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psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - What has happened, I believe, is that we're seeing some drift on time outs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
September 05, 2017 - Case Report on Ambulatory Safety and Quality
PATIENT
SAFETY
CASE REPORT
IMPROVING YOUR
LABORATORY
TESTING PROCESS
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 C…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm2.jsp
July 01, 2016 - Patient Response
Suggested Response
Hints
Code
"Are you saying that this has happened at
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www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_bsw.pdf
April 01, 2019 - Associate Chief Quality Officer Brett
Stauffer, M.D., compares the change to data modernization that has happened
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www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
August 01, 2024 - and the second
related to whether the office was informed when a missed, wrong, or delayed diagnosis happened
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting-revised.docx
April 01, 2022 - guide through the initial investigation for a defect analysis where the primary goal is to learn what happened
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - This transfer happened to coincide with a shift
change for both the nursing staff and the physicians
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digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights
January 01, 2023 - events every 30 minutes and then contact clinicians within 6 hours of each RAR event to understand what happened
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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Rather than working together to understand how such an error could have happened, the ICU team and the
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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…
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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…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
April 01, 2013 - And this happened an awful lot, and there were a lot of nurses that would stand up at our face-to-face … It happened to be starting July 7 th , July 13 th and July 17 th .
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psnet.ahrq.gov/node/33839/psn-pdf
August 01, 2017 - Then let's talk about what happened in terms of its impact on policy.
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psnet.ahrq.gov/node/33744/psn-pdf
February 01, 2013 - , their thoughts about the transition to home,
their concerns about safety, their views about what happened
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-8-approaches-to-qi.pdf
September 01, 2015 - the test is carried Measures to determine if prediction succeeds
out
Do Describe what actually happened
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
June 27, 2024 - by
involving the patient in weighing the pre-determined options for a pre-specified problem
SDM happened … Improvement Strategy Priorities
52
Top care improvement objectives selected from 27 total
And look what happened
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psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - daily
to-do list as patient conditions change, as new things get ordered, as things that should have happened
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psnet.ahrq.gov/node/33718/psn-pdf
October 01, 2011 - environment, or has there been some high profile lay media sentinel event where
something disastrous happened
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psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - RW : Tell us what has happened in the UK around reporting.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/leanprimarycarewebinar/webinar_lean_redesigns-slides.pptx
March 01, 2017 - Implementation and Impacts of Lean Redesigns in Primary Care
October 28, 2016
Presenter: Dorothy Hung, Ph.D., Associate Scientist
Palo Alto Medical Foundation Research Institute
Moderator: Michael Harrison, Ph.D., Senior Social Scientist
Center for Delivery, Organization, and Markets, AHRQ
Discussant: Arlene Bierman…