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Showing results for "happened".
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psnet.ahrq.gov/web-mm/communication-failure-whos-chargeApril 01, 2018 - Yet, if that is all that happened, the next child in this same condition in this same institution will
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841469/psn-pdfDecember 14, 2022 - In using the DEER taxonomy to better characterize what happened in the diagnostic process in this case -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptxMay 01, 2017 - What happened to the system as we improved the outcome and process measures?
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.htmlMay 01, 2017 - communicated to the patient and/or family: An apology for any unreasonable care An explanation of what happened
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psnet.ahrq.gov/perspective/workplace-safety-health-careJanuary 01, 2017 - , and implement within 4 days of an incident occurring anywhere in the world, to make sure it never happened
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpaJanuary 01, 2017 - , and implement within 4 days of an incident occurring anywhere in the world, to make sure it never happened
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psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mphApril 01, 2013 - small studies has been done by programs that implemented these types of changes and looked at what happened
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www.ahrq.gov/practiceimprovement/delivery-initiative/leanprimarycarewebinar.htmlDecember 01, 2017 - Implementation and Impacts of Lean Redesigns in Primary Care October 28, 2016 Lean is a set of principles, practices, and problem-solving tools that aim to improve efficiency and quality. This webinar, presented on October 28, 2016, discussed implementation and impact of Lean redesign in primary care. Con…
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AHRQ Safety Program for Perinatal Care: Sample Scenario for Preeclampsia/Seizure In Situ Simulation (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_preeclampsia.docxMay 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Preeclampsia/Seizure In Situ Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Preeclampsia/Seizure In Situ Simulation Sample Scenario for Preeclampsia/Seizure In Situ Simulation Purpose of the tool: The Preeclampsia/Seizure In Situ Simu… -
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-preeclampsia.htmlJuly 01, 2023 - Sample Scenario for Preeclampsia and Seizure In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Preeclampsia/Seizure In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in t…
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Facilitator-Notes (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/facilitator-notes.docxMarch 01, 2017 - Facilitator Notes SAY: The Staff Empowerment module will discuss the importance of staff empowerment and strategies for implementing staff empowerment in your facility. SLIDE 1 SAY: The objectives are to— · Cite staff empowerment concepts · Discuss how staff empowerment contributes to a culture of resident safe… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/licensed-staff/licensed-catheter.pptxMarch 01, 2017 - Catheter Types and Being Part of the Insertion Team Urinary Catheter Types and Being Part of the Insertion Team AHRQ Pub. No. 16(17)-0003-7-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to today’s session on being a part of the urinary catheter insertion team. This training is part o…
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cdsic.ahrq.gov/sites/default/files/2025-06/TPC%20Topic%20Highlight%20Patient%20Preferences.pdfJanuary 01, 2025 - Incorporating Patient Preferences in Patient-Centered Clinical Decision Support AHRQ Pub. No. 25-0055 June 2025 Incorporating Patient Preferences in Patient-Centered Clinical Decision Support Patient preferences can support a patient’s care experience and healthcare decision making. This resource shows differe…
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Impact of Staff-Led Safety Walk Rounds (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdfMarch 05, 2008 - Impact of Staff-Led Safety Walk Rounds Impact of Staff-Led Safety Walk Rounds Vicki L. Montgomery, MD, FAAP, FCCM Abstract Objectives: The primary objectives of this study were to provide a venue for discussing safety concerns and to facilitate finding solutions for everyday safety issues. Methods: The mul… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50949/psn-pdfFebruary 26, 2020 - Pre-analytical pitfalls: Missing and mislabeled specimens February 26, 2020 Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens The Case Case #1: A 56-year-old man was admitted to… -
psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-careSeptember 30, 2011 - Safeguarding Diagnostic Testing at the Point of Care Citation Text: Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33696/psn-pdfJune 01, 2010 - In Conversation with…Pat Croskerry, MD, PhD June 1, 2010 In Conversation with…Pat Croskerry, MD, PhD. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd Editor's note: Pat Croskerry, MD, PhD, is a professor in emergency medicine at Dalhousie University in Halifax, Nova… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50928/psn-pdfFebruary 21, 2020 - Updates in the Role of Health IT in Patient Safety February 21, 2020 Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety Background Health information technology (HIT) has the potential… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73456/psn-pdfJune 30, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia June 30, 2021 Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubat… -
psnet.ahrq.gov/web-mm/inside-time-outMarch 01, 2004 - The Inside of a Time Out Citation Text: Feldman DL. The Inside of a Time Out. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
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