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Total Results: 3,987 records

Showing results for "happened".

  1. Development of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Slide Presentation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/smith2slides.pdf
    June 02, 2025 - Development of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Slide Presentation 12 12 Development of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture Scott Smith, PhD Senior Study Director 13 13 What is Patient Safety Culture? “The way we do things around he…

  2. EvidenceNow Executive Summary - The National Evaluation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/evidencenow-executive-summary-national.pdf
    November 01, 2017 - EvidenceNow Executive Summary - The National Evaluation The National Evaluation ★ The shaded areas are the selected states for evaluation. EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to transform health care delivery by buil…

  3. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal Safety AHRQ Publication No. 17-0003-5-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Sen…

  4. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
    July 01, 2023 - Understand the Science of Safety for Perinatal Safety AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Understand the Science of Safety for Perinatal Safety Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: Describe the h…

  5. National Evaluation Team | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/national.html
    March 01, 2021 - National Evaluation Team National Evaluation EvidenceNOW: Advancing Heart Health in Primary Care  is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure to help smaller primary care practices improve the heart health of…

  6. 108-Cusp-Psychological-Safety (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/108-cusp-psychological-safety.docx
    June 02, 2025 - AHRQ Safety Program for MRSA Prevention CUSP Program: Psychological Safety ICU & Non-ICU Slide Title and Commentary Slide Number and Slide CUSP Program: Psychological Safety SAY: Welcome to this presentation on Psychological Safety as part of the overall approach to preventing MRSA in ICU and non-ICU settings. Sli…

  7. In response to "Failure to Report" (March 2007) | PSNet

    psnet.ahrq.gov/perspective/response-failure-report-march-2007
    June 01, 2007 - In response to "Failure to Report" (March 2007) June 1, 2007  View more articles from the same authors. Citation Text: Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. Rockville (MD): Agency for Healthcare Research …

  8. Connecting to Health: Public – Private Sector Health Information Exchange Efforts (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006Welebob_051711comp.pdf
    June 06, 2006 - Connecting to Health: Public – Private Sector Health Information Exchange Efforts June 6, 2006 Page 1 Connecting to Health: Public – Private Sector Health Information Exchange Efforts Patient Safety and Health IT Conference Agency for Healthcare Research and Quality June 6, 2006 Emily Welebob Vice President…

  9. Improving the Delivery of Health Services at the Health Systems Level | Digital Healthcare Research

    digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level
    January 01, 2020 - Improving the Delivery of Health Services at the Health Systems Level AHRQ-funded research aims to improve the delivery of health services at the health systems or organizational level; this investment was $41.8 million over the duration of projects that were ongoing in 2020. The use…

  10. Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery | PSNet

    psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
    September 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery Citation Text: Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar Bib…

  11. Disclosure of Errors | PSNet

    psnet.ahrq.gov/primer/disclosure-errors
    September 15, 2024 - Disclosure of Errors Citation Text: Disclosure of Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  12. ENVIRONMENTAL PROTECTION AGENCY (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/manges.pdf
    October 08, 2025 - ENVIRONMENTAL PROTECTION AGENCY INNOVATIONS CONFERENCE -- ENVIRONMENTAL PROTECTION AGENCY SPEAKER: ELLEN MANGES, SENIOR ADVISOR, OFFICE OF SOLID WASTE AND EMERGENCY RESPONSE (OSWER) ENVIRONMENTAL PROTECTION AGENCY (EPA) MANGES: My name is Ellen Manges. I'm a senior advisor. I…

  13. Using Deliberative Methods to Engage the Public: Facilitating a Deliberative Session (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/deliberative-methods-facilitation-slides-text.pdf
    October 08, 2025 - Using Deliberative Methods to Engage the Public: Facilitating a Deliberative Session …

  14. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
    August 01, 2010 - • What happened during training that could challenge or facilitate implementation?

  15. Integrating Primary Care Practices and Community-based Resources to Manage Obesity (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
    May 01, 2014 - Transitional statements help you move to action after drawing together what has happened during the … v=ziH33JqCGAU&feature=related “If it’s not in the medical record, then it never happened.

  16. Cognitive Testing Protocol AHRQ QI template (pdf file)

    qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Composite.pdf
    January 01, 2000 - Cognitive Testing Protocol AHRQ QI template 1 HOSPITAL QUALITY MODEL REPORT: COMPOSITES SPONSOR HOME PAGE This page would be the normal home page of whatever group is releasing the report in a particular state or community. The group might be, for example, the State Health Department. The page wou…

  17. Primary Care and Patient Safety: Opportunities at the Interface | PSNet

    psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
    September 28, 2022 - Primary Care and Patient Safety: Opportunities at the Interface September 28, 2022  Also Read the Conversations In Conversation With... Freya Spielberg, MD, MPH In Conversation With... Jack Westfall, MD, MPH View more articles from the same authors. …

  18. Final Progress Report: Care Interventions and Quality of Care in Rural and Urban Nursing Units (pdf file)

    www.ahrq.gov/sites/default/files/2024-04/baernholdt-report.pdf
    January 01, 2024 - Previous studies have assessed hospital-acquired pressure ulcer rates, which may or may not have happened

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49654/psn-pdf
    June 01, 2012 - Although it was not completely clear to the orthopedic team or anesthesiologists what happened, all agreed

  20. Order Interrupted by Text: Multitasking Mishap | PSNet

    psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
    August 21, 2015 - More Related Resources WebM&M Cases What Happened
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