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Total Results: 4,075 records

Showing results for "happened".

  1. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet

    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…

  2. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)

    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…

  3. Implement Teamwork and Communication for Perinatal Safety (pdf file)

    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…

  4. 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…

  5. Final Progress Report: Risk Assessment of Pediatric Emergency Transfers (pdf file)

    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

  6. Making Just Culture a Reality: One Organization's Approach | PSNet

    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.

  7. Pf-Engagement-Facnotes (doc file)

    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

  8. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
    December 01, 2017 - Emergency Department and Catheter Insertion Webinar Transcript Paul Tedrick AHA – Chicago September 10, 2013 11:00 AM CT Operator: This is a recording of the Paul Tedrick conference with the American Hospital Association on September 10 th , 2013, at 11:00AM Central Time. Ladies and gentlemen, thank yo…

  9. Ed-Catheter-Insertions-Transcript (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
    September 10, 2013 - Paul Tedrick AHA – Chicago September 10, 2013 11:00AM CT Operator: This is a recording of the Paul Tedrick conference with the American Hospital Association on September 10th, 2013, at 11:00AM Central Time. Ladies and gentlemen, thank you for your patience in holding. We now have your presenters in conference. Plea…

  10. In Conversation With… Kathleen Sutcliffe, MN, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
    April 26, 2023 - In Conversation With… Kathleen Sutcliffe, MN, PhD April 1, 2017  Citation Text: In Conversation With… Kathleen Sutcliffe, MN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy C…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60609/psn-pdf
    June 24, 2020 - When the Indications for Drug Administration Blur June 24, 2020 Munsch J, Doroy A. When the Indications for Drug Administration Blur . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur Disclosure of Relevant Financial Relationships: As a provider accredited by the Accre…

  12. 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…

  13. 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…

  14. 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 …

  15. 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…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49562/psn-pdf
    May 01, 2008 - The Inside of a Time Out May 1, 2008 Feldman DL. The Inside of a Time Out. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/inside-time-out The Case A 65-year-old man was scheduled for an elective endovascular repair of an abdominal aortic aneurysm. The patient had an allergy to "IV contrast dye" that was no…

  17. Vial Mistakes Involving Heparin | PSNet

    psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
    May 11, 2014 - Vial Mistakes Involving Heparin Citation Text: Vanderveen T. Vial Mistakes Involving Heparin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

  18. 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…

  19. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
    March 01, 2016 - The goal of the RCA process is to find out what happened, why it happened, and how to prevent it from

  20. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet

    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
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