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Total Results: 4,075 records

Showing results for "happened".

  1. 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…

  2. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
    January 01, 2024 - Grantee Profile Using Digital Health Tools to Improve Patient Safety during Acute Care Anuj Dalal, M.D. Associate Physician, Brigham and Women's Hospital Associate Professor of Medicine, Harvard Medical School Anuj Dalal, M.D. “If we want to ensure safe, seamless care transitions for patient…

  3. Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers (pdf file)

    pso.ahrq.gov/sites/default/files/wysiwyg/ChoosingPSO_2016.pdf
    January 01, 2016 - Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers Background Your organization is committed to making health care better and safer for your patients. But achieving this goal is no small feat. You and your staff must collect data, identify quality and safety problems, design impr…

  4. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/131-ss-swiss-cheese.pptx
    April 01, 2025 - PowerPoint Presentation Learning From Defects: Applying the “Swiss Cheese Model” of System Failures 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 Prevent…

  5. Your Guide to Preventing and Treating Blood Clots (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/bloodclots.pdf
    May 01, 2009 - Your Guide to Preventing and Treating Blood Clots Your Guide to Preventing and Treating Blood Clots U.S. Department of Health and Human Services Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 AHRQ Pub. No. 09­0067­C May 2009 Swelling Clot Vein Blood clots can for…

  6. 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…

  7. 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…

  8. Dangerous Shift | PSNet

    psnet.ahrq.gov/web-mm/dangerous-shift
    July 24, 2013 - This transfer happened to coincide with a shift change for both the nursing staff and the physicians

  9. The Case of Mistaken Intubation | PSNet

    psnet.ahrq.gov/web-mm/case-mistaken-intubation
    July 01, 2016 - The inpatient team happened to be the same team that had recently discharged him.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49618/psn-pdf
    February 01, 2011 - was diagnosed with chronic hepatitis C (viral load of 2,500,000 IU/mL) by his internist, who also happened

  11. Guide to Sustainability Planning: Long-Term Care Facilities (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
    June 01, 2021 - What happened with efforts that were not successful or took a long time to make successful?

  12. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/org_embrace-slides/Organizational-Embrace-of-CUSP-to-Improve-Patient-Safety-Mar-20-2012-508.ppt
    January 01, 2012 - Protected time for patient safety leader CUSP All Teams Meeting * * Learning From Defects What happened

  13. In Conversation With… Karl Bilimoria, MD, MS | PSNet

    psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
    April 19, 2023 - Then let's talk about what happened in terms of its impact on policy.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74252/psn-pdf
    January 12, 2022 - Tremendous innovation happened with good results but sometimes it would take a trial of two or three

  15. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part I (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I.pdf
    January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part I e SURVEYS ON PATIENT SAFETY CULTURE® (SOPS)® Ambulatory Surgery Center Survey: 2023 User Database Report PATIENT SAFETY Surveys on Patient Safety Culture™ [This page is intentionally left blank] …

  16. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part I (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
    January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part I SURVEYS ON PATIENT SAFETY CULTURE Nursing Home Survey: 2023 User Database Report Surveys on Patient Safety Culture™ PATIENT SAFETY [This page intentionally left blank] Surveys on Patient Safety CultureTM (SOPS®)…

  17. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part I (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I-rev.pdf
    January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part I e PATIENT SAFETY Ambulatory Surgery Center Survey: 2023 User Database Report SURVEYS ON PATIENT SAFETY CULTURE® (SOPS)® Surveys on Patient Safety Culture® [This page is intentionally left blank] S…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33785/psn-pdf
    May 01, 2015 - Just by chance some of the earliest videos that came in happened to be from surgeons that were really

  19. Best Practices in the Management of Patients With Antibiotic Allergies – Facilitator Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-guide.docx
    September 01, 2022 - If the patient has received another penicillin or cephalosporin, ask what happened after exposure to

  20. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool5.html
    March 01, 2025 - In certain cases, however, this may not have happened (e.g., patient leaves against medical advice or
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