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Showing results for "happened".

1961. SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-2022-1215-ENGLISH-508.pdf
      January 01, 2022 - SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey 1 SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey Language: English Purpose: This supplemental item set was designed for use with the core SOPS® Medical Office Survey to help medical offices asse…

1962. Workflow (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/workflow-analysis-qi.pdf
      February 01, 2005 - Workflow Workflow Ann Lefebvre MSW, CPHQ Associate Director, NC AHEC North Carolina Area Health Education Centers North Carolina Area Health Education Centers “Every system is perfectly designed to get the results that it gets.” Paul Batalden, MD North Carolina Area Health Education CentersNorth Carolina…

1963. On-Time Prevention Program for Long Term Care: Clinical Decision Support | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/spectorhudaktxt.html
      December 01, 2017 - On-Time Prevention Program for Long Term Care: Clinical Decision Support Slide Presentation On June 17, 2013, William Spector and Sandra Hudak made a presentation at the American Health Information Management Association (AHIMA) Long-Term and Post-Acute Care (LTPAC) Health IT (HIT) Summit. This is the text ve…

1964. Chapter 1. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit1.html
      March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Chapter 1. Introduction Previous Page Next Page Table of Contents Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Chapter 1. Introductio…

1965. How Will You Gain the Trust of Health Care Providers or Plans? | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/plan/gain-trust.html
      November 01, 2018 - How Will You Gain the Trust of Health Care Providers or Plans? For some quality reports, little if any cooperation is required from the organizations whose performance is being reported. Many sponsors of reports on health plan quality, for instance, have relied on sources of publicly available data rather than …

1966. Tool: SBAR | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/communication/tools/sbar.html
      November 01, 2019 - Tool: SBAR SBAR, which stands for Situation, Background, Assessment, and Recommendation (or Request), is a structured communication framework that can help teams share information about the condition of a patient or team member or about another issue your team needs to address. In phrasing a conversation with…

1967. 6 Tk1 T5-Suspect A Urinary Tract Infection Brochure Ma Coalition Final (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
      June 02, 2025 - Suspect a Urinary Tract Infection? How Taking Antibiotics When You Don’t Need Them Can Cause More Harm Than Good Did You Know That… »Up to 50 percent of all antibiotics prescribed are not needed or are not prescribed appropriately? »Confusion or sudden behavior changes don’t necessarily indicate a urinary tra…

1968. 6 Tk1 T3-Resident Information Sheet Antibiotic-Resistant Bacteria Final (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.docx
      October 01, 2016 - Tool 3. Resident Information Sheet: Antibiotic-Resistant Bacteria One of your tests showed that you have a type of bacteria that cannot be treated with the antibiotics you have been taking. [Optional: Insert specific information about the bacteria found, the culture site, and which antibiotics are not effective.] It is…

1969. Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
      December 07, 2011 - Study Emerging Classic Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. Citation Text: Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…

1970. The impact of time at work and time off from work on rule compliance: the case of hand hygiene in health care. | PSNet
      psnet.ahrq.gov/issue/impact-time-work-and-time-work-rule-compliance-case-hand-hygiene-health-care
      May 18, 2022 - Study Classic The impact of time at work and time off from work on rule compliance: the case of hand hygiene in health care. Citation Text: Dai H, Milkman KL, Hofmann DA, et al. The impact of time at work and time off from work on rule compliance: the case of ha…

1971. May is Mental Health Awareness Month | The Academy
      integrationacademy.ahrq.gov/news-and-events/news/may-mental-health-awareness-month
      May 01, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

1972. Summary of USPSTF Draft Recommendation: Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Falls and Fractures in Community Dwelling Adults (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/_GZ-JwUgQJykdbvhgpTNph
      January 21, 2025 - Summary of USPSTF Draft Recommendation: Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Falls and Fractures in Community Dwelling Adults 1 - The Task Force is an independent, volunteer panel of national experts in preventio…

1973. Leveraging Health IT to Test Solutions That Are Replicable, Scalable, and Improve Patient Safety | Digital Healthcare Research
      digital.ahrq.gov/2018-year-review/research-spotlights/leveraging-health-it-test-solutions-are-replicable-scalable-and
      January 01, 2018 - Leveraging Health IT to Test Solutions That Are Replicable, Scalable, and Improve Patient Safety Impact “Studies like that by Adelman and colleagues point the way to the creation of a digital learning health care system, in which the results of the interactions between clinicians (and, increasingly, patients …

1974. Speaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents. | PSNet
      psnet.ahrq.gov/issue/speaking-about-traditional-and-professionalism-related-patient-safety-threats-national-survey
      November 20, 2015 - Study Classic Speaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents. Citation Text: Martinez W, Lehmann LS, Thomas EJ, et al. Speaking up about traditional and professionalism-related patient…

1975. Patient-Centered Virtual Multimedia Interactive Informed Consent (VIC) | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/patient-centered-virtual-multimedia-interactive-informed-consent-vic
      January 01, 2023 - Patient-Centered Virtual Multimedia Interactive Informed Consent (VIC) Project Final Report ( PDF , 316.91 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent t…

1976. "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. | PSNet
      psnet.ahrq.gov/issue/good-care-slow-enough-be-able-pay-attention-primary-care-time-scarcity-and-patient-safety
      August 04, 2015 - Study "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. Citation Text: Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. J Gen Intern …

1977. The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. | PSNet
      psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience-retrospective-linkage
      February 20, 2019 - Study The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. Citation Text: de Vos MS, Hamming JF, Boosman H, et al. The Association Between Complications, Incidents, and Patient Experience: R…

1978. 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…

1979. 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…

1980. 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…