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Showing results for "happened".

2101. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.76_slideshow.ppt
      October 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case October 2004 Thin Air Source and Credits This presentation is based on the Oct. 2004 AHRQ WebM&M Spotlight Case in Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: David M. Gaba, MD, Stanford Univer…

2102. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33560/psn-pdf
      June 15, 2024 - Disclosure of Errors June 15, 2024 Disclosure of Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/disclosure-errors PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed…

2103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33584/psn-pdf
      March 15, 2025 - Communication Between Clinicians March 15, 2025 Communication Between Clinicians. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/communication-between-clinicians PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in…

2104. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Materials Management and Production Processes Group Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Materials%20Management%20and%20Production%20Processes%20Group%20Report.pdf
      June 16, 2021 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Materials Management and Production Processes Group Report 1 Industrial Systems Engineering and Health Care Materials Management and Production Processes Breakout Group —Session Summary Eugene S. Schneller, Ph.D. (c…

2105. Health IT Hazard Manager Beta-Test Appendix F: “Other (specify)” Entries (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/AppendixF_HIT_Hazard_Manager_Beta_Test.pdf
      June 16, 2021 - Health IT Hazard Manager Beta-Test Appendix F: “Other (specify)” Entries Appendix F – “Other (specify)” Entries Several questions in the beta Hazard Manager Discovery¸ Causation, Impact, Corrective Action, and Vetting and Resolution tabs permitted participants to select “Other” and write their response in a …

2106. Facts and Figures Exhibit 1.6
      hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit1_6.jsp
      January 01, 2008 - Facts and Figures Exhibit 1.6 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

2107. In Situ Simulation: Challenges and Results (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
      May 05, 2008 - Furthermore, if the tapes established that there were certain likely risk scenarios (including the one that happened

2108. Preparing for and Recovering After Hip or Knee Replacement Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-knee-surgery-booklet.pdf
      November 01, 2023 - It depends on what happened during surgery and on your health before surgery.

2109. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/104-what-are-4-es.pptx
      April 01, 2025 - PowerPoint Presentation What Are the 4 Es? 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 Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention | Surgical Services What Are the 4 Es? 1 Educational…

2110. Monitoring for Perinatal Safety: Electronic Fetal Monitoring (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
      May 01, 2017 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring AHRQ Safety Program for Perinatal Care Monitoring for Perinatal Safety: Electronic Fetal Monitoring AHRQ Publication No. 17-0003-18-EF May 2017 SAY: The Monitoring for Perinatal Safety bundle provides information on the use of electronic fetal mo…

2111. The Emergency Department & Catheter Insertions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
      December 01, 2017 - The Emergency Department & Catheter Insertions Slide Presentation Slide 1 The Emergency Department & Catheter Insertions Mohamad Fakih, MD, MPH St. John Hospital and Medical Center Lisa Wolf, PhD, RN, CEN, FAEN Emergency Nurses Association (ENA) Jeremiah Schuur, MD, MHS, FACEP Brigham and Women’s…

2112. Wandering Off the Floors: Safety and Security Risks of Patient Wandering | PSNet
      psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
      August 21, 2007 - SPOTLIGHT CASE Wandering Off the Floors: Safety and Security Risks of Patient Wandering Citation Text: Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Huma…

2113. Caution, Interrupted | PSNet
      psnet.ahrq.gov/web-mm/caution-interrupted
      October 01, 2016 - Caution, Interrupted Citation Text: Wears RL. Caution, Interrupted. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

2114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49470/psn-pdf
      December 01, 2004 - Discharge Fumbles December 1, 2004 Forster AJ. Discharge Fumbles. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/discharge-fumbles Case Objectives List the types of adverse events that occur at discharge Identify the characteristics that identify patients at high risk for errors at discharge Understand th…

2115. Providing Evidence and Developing a Toolkit to Accelerate the Adoption of Patient Photographs in Electronic Health Records | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/providing-evidence-and-developing-toolkit-accelerate-adoption-patient
      July 31, 2023 - Providing Evidence and Developing a Toolkit to Accelerate the Adoption of Patient Photographs in Electronic Health Records Project Final Report ( PDF , 1.49 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for…

2116. Hard to Swallow | PSNet
      psnet.ahrq.gov/web-mm/hard-swallow
      April 26, 2023 - Hard to Swallow Citation Text: Driver J. Hard to Swallow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

2117. Who Are You Talking To? New Insights Into the Audience for Consumer Reports on Health Care Quality (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/talkingquality-audience-webcast-20110511-transcript.pdf
      June 02, 2025 - as I mentioned was this idea that either they've moved or their doctor has moved or something has happened

2118. Who Are You Talking To? New Insights Into the Audience for Consumer Reports on Health Care Quality (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/TalkingQuality_Audience_Webcast_2011_05_11_Transcript.pdf
      January 01, 2011 - as I mentioned was this idea that either they've moved or their doctor has moved or something has happened

2119. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-transcript.doc
      April 08, 2014 - Paul Tedrick American Hospital Association - Chicago April 8, 2014 Onboarding Webinar 1 Call 1:00PM CT Operator: The following is a recording for the Onboarding Webinar I call under Conference Leader, Paul Tedrick, with the American Hospital Association - Chicago, on Tuesday, April 8, 2014 at 1:00PM Central Time.…

2120. Building a Team and Process to Reduce CAUTI Risk (April 8, 2015) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/building-teamwork-transcript.html
      December 01, 2017 - Building a Team and Process to Reduce CAUTI Risk (April 8, 2015) Webinar Transcript American Hospital Association - Chicago April 8, 2014 Onboarding Webinar 1 Call 1:00 PM CT Operator: The following is a recording for the Onboarding Webinar I call under Conference Leader, Paul Tedrick, with the Ameri…