U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality

Search AHRQ

For an exact phrase match, enclose search terms in double quotes.

Go to Advanced Search
Go to Basic Search

Results

Total Results: 1,686 records

Showing results for "happened".

  1. High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - Those are things that on an everyday basis happened because there was the drumbeat of the leader emphasizing

  2. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
    February 26, 2025 - Those are things that on an everyday basis happened because there was the drumbeat of the leader emphasizing

  3. 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.

  4. 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

  5. Duplicate Therapies in Retail Pharmacy | PSNet

    psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
    August 05, 2022 - Duplicate Therapies in Retail Pharmacy Citation Text: Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX E…

  6. Technology as a Tool for Improving Patient Safety | PSNet

    psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
    April 26, 2023 - Annual Perspective Technology as a Tool for Improving Patient Safety A Jay Holmgren, Susan McBride,Bryan Gale, Sarah Mossburg | March 29, 2023  View more articles from the same authors. Citation Text: Holmgren AJ, McBride S, Gale B, et al. Technology as a …

  7. Introduction to Synthetic Healthcare Database for Research (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Introduction-2023Dec.pdf
    December 01, 2023 - Introduction to Synthetic Healthcare Database for Research Synthetic Healthcare Database for Research (SyH-DR) A Synthetic Nationally Representative All-Payer Claims Database INTRODUCTION TO SYNTHETIC HEALTHCARE DATABASE FOR RESEARCH AHRQ Publication No. 24-0019-1-EF December 2023 SyH-DR i Introduction …

  8. Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet

    psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
    February 26, 2025 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL A…

  9. Safety in the Prehospital Emergency Medical Services Setting | PSNet

    psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
    May 01, 2019 - Safety in the Prehospital Emergency Medical Services Setting P. Daniel Patterson, PhD, NRP, and Donald M. Yealy, MD | May 1, 2019  Also Read a Conversation View more articles from the same authors. Citation Text: Patterson DP, Yealy DM. Safety in the Prehospital…

  10. First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit | PSNet

    psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
    October 30, 2019 - First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit Jochen Profit, MD, MPH; Annette Scheid, MD; and Erick Ridout, MD | October 30, 2019  Also Read the Conversation View more articles from the same authors. Citation Text: Profit J, …

  11. Beyond the Hospital: the New Frontier of Patient Safety | PSNet

    psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
    August 01, 2014 - because we're going to see fewer complications of procedures and interventions that never should have happened

  12. What Have We Learned About Safe Inpatient Handovers? | PSNet

    psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
    March 01, 2011 - What do you think has happened to the safety of handoffs since we first began cutting duty hours?

  13. Hospital-Acquired Diabetic Ketoacidosis. | PSNet

    psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
    October 28, 2020 - Hospital-Acquired Diabetic Ketoacidosis. Citation Text: Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar Bi…

  14. Screening for Speech and Language Delay and Disorders in Children Aged 5 Years or Younger (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/dHBxfHscnw-SSdmjgNQYC3
    July 01, 2015 - Screening for Speech and Language Delay and Disorders in Children Aged 5 Years or Younger July 2015 Task Force FINAL Recommendation | 1 Understanding Task Force Recommendations Screening for Speech and Language Delay and Disorders in Children Aged 5 Years or Younger The U.S. Preventive Services Task Force (Task …

  15. New Insights About Team Training From a Decade of TeamSTEPPS | PSNet

    psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
    February 01, 2017 - New Insights About Team Training From a Decade of TeamSTEPPS David P. Baker, PhD; James B. Battles, PhD; Heidi B. King, MS | February 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Baker DP, King HB, Battles J. New Ins…

  16. The Role of Patient-facing Technologies to Empower Patients and Improve Safety | PSNet

    psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
    November 01, 2017 - The Role of Patient-facing Technologies to Empower Patients and Improve Safety Ronen Rozenblum, MD, MPH, and David Bates, MD, MS | November 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Rozenblum R, Bates DW. The Role…

  17. Errors and Near Misses: What Health Care Could Learn From Aviation | PSNet

    psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
    September 01, 2006 - Errors and Near Misses: What Health Care Could Learn From Aviation Carl Macrae, PhD | December 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33776/psn-pdf
    January 01, 2015 - In Conversation With… Mark Graban, MS, MBA January 1, 2015 In Conversation With… Mark Graban, MS, MBA. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba Editor's note: Mark Graban, MS, MBA, is an internationally recognized expert in Lean Healthcare, which has become one of…

  19. What Makes a Good Checklist | PSNet

    psnet.ahrq.gov/perspective/what-makes-good-checklist
    October 01, 2010 - causal inference of why the benefits were sustained, but when I speak to staff and ask clinicians what happened

  20. In Conversation with...Peter J. Pronovost, MD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
    October 01, 2010 - causal inference of why the benefits were sustained, but when I speak to staff and ask clinicians what happened
SHARE:
Facebook Twitter Print Facebook Share

Similar Terms:

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

Click to show only results for the selected site.

www.ahrq.gov (846)

psnet.ahrq.gov (466)

digital.ahrq.gov (229)

www.uspreventiveservicestaskforce.org (60)

hcup-us.ahrq.gov (57)

integrationacademy.ahrq.gov (13)

cds.ahrq.gov (8)

cdsic.ahrq.gov (4)

datatools.ahrq.gov (2)

qualityindicators.ahrq.gov (1)