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Total Results: 1,686 records

Showing results for "happened".

  1. 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, …

  2. 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

  3. 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?

  4. 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…

  5. 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 …

  6. 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

  7. Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
    July 01, 2023 - obstetrician Hospital AIM Team Leads SPPC-II SCRIPT The L&D director begins with a description of what happened

  8. Situation Monitoring: Severe Hypertension - PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
    July 01, 2023 - Situation Monitoring: Severe Hypertension - PowerPoint Presentation Situation Monitoring Severe Hypertension Module 4 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 4 of the SPPC-II Teamwork Toolkit. In this module, we will talk about situation monito…

  9. Event Transcipt August (pdf file)

    digital.ahrq.gov/sites/default/files/docs/Event%20Transcipt%20August.pdf
    August 27, 2009 - A National Web Conference, E-Prescribing and Medication Management: Current Realities and Future Directions (August 27, 2009) Ladies and gentlemen, we appreciate your patience. Now I would like to turn things over to Bob Mayes AHRQ to introduce the panel. Bob? Welcome to the national web conference sponso…

  10. 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

  11. Despite Clues, Failed to Rescue | PSNet

    psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
    August 02, 2015 - SPOTLIGHT CASE Despite Clues, Failed to Rescue Citation Text: Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndN…

  12. Archived: Final Recommendation Statement: Intimate Partner Violence and Elderly Abuse: Screening, 2004 | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/intimate-partner-violence-and-elderly-abuse-screening-2004
    March 08, 2004 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Intimate Partner Violence and Elderly Abuse: Screening, 2004 March 08, 2004 Recommendations made by the USPSTF are independent of th…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867497/psn-pdf
    February 26, 2025 - Retained Surgical Items: Causation and Prevention February 26, 2025 Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention Background A retained surgical item (RSI) is a surgical patient safety pro…

  14. Safe Medication Administration: Magnesium Sulfate | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
    July 01, 2023 - Safe Medication Administration: Magnesium Sulfate AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of magnesium sulfate during labor. The key elements are presented within the framework of t…

  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
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