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Showing results for "happened".

  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/gynecologic-booklet.pdf
    November 01, 2023 - It depends on what happened during surgery and on your health before surgery.
  2. www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-1.pdf
    January 01, 2015 - Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report, Part 1 COMMUNITY PHARMACY SURVEY ON PATIENT SAFETY CULTURE 2015 USER COMPARATIVE DATABASE REPORT PATIENT SAFETY Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report Prepared for…
  3. psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
    November 01, 2012 - In Conversation With… Abraham Verghese, MD November 1, 2012  Also Read an Essay Citation Text: In Conversation With… Abraham Verghese, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
  4. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.html
    October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Module 2. Communicating Change in a Resident's Condition Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicati…
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/003-clabsi-prevention-webinar-fg.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Prevention of Central Line-Associated Bloodstream Infections ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Prevention of Central Line-Associated Bloodstream Infections SAY: Welcome to this presentation on the Prevention of Central Line-Associated Bloodstrea…
  6. psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
    May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue Samantha Jacques, PhD, and Eric Williams, MD, MS, MMM | May 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Jacques S, Williams E. Reducing the Safety Hazar…
  7. psnet.ahrq.gov/perspective/conversation-dave-debronkart
    June 01, 2014 - In Conversation With… Dave deBronkart June 1, 2014  Also Read an Essay Citation Text: In Conversation With… Dave deBronkart. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Ci…
  8. www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
    January 01, 2025 - industries are based on the discipline and comprehensiveness of the FMEA method with inclusion of what has happened
  9. psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
    August 01, 2016 - In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD August 1, 2016  Also Read an Essay Citation Text: In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Heal…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843150/psn-pdf
    December 05, 2022 - In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population February 1, 2023 In Conversation with.. Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patie…
  11. psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
    April 26, 2023 - In Conversation With… Mark Chassin, MD, MPP, MPH April 1, 2017  Citation Text: In Conversation With… Mark Chassin, MD, MPP, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Cit…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
    May 01, 2017 - Implement Teamwork and Communication for Perinatal Safety AHRQ Safety Program for Perinatal Care Implement Teamwork and Communication for Perinatal Safety AHRQ Publication No. 17-0003-3-EF May 2017 SAY: The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help yo…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Ventilator-Associated Event Surveillance SAY: This module will focus on ventilator-associated event surveillance and how it can be used in your unit. Slide 1 Learning Objectives SAY: After this se…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
    May 01, 2017 - communicated to the patient and/or family: · An apology for any unreasonable care · An explanation of what happened
  15. psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
    October 01, 2007 - What has happened, I believe, is that we're seeing some drift on time outs.
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
    April 14, 2004 - The AAFP PSRS accepted anonymous reports from clinicians, staff, and patients concerning events that happened … in the practice “that should not have happened and that you don’t want to happen again.”
  17. psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
    August 01, 2012 - One thing that happened over time was nursing homes became very medicalized. … residents in a room and watching TV all day or lining them up in corridors for meals, which might have happened
  18. psnet.ahrq.gov/perspective/safety-radiology
    October 01, 2013 - What really raised awareness of the issue was radiation overdoses at Cedars-Sinai in 2009—though it happened … the doses are just really high so you see the harm right away—the deterministic effect—that's what happened
  19. Paul Tedrick (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
    June 10, 2014 - You can see in the pie chart to the left, that shows what happened during the antibiotic timeouts. … And in 25 percent of cases, the little pink slice, an intervention happens that would not have happened
  20. www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool2a3.html
    April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention 2.a-3 Key Informant Interview Guide (Preintervention) Previous Page Next Page Table of Contents Tracking and Improving Screening for Colorectal Cancer Intervention I. Introduction II. Background III. Intervention Steps and Too…