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Total Results: 3,987 records

Showing results for "happened".

  1. Spotlight (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
    January 01, 2019 - drive to improve safety in the hospital setting Much of the foundational work and research has not happened

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49863/psn-pdf
    May 01, 2019 - In such a situation, the entire team would know that something had happened to the blade, allowing them

  3. "Recurrent" Appendicitis | PSNet

    psnet.ahrq.gov/web-mm/recurrent-appendicitis
    January 15, 2020 - limited visual field, two-dimensional image, and lack of tactile feedback for the surgeon.( 10 ) What happened

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49638/psn-pdf
    January 01, 2012 - Yet, if that is all that happened, the next child in this same condition in this same institution will

  5. The Hidden Danger of Unseen Intravenous Catheters | PSNet

    psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
    October 04, 2023 - intravenous catheter placement may result in dislodgment of the catheter into the subcutaneous tissue as happened

  6. New Patient Mistakenly Checked in as Another | PSNet

    psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
    October 01, 2013 - Both the patient and the receptionist were new to the practice, the patient happened to be the same age

  7. Health Information Exchange | Digital Healthcare Research

    digital.ahrq.gov/health-information-exchange-2
    January 01, 2023 - The Santa Barbara County Care Data Exchange: What Happened?

  8. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up | PSNet

    psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
    December 01, 2005 - I found myself asking whether a checklist-like story could have happened in the UK, based on the system's

  9. Psi90 Factsheet Faq (pdf file)

    qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
    August 31, 2016 - without that safety-related event over up to one year after the discharge during which the index event happened

  10. A Mistaken Dose of Naloxone  | PSNet

    psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
    March 21, 2009 - He called the 24 x 7 cancer center helpline and described what happened.

  11. Deciphering the Code | PSNet

    psnet.ahrq.gov/web-mm/deciphering-code
    November 16, 2022 - nursing staff, who would have also documented the order in their nursing records (neither of which happened

  12. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)

    www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
    January 01, 2024 - To overcome this resistance, we began asking if the depicted situation has happened or could happen

  13. Sustaining Change Webinar Transcript | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
    December 01, 2017 - Nothing really happened. Four days later, on his day of admission, he didn't show up for breakfast.

  14. Sustaining-Change-Transcript (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
    April 14, 2015 - Nothing really happened. Four days later, on his day of admission, he didn't show up for breakfast.

  15. Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship (June 10, 2014) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
    December 01, 2017 - 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

  16. AHRQ Safety Program for Perinatal Care: Sample Scenario or Uterine Tachysystole In Site Simulation (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_ut-tachysystole.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario or Uterine Tachysystole In Site Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Uterine Tachysystole In Situ Simulation Sample Scenario for Uterine Tachysystole In Situ Simulation Purpose of the tool: The Uterine Tachysystole In Situ Simul…

  17. Sample Scenario for Uterine Tachysystole In Situ Simulation | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-ut-tachysystole.html
    July 01, 2023 - Sample Scenario for Uterine Tachysystole In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Uterine Tachysystole In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the …

  18. Part Two: Removing the Obstacles to Practice Change (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/ena-slides/part2a.html
    October 01, 2015 - The Emergency Nurses Association Presents CAUTI Slides and Transcript Part Two: Removing the Obstacles to Practice Change (continued) Previous Page Next Page Table of Contents The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution, Objectives, Introduc…

  19. AHRQ Safety Program for MRSA Prevention: Targeting SSI

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/125-cusp-science-safety.pptx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention: Targeting SSI The Science of Safety: Principles in Practice Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevent…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33649/psn-pdf
    May 01, 2007 - In Conversation with...Sir Liam Donaldson, MD, MSc May 1, 2007 In Conversation with..Sir Liam Donaldson, MD, MSc. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc Editor's Note: Sir Liam Donaldson, MD, MSc, is England's Chief Medical Officer, a post often referre…
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