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Showing results for "happened".

  1. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/DxSftyRpt-Updated-2022.pdf
    January 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices Prepared for: Agency for Healthcare Resea…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44132/psn-pdf
    May 13, 2015 - Adverse outcomes: why bad things happen to good people. May 13, 2015 Sonnenberg A. Adverse outcomes: why bad things happen to good people. Clin Gastroenterol Hepatol. 2015;13(5):820-3.e1. doi:10.1016/j.cgh.2014.07.064. https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people This commentary…
  3. psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
    May 22, 2017 - It happened in less than 1% of patients."
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
    April 30, 2013 - • What happened during training that could challenge or facilitate implementation?
  5. psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
    December 01, 2009 - We want to let patients know that we're committed to understanding what happened, and as soon as we get
  6. psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
    December 01, 2009 - We want to let patients know that we're committed to understanding what happened, and as soon as we get
  7. psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
    May 01, 2017 - It happened in less than 1% of patients."
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
    January 01, 2025 - , curiosity (How could this have happened?), and commitment (This will never happen again.)
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
    January 20, 2008 - What happened? 2. What usually happens? 3. What should happen?
  10. psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
    January 01, 2016 - Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice Hardeep Singh, MD, MPH | January 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Singh H. Diagnostic Errors: A New Chapter in Patient Safe…
  11. psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
    September 01, 2006 - In Conversation with...James P. Bagian, MD September 1, 2006  Also Read an Essay Also Read an Essay Citation Text: In Conversation with..James P. Bagian, MD. PSNet [internet]. 2006.In Conversation with...James P. Bagian, MD. PSNet [internet]. Rockville (MD): Ag…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
    December 01, 2017 - Improving Your Laboratory Testing Process Toolkit c IMPROVING YOUR LABORATORY TESTING PROCESS A Step-by-Step Guide for Rapid- Cycle Patient Safety and Quality Improvement Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov PATIENT SAFETY IMPROVING YOUR …
  13. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
    January 01, 2013 - Slide 1 Connecting the Dots: Improving Unit Safety Culture to Stop HAI Katherine J. Jones, PT, PhD University of Nebraska Medical Center Welcome to this webinar which is intended to help you improve unit safety culture to decrease HAIs. * Supported By * AHRQ Partnerships in Implementing Patient Safety Grants (…
  14. www.ahrq.gov/hai/cusp/toolkit/content-calls/engagement.html
    April 01, 2013 - Physician Engagement (Transcript) September 13, 2011 Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions. At that time, instructions will be given i…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/psopswebinartrans.pdf
    October 29, 2013 - mistake is made; I don’t like to point fingers at a particular person maybe but take a look at what’s happened
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/spectorhudak.ppt
    December 01, 2013 - AHRQ Slide Template 2004 On-Time Prevention Program for Long Term Care: Clinical Decision Support William Spector, Ph.D. AHRQ Sandra Hudak, MS RN SLH Clinical Consulting Presentation at AHIMA June 17, 2013 Baltimore, MD Using HIT for Prevention in Nursing Homes Pressure ulcers, falls, and preventable hospitali…
  17. hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca11.pdf
    May 01, 2004 - Race, Ethnicity, and Language Data Collection: Nuts and Bolts Northwestern University Feinberg School of Medicine Race, Ethnicity, and Language Data Collection: Nuts and Bolts Romana Hasnain-Wynia, PhD Northwestern University, Feinberg School of Medicine GOAL Collect accurate and reliable race and et…
  18. 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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47757/psn-pdf
    February 06, 2019 - Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. February 6, 2019 Park A. Time Magazine. January 24, 2019. https://psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they- do-and-how-fix-it This news article reports on the documentar…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46506/psn-pdf
    October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. October 11, 2017 Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017. https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving- surgical-car…