September 2016 AHRQ Safety Program for Long-Term Care: CAUTI 1 Objectives After participating in the session, attendees will be able to— Identify possible barriers to effective com…

448. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
     January 01, 2020 - reporting system that allows the person, if they didn't hear anything or they want to know what's happened … that there is no blame culture, that we are really looking at the process and the system and why it happened … What kind of happened is, there was clearly a disconnect between the Risk Department and what events

449. Medical Office Survey on Patient Safety Culture: 2018 User Database Report, Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part2.pdf
     April 01, 2018 - Medical Office Survey on Patient Safety Culture: 2018 User Database Report, Part II Medical Office Survey on Patient Safety Culture: 2018 User Database Report Part II Appendix A—Overall Results by Medical Office Characteristics Appendix B—Overall Results by Respondent Characteristics Prepared for: Agency for …

450. Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
     December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for N…

451. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-3-slides.pptx
     September 01, 2015 - PowerPoint Presentation Preventing CAUTI in the ICU Setting AHRQ Safety Program for Reducing CAUTI in Hospitals Module 3: Conversations Around Device Necessity AHRQ Pub No. 15-0073-4-EF September 2015 AHRQ Safety Program for Reducing CAUTI in Hospitals 1 ICU with high CAUTI rates Unit instituted a nurse-driven pr…

452. Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/summary.html
     July 01, 2018 - Patient Self-Management Support Programs: An Evaluation Summary 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 Program …

453. Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data Webcast - Ginsberg (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/02-listening-voice-of-patient-webcast-ginsberg.pdf
     June 02, 2025 - Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data Webcast - Ginsberg Patient Experience and the Patient’s Voice: Introduction and Background Caren Ginsberg, PhD Director, CAHPS® and SOPS® Programs Agency for Healthcare Research and Quality AHRQ and the CAHPS P…

454. Strategy 2: Communicating for Improve Quality (Tool 1) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_1_Be_Partner_508.pdf
     June 02, 2025 - Strategy 2: Communicating for Improve Quality (Tool 1) Guide to Patient and Family Engagement Be a Partner in Your Care We work as a team to make sure you get the best care Your health care team includes you, doctors, nurses, other clinical staff, and hospital staff. If you like, the team can also include…

455. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
     January 01, 2024 - Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care AHRQ Grant Final Progress Report Title: Crossing An Invisible Quality Chasm: From NICU to Ambulatory Care Principal Investigator: Virginia A. Moyer, MD, MPH Team Members: Papile, Lucille A., MD, Co-Investigator Guillory, Char…

456. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
     January 01, 2024 - If yes, please describe how it was not ideal and why you think it might have happened.

457. Facilitator Guide: Tools for Sustainability: Premortem and Scorecard (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
     January 01, 2017 - What happened? 2. Why did it happen? 3. How will you reduce the risk of the defect happening again?

458. Improving Communication and Teamwork in the Surgical Environment Module | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
     October 01, 2020 - Team members reflect on what happened during the procedure.

459. Facilitator-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facilitator-notes.docx
     March 01, 2017 - They are willing to Challenge the Process if it leads to understanding what happened and how it can be

460. AHRQ Safety Program for Perinatal Care: Be a Partner in Your Care (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/partner-care.docx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care: Be a Partner in Your Care AHRQ Safety Program for Perinatal Care Be a Partner in Your Care We Work as a Team To Make Sure You Get the Best Care Your health care team includes you, doctors, nurses, other clinical staff, and hospital staff. If you like, the team can also include …