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Total Results: 3,987 records

Showing results for "happened".

2261. Signout Fallout | PSNet
      psnet.ahrq.gov/web-mm/signout-fallout
      November 16, 2022 - The neurosurgical attending and the ICU attending met with both of their teams to discuss what happened

2262. Out of Sight, Out of Mind: Out-of-Office Test Result Management | PSNet
      psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
      September 01, 2007 - The rheumatologist happened to have two patients with the same last name, and both had GCA.

2263. The ECG Is Not Normal | PSNet
      psnet.ahrq.gov/web-mm/ecg-not-normal
      November 10, 2015 - What exactly happened here?

2264. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet
      psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
      May 11, 2019 - consider it adequate to describe the finding and to suggest follow-up in the written report, which is what happened

2265. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet
      psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
      August 25, 2021 - In using the DEER taxonomy to better characterize what happened in the diagnostic process in this case

2266. Near Miss with Bedside Medications | PSNet
      psnet.ahrq.gov/web-mm/near-miss-bedside-medications
      February 01, 2006 - When the pharmacist had him spell the name on the box, she realized what had happened and had him discard

2267. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
      psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
      January 29, 2021 - The patient should be informed of what happened under anesthesia in the recent operation (with the assistance

2268. C (pdf file)
      hcup-us.ahrq.gov/reports/methods/2010_05.pdf
      January 01, 2010 - difference of 0.8 days is based on statement # 1 (0.8 = 3.7 – 2.9), statement # 2 is not about what happened

2269. A National Web Conference on Transitions in Care (pdf file)
      digital.ahrq.gov/sites/default/files/docs/2010-02-24%20Transitions%20In%20Care%20(4).pdf
      January 01, 2010 - • Surveys do not tell us exactly what happened,  but they do tell us what the patient  experienced

2270. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
      May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 7. Layering Interventions and Moving Toward Excellence Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. A…

2271. 029-Ss-Review-Ssi-Prevention-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Review of SSI Program Tools Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Review of SSI Program Tools SAY: This presentation provides an overview of all the program…

2272. Implementation Planning | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
      February 01, 2024 - Implementation Planning If your organization decides that implementing part or all of the TeamSTEPPS curriculum would be of value, carefully think through how to implement and sustain what you intend to teach. Successful and sustainable implementation begins with effective implementation planning. Basis of Im…

2273. 7. Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 7. Tools and Resources Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…

2274. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.html
      May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 7. Layering Interventions and Moving Toward Excellence Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. A…

2275. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/156-what-are-4es.pptx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention What Are the 4 Es? ICU/Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU What Are The Four Es 1 Educational Objectives Define the 4 Es framework—Engage, Educate, Execute, Evaluate—and ex…

2276. Rating the Raters: How the Informed Patient Institute Assesses Health Care Quality Reports (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Rating_the_Raters_2011_06_15_Transcript.pdf
      January 01, 2011 - Rating the Raters: How the Informed Patient Institute Assesses Health Care Quality Reports Transcript release date 6/15/11 www.talkingquality.ahrq.gov Rating the Raters: How the Informed Patient Institute Assesses Health Care Quality Reports Moderator: Lise Rybowski, Consultant, TalkingQuality; President, …

2277. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Overview: Getting Patients Off the Ventilator Faster SAY: In this module, we will introduce strategies and interventions, as well as adaptive and technical measures, which, when implemented, can help …

2278. Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
      February 01, 2017 - Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Overview: Getting Patients Off the Ventilator Faster Say: In this module, we will introduce strategies and interventions, as well as adaptive and technical measures, …

2279. Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
      January 01, 2010 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process 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 Brig…

2280. 7. Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 7. Tools and Resources Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…