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Showing results for "happened".

  1. psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
    February 26, 2025 - environment, or has there been some high profile lay media sentinel event where something disastrous happened
  2. www.ahrq.gov/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
  3. Coordination (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Coordination_of_Care_2012_05_01_Transcript.pdf
    January 01, 2012 - did not always seem to know the important information about their medical history or things that had happened
  4. psnet.ahrq.gov/perspective/safety-dentistry
    August 01, 2016 - Safety In Dentistry Rachel Badovinac Ramoni, DMD, ScD; Muhammad Walji, PhD; and Elsbeth Kalenderian, DDS, MPH, PhD | August 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Ramoni R, Walji MF, Kalenderian E. Safety In De…
  5. psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
    December 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS August 1, 2017  Also Read an Essay Citation Text: In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/017-contact-precautions-webinar-slides-notes.docx
    October 01, 2024 - Contact Precautions for MRSA Prevention - Webinar slide notes AHRQ Safety Program for MRSA Prevention Contact Precautions for MRSA Prevention ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Contact Precautions for MRSA Prevention SAY: Welcome to this presentation on contact isolation precautions t…
  7. www.ahrq.gov/ncepcr/tools/case-studies/health-team-works.html
    August 01, 2014 - Case Studies of Exemplary Primary Care Practice Facilitation Training Programs Training Program Summary: HealthTeamWorks’ Coach University Previous Page Next Page Table of Contents Case Studies of Exemplary Primary Care Practice Facilitation Training Programs Overview Training Program Summary: H…
  8. www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsr2.html
    February 01, 2014 - Identifying Key Areas for Delivery System Research Identifying Key Areas for Delivery System Research Previous Page Next Page Table of Contents Identifying Key Areas for Delivery System Research Executive Summary Identifying Key Areas for Delivery System Research Conclusion References Appe…
  9. psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
    August 01, 2017 - The Evolution of Patient Safety in Surgery Robert M. Wachter, MD | December 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. Rockville (MD): Agency…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74021/psn-pdf
    October 25, 2021 - The team also participates in quality reviews, looking at where errors happened, and collecting data
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
    June 01, 2017 - about the time period between that 2008 when we saw still very low, 39 percent positive, and what happened … accountable for application of Just Culture principles, it includes consoling staff when something has happened
  12. 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…
  13. 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 …
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. digital.ahrq.gov/sites/default/files/docs/patient-centered-care-transcript-033011.pdf
    June 16, 2021 - really little connection between what they did to cause a reading out of the glucometer and what happened