Results

Total Results: 4,075 records

Showing results for "happened".

2261. Consequences of Medical Overuse | PSNet
      psnet.ahrq.gov/web-mm/consequences-medical-overuse
      May 05, 2021 - We don't know exactly what would have happened to this patient if she was admitted to the hospital and

2262. In Conversation With… Paul Aylin, MBChB | PSNet
      psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
      June 01, 2017 - But our most recent paper , on obstetric care, unfortunately happened to come out about a week before

2263. CAUTI Event Reporting Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
      April 01, 2022 - guide through the initial investigation for a defects analysis where the primary goal is to learn what happened

2264. Program-Dev-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
      June 01, 2021 - Slide 7 Reviewing the Events SAY: As you discuss what happened with your team, it seems there are

2265. One Toxic Drug Is Not Like Another | PSNet
      psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
      October 02, 2019 - man was diagnosed with chronic hepatitis C (viral load of 2,500,000 IU/mL) by his internist, who also happened

2266. Hypoxemia after Emergency Intubation | PSNet
      psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
      March 24, 2019 - Lack of gas supply, as happened in this case, is a major cause of ventilator malfunction.

2267. A National Web Conference on Evaluation of Personal Health Record (PHR) Systems and their Impact on Chronic Disease (pdf file)
      digital.ahrq.gov/sites/default/files/docs/phr-impact-chronic-disease-transcript-012512.pdf
      August 01, 2012 - I want to talk about some of the barriers that happened when we first rolled out this study. … Here, what we did was we controlled what happened at CPAP set up.

2268. In Conversation With… John D. Birkmeyer, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
      January 31, 2024 - Just by chance some of the earliest videos that came in happened to be from surgeons that were really

2269. The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? | PSNet
      psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
      June 01, 2017 - But our most recent paper , on obstetric care, unfortunately happened to come out about a week before

2270. Understanding CAHPS® Surveys Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-transcript.pdf
      January 01, 2019 - distinguish patient experience because what patient experience is getting at is really whether something happened … or didn't happen, and how often it happened.

2271. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
      January 01, 2024 - We also focused on solutions that could help PCPs recover from failures, if they happened. … greatly enhance situation awareness as it has done in the military and aviation, 56 but this has not happened

2272. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
      June 21, 2021 - external judgements, patient outcome feedback provides clinicians with narratives regarding what happened

2273. On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
      December 01, 2017 - Do you remember what happened that day with your nursing assistants? … Nurse Manager A: No, I don't remember what happened, but I'm not so sure it's really necessary to have

2274. Puh-Implementation-Handouts (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
      July 01, 2016 - Do you remember what happened that day with your nursing assistants? … Nurse Manager A: No, I don’t remember what happened, but I’m not so sure it’s really necessary to have

2275. 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 …

2276. 10 Patient Safety Tips for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
      December 01, 2009 - 10 Patient Safety Tips for Hospitals Advancing Excellence in Health Care • www.ahrq.gov Agency for Healthcare Research and Quality PATIENT SAFETY 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 …

2277. 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…

2278. 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…

2279. 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…

2280. 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…