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Total Results: 4,075 records

Showing results for "happened".

2241. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. | PSNet
      psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
      August 21, 2005 - Consultation July 29, 2020 WebM&M Cases What Happened

2242. Communication Failure—Who's in Charge? | PSNet
      psnet.ahrq.gov/web-mm/communication-failure-whos-charge
      April 01, 2018 - Yet, if that is all that happened, the next child in this same condition in this same institution will

2243. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report-rev091721.pdf
      January 01, 2020 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part I PATIENT SAFETY Surveys on Patient Safety CultureTM (SOPSTM) Ambulatory Surgery Center Survey: 2020 User Database Report [This page is intentionally left blank] Surveys on Patient Safety CultureTM…

2244. December 2021 CDS Connect Work Group Call (pdf file)
      cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_Work_Group_December_2021.pdf
      January 01, 2021 - December 2021 CDS Connect Work Group Call December 2021 CDS Connect Work Group Call Agenda Schedule Topic 3:00 – 3:02 Roll Call, Michelle Lenox (MITRE) 3:02 – 3:05 Review of the Agenda, Michelle Lenox (MITRE) 3:05 – 3:10 Kick-off “One More Step” in Patient Partnering, Michelle Lenox (MITRE) 3:10 – 3:50 Roundt…

2245. Getting Ready (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/getting_ready.pdf
      May 01, 2017 - Getting Ready for Your Ambulatory Surgery Whether you call it outpatient surgery, ambulatory surgery*, office surgery, or same-day surgery, it means the same thing: surgical procedures that don’t require an overnight hospital stay. Patients and their family members or friends are important members of the care team…

2246. Staying Active and Healthy with Blood Thinners - Transcript | Agency for Healthcare Research and Quality
      www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/stayactive-tr.html
      September 01, 2015 - Staying Active and Healthy with Blood Thinners - Transcript Special Report: Blood Thinner Medications Narrator: Recently, your doctor has prescribed a blood-thinning drug, like Warfarin, for you. And you probably have lots of questions. Well, sit back and relax as over the next few minutes we'll attempt to a…

2247. Next Steps and Barriers | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-5.html
      March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Next Steps and Barriers Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosis Education Competencies To Improve Diagn…

2248. Project Report - Lean Sigma (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/nurse_empower-slides/How-CUSP-Enables-Nurse-Empowerment-Nov-15-2011-508.ppt
      January 01, 2011 - Project Report - Lean Sigma CLABSI Supplemental Call Series How CUSP Enables Nurse Empowerment November 15, 2011 Presenters: Pat Posa, RN, BSN, MSA Joanne Timmel, MSN, RN, NE-BC Slide * CLABSI Supplemental Call Series Pat Posa, RN, BSN, MSA System Performance Improvement Leader St. Joseph Mercy Heath Syste…

2249. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety AHRQ Safety Program for Perinatal Care Understand the Science of Safety for Perinatal Safety AHRQ Publication No. 17-0003-4-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Science of S…

2250. Making It Work Tip Sheet: Engaging Physician Champions in Preventing CLABSI and CAUTI (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-champions.pdf
      April 01, 2022 - Making It Work Tip Sheet: Engaging Physician Champions in Preventing CLABSI and CAUTI AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Making It Work Tip Sheet Engaging Physician Champions in Preventing CLABSI and CAUTI This “Making It Work” tip sheet provides additional informa…

2251. Staff PCIP Qualitative Interview Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-provider-ny.pdf
      June 02, 2025 - Staff PCIP Qualitative Interview Guide …

2252. Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-work-around.pdf
      June 02, 2025 - Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study Focus on High Leverage Change: Risk Assessment Creating a Work-Aro…

2253. Appendix O. Nursing Focus Group Guides | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiapo.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix O. Nursing Focus Group Guides Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Admi…

2254. Heart of Virginia Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-packet-va.pdf
      October 01, 2015 - Heart of Virginia Healthcare Heart of Virginia Healthcare Restoring the joy in primary care. I :7 • Heart of Virginia Healthcare is one of seven cooperatives in the country funded by the Agency for Healthcare Research and Quality’s EvidenceNow initiative. Of…

2255. Primary Care Interventions to Prevent Child Maltreatment (pdf file)
      www.uspreventiveservicestaskforce.org/Home/GetFileByToken/otgsgT2HpLH5gbn4sFN3hw
      June 01, 2013 - Primary Care Interventions to Prevent Child Maltreatment June 2013 Task Force FINAL Recommendation | 1 Understanding Task Force Recommendations Primary Care Interventions to Prevent Child Maltreatment The U.S. Preventive Services Task Force (Task Force) has issued a final recommendation statement on Primary C…

2256. 10 Patient Safety Tips for Hospitals | Agency for Healthcare Research and Quality
      www.ahrq.gov/patients-consumers/diagnosis-treatment/hospitals-clinics/10-tips/index.html
      June 01, 2018 - 10 Patient Safety Tips for Hospitals Medical errors may occur in different health care settings, and those that happen in hospitals can have serious consequences. The Agency for Healthcare Research and Quality, which has sponsored hundreds of patient safety research and implementation projects, offe…

2257. Chapter 5: Crossing the Bridge and Returning | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/obesity/obpcp5.html
      May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Chapter 5: Crossing the Bridge and Returning Previous Page Next Page Table of Contents Integrating Primary Care Practices and Community-based Resources to Manage Obesity Acknowledgements Support Foreword Orego…

2258. Screening for Iron Deficiency Anemia in Young Children (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/o8MbPkZcdMh7McJu4-UCVu
      September 01, 2015 - Screening for Iron Deficiency Anemia in Young Children September 2015 Task Force FINAL Recommendation | 1 Understanding Task Force Recommendations Screening for Iron Deficiency Anemia in Young Children The U.S. Preventive Services Task Force (Task Force) has issued a final recommendation statement on Screening…

2259. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33567/psn-pdf
      June 15, 2024 - Handoffs June 15, 2024 Handoffs and Signouts. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/handoffs 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 in 2024. Backgroun…

2260. Omega-3 Fatty Acids and Cardiovascular Disease: A Review of the Research for Adults (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/fatty-acids-cardiovascular-disease_consumer.pdf
      July 01, 2017 - Omega-3 Fatty Acids and Cardiovascular Disease: A Review of the Research for Adults Omega-3 Fatty Acids and Cardiovascular Disease A REVIEW OF THE RESEARCH FOR ADULTS You may have heard that omega-3 fatty acids (from certain foods and dietary supplements) are good for your heart. This summary will tell you what…