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Showing results for "happened".

2321. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia | PSNet
      psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
      January 29, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia Citation Text: Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and…

2322. 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…

2323. Harnessing Health Information Technology for Self-Management Support and Medication Activation in a Medicaid Health Plan | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medication
      January 01, 2023 - Harnessing Health Information Technology for Self-Management Support and Medication Activation in a Medicaid Health Plan Project Final Report ( PDF , 325.41 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible f…

2324. 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?

2325. 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. …

2326. 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…

2327. Detailed Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
      August 01, 2022 - professionals and institutions disclose adverse outcomes to patients and families; investigate and explain what happened … but felt (in some cases) that litigation was the only reliable way to access information about what happened … others have said before them: Litigation is sometimes undertaken as much to get information about what happened

2328. Chapter 3. Description of Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
      August 01, 2022 - Participants stressed that the consumer's perspective provides critical insight into what happened and … Participants said that consumers should be informed about the results of any investigation, why the event happened

2329. EMS Patient Safety in the Field | PSNet
      psnet.ahrq.gov/perspective/ems-patient-safety-field
      July 28, 2021 - And I happened to be reviewing one of those today, so it's fresh in my mind. … A patient had some symptoms and then didn't, and then had symptoms again, and when the EMS group happened

2330. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867359/psn-pdf
      December 18, 2024 - is given to the wrong baby, there is a risk of transmission of infectious diseases to the baby as happened

2331. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
      January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                                               …

2332. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
      January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction Module 1 Introduction TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover the introduction to the TeamSTEPPS for Diagnosis Improvement material that you will review with the course par…

2333. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
      January 01, 2003 - Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities 193 Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities George Blike, Joseph Cravero, Steve Andeweg, Jens Jensen, Klaus Christoffersen Abstract Background: Human er…

2334. 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.

2335. Cover slide
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
      May 01, 2013 - Cover slide Explore the role of patient and family advisors Describe how to work with patients and family advisors Present tools to improve communication among patients, families, and clinicians Discuss how to communicate an adverse event to a patient and family members Learning Objectives The Patient’s Hos…

2336. 036-Sources-Pathways-Mrsa-One-Pager (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/036-sources-pathways-mrsa-one-pager.docx
      October 01, 2024 - The Impact of Methicillin-Resistant Staphylococcus aureus (MRSA) · MRSA is one of the most invasive and deadly multi-drug resistant organisms (MDROs). · Over 2.8 million infections and over 35,000 people die in the U.S. every year.1 · MRSA infections are associated with the following: · Prolonged length of stay in ho…

2337. Who Could Partner in a Health Care Quality Reporting Project? | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/plan/partners/index.html
      May 01, 2019 - Who Could Partner in a Health Care Quality Reporting Project? In many cases, a quality reporting project is more effective when multiple organizations come together to make decisions, tackle the logistics, and combine money, talent, and other resources. This page discusses the benefits and challenges of collabo…

2338. How CUSP Enables Nurse Empowerment (Slide Presentation) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/nurse-empower/slides.html
      October 01, 2014 - How CUSP Enables Nurse Empowerment (Slide Presentation) On the CUSP: Stop BSI This PowerPoint slide presentation was shown on November 15, 2011. Contents Slide 1. How CUSP Enables Nurse Empowerment Slide 2. Presenters (continued) Slide 3. CUSP Components Slide 4. How is CUSP Different? It Empowers N…

2339. Measure: Pediatric All-Condition Readmission Measure (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
      October 01, 2014 - Measure: Pediatric All-Condition Readmission Measure Measure: Pediatric All-Condition Readmission Measure Measure Developer: Center of Excellence for Pediatric Quality Measurement (CEPQM) Numerator Denominator Exclusions Data Source(s) Hospitalizations at general acute care hospitals for patients less than 18 …

2340. Using the AHRQ Medical Office Survey on Patient Safety Culture Webinar - Fagnan & Rollins (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/fagnan-reflections-perceptions-mosops.pdf
      June 02, 2025 - Using the AHRQ Medical Office Survey on Patient Safety Culture Webinar - Fagnan & Rollins Practice Reflections & Perceptions of MOSOPS—Process, Value, and Potential Use L.J. Fagnan, MD and Nancy Rollins Oregon Rural Practice-based Research Network (ORPRN) Oregon Health & Science University AHRQ PBRN Task Order…