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Showing results for "happened".

  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/partnering-patients-family.pdf
    April 01, 2022 - Making It Work Tip Sheet: Partnering With Patients and Families To Prevent CLABSI and CAUTI AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Making It Work Tip Sheet Partnering With Patients and Families To Prevent CLABSI and CAUTI This “Making It Work” tip sheet provide…
  2. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptx
    June 01, 2021 - PowerPoint Presentation Improving Teamwork and Communication Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Improving Teamwork 1 Objectives Recognize the importance of seeking input from all team members when making antibiotic prescribing decisions Summarize ho…
  3. integrationacademy.ahrq.gov/about/integrated-behavioral-health/policy-and-financing
    September 01, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867676/psn-pdf
    February 26, 2025 - Responding to Patient Safety Events February 26, 2025 Shaikh U. Responding to Patient Safety Events. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/responding-patient-safety-events Background Patient safety events that occur in health care facilities require prompt action to ensure that further harm is mit…
  5. digital.ahrq.gov/ahrq-funded-projects/advancing-health-information-exchange-hie-during-inter-hospital-transfer-iht
    January 01, 2024 - Advancing Health Information Exchange During Inter-Hospital Transfer to Improve Patient Outcomes Project Description Publications Research Story An enhanced health information exchange platform that improves workflow, interoperability, and visualization of data for …
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/standalone_pdi_casestudy.pdf
    December 01, 2015 - Children’s Hospital Uses AHRQ’s Pediatric QI Toolkit To Bring Physicians Together To Reduce CLABSIs Children’s Hospital Uses AHRQ’s Pediatric QI Toolkit To Bring Physicians Together To Reduce CLABSIs Abstract The Ann & Robert H. Lurie Children’s Hospital used the tools from the Pediatric QI Toolkit – which …
  7. www.ahrq.gov/talkingquality/resources/design/advice.html
    December 01, 2022 - Advice on Using Design Professionals for a Quality Report This page summarizes input from several report sponsors and web designers who shared the lessons they learned as well as advice for report card sponsors. 1 What Type of Design Team Do You Need? To produce a report, you will need a design team with a …
  8. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-dorr-samal.pdf
    May 19, 2020 - Health IT for Multiple Chronic Conditions Health IT for Multiple Chronic Conditions Lipika Samal, MD, MPH David Dorr, MD, MS Purpose People with Multiple Chronic Conditions (MCC) are especially prone to harm from lack of coordination and communication. Health Information Technology (HIT) solutions can bring t…
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-ASC_Webcast_2021-Famolaro.pdf
    January 01, 2021 - How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety - Famolaro SOPS ASC Database and Resources 20 Theresa Famolaro, MPS, MS, MBA Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat SOPS Databases 21 Hospital Nursing Home Medical Of…
  10. digital.ahrq.gov/ahrq-funded-projects/partnering-improve-patient-safety-rural-wv
    January 01, 2023 - Partnering to Improve Patient Safety in Rural WV Project Final Report ( PDF , 399.95 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No s…
  11. psnet.ahrq.gov/primer/handoffs
    October 18, 2023 - Handoffs Citation Text: Handoffs and Signouts. 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 Download…
  12. psnet.ahrq.gov/primer/communication-between-clinicians
    September 15, 2024 - Communication Between Clinicians Citation Text: Communication Between Clinicians. 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 tag…
  13. digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhyCareAboutWorkflow.ppt
    January 01, 2010 - How Do I Evaluate Workflow? Why care about workflow when planning, implementing, and using health IT? Answer #1: To avoid pain and suffering Many clinics have implemented health IT only to find that they did not anticipate how much health IT can change clinical and administrative workflows. The unanticipate…
  14. 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
  15. 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
  16. 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.
  17. psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
    August 21, 2015 - More Related Resources WebM&M Cases What Happened
  18. psnet.ahrq.gov/web-mm/ecg-not-normal
    November 10, 2015 - What exactly happened here?
  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. 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