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Total Results: 3,987 records

Showing results for "happened".

1801. An mHealth design to promote medication safety in children with medical complexity. | PSNet
      psnet.ahrq.gov/issue/mhealth-design-promote-medication-safety-children-medical-complexity
      July 14, 2010 - Study An mHealth design to promote medication safety in children with medical complexity. Citation Text: Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000…

1802. Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. | PSNet
      psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident-reporting-systems
      January 12, 2022 - Commentary Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. Citation Text: Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. BMC Med Ethics. 2021;22(1):…

1803. Why is Self-Management Support important? (Video Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/self-mgmt/why-script.html
      February 01, 2016 - Why is Self-Management Support important? (Video Transcript) Self-Management Support The thing that really sold me on patient self management is that it allows you to move from being an adversary of the patient in a way to putting your chairs together to be common problem solvers. And this comes up so often b…

1804. Digestive Health Clinic, LLC: Slide Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/brownslides.pdf
      June 02, 2025 - Digestive Health Clinic, LLC: Slide Presentation 34 34 Digestive Health Clinic, LLC Idaho Endoscopy Center, LLC Erin Brown, RN Director of Nursing Services 35 35 Digestive Health Clinic (DHC) • State-of-the-art physician-owned outpatient healthcare facility • Provides for the comprehensive care o…

1805. Quality Improvement Study Framework (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
      June 02, 2025 - Quality Improvement Study Framework Element Definition Things To Keep in Mind The Purpose Define the problem and why it is important. · Avoid suggesting causes in the purpose statement. Cause determination will come later after the data have been analyzed. · Speculating about the cause of a problem before a th…

1806. Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers (pdf file)
      pso.ahrq.gov/sites/default/files/Choosing%20a%20PSO.pdf
      August 01, 2012 - Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers Background The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) authorized the creation of Patient Safety Organizations (PSOs). It encourages clinicians and health care organizations to voluntarily report to…

1807. Strategies to Improve Asthma Care and Treatment in Primary Care Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/vchip-strategies-for-kdd.pdf
      February 01, 2015 - Strategies to Improve Asthma Care and Treatment in Primary Care Practices Strategies to Improve Asthma Care and Treatment in Primary Care Practices* The following are strategies that healthcare professionals and primary care practices used to improve office systems to address and promote optimal asthma treatment as…

1808. Measuring What Matters: Catalyzing Conversations on the Quality of Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/ltc-quality-measures.html
      December 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders Measuring What Matters: Catalyzing Conversations on the Quality of Long-Term Care DEC 15 2022 By Members of AHRQ’s National Advisory Council: Catherine H. Ivory, Ph.D., R.N.; Komal Bajaj, M.D.; MS-HPEd, Jiajie Zhang, Ph.D.; and Kannan Ramar, …

1809. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33653/psn-pdf
      June 01, 2007 - In response to "Failure to Report" (March 2007) June 1, 2007 Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/response-failure-report-march-2007 In response to "Failure to Report" (March 2007) Letter To the editors: Dr. Sp…

1810. Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study. | PSNet
      psnet.ahrq.gov/issue/prescription-and-transcription-errors-multidose-dispensed-medications-discharge-hospital
      February 15, 2011 - Study Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study. Citation Text: Alassaad A, Gillespie U, Bertilsson M, et al. Prescription and transcription errors in multidose-dispensed medications on…

1811. Medical errors during training: how do residents cope?: a descriptive study. | PSNet
      psnet.ahrq.gov/issue/medical-errors-during-training-how-do-residents-cope-descriptive-study
      October 13, 2021 - Study Medical errors during training: how do residents cope?: a descriptive study. Citation Text: Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1. Copy Cit…

1812. Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. | PSNet
      psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care
      December 29, 2014 - Study Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. Citation Text: McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…

1813. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45664/psn-pdf
      July 02, 2017 - Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. July 2, 2017 Bohnen JD, Mavros MN, Ramly EP, et al. Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay in the Operating Room. Ann Surg. 2017;…

1814. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42567/psn-pdf
      September 11, 2013 - What happens to the medication regimens of older adults during and after an acute hospitalization? September 11, 2013 Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during and after an acute hospitalization? J Patient Saf. 2013;9(3):150-3. doi:10.1097/PTS.0b013e3182…

1815. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45874/psn-pdf
      February 22, 2017 - Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. February 22, 2017 Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Evaluation, and Response to Medical…

1816. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36149/psn-pdf
      September 29, 2010 - When incidents happen. September 29, 2010 Newfield JS. When Incidents Happen. Home Health Care Manag Pract. 2006;18(5). doi:10.1177/1084822306287998. https://psnet.ahrq.gov/issue/when-incidents-happen The author discusses post-incident documentation for the home care setting and addresses legal issues. https://ps…

1817. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39923/psn-pdf
      September 03, 2014 - Sued for misdiagnosis? It could happen to you. September 3, 2014 Lippman H, Davenport J. Sued for misdiagnosis? It could happen to you. J Fam Pract. 2010;59(9):498-508. https://psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you This article explains how to avoid diagnostic error, minimize litigation, and pr…

1818. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40194/psn-pdf
      June 20, 2011 - What happens when things go wrong? June 20, 2011 Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x. https://psnet.ahrq.gov/issue/what-happens-when-things-go-wrong This commentary reveals a personal story of loss and dis…

1819. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38215/psn-pdf
      November 14, 2011 - Could it happen here? Learning from other organizations' safety errors. November 14, 2011 Conway JB. Could it happen here? Learning from other organizations' safety errors. Healthcare Executive. 2008;23(6):64, 66-67. https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors This…

1820. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39489/psn-pdf
      June 11, 2010 - What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. June 11, 2010 Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Qua…