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Total Results: 3,987 records

Showing results for "happened".

  1. Minding the Gaps: Creating Resilience in Health Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
    April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care Minding the Gaps: Creating Resilience in Health Care Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD; Richard Cook, MD Abstract Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …

  2. In Conversation with...Bradley T. Rosen, MD, MBA | PSNet

    psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
    March 01, 2008 - In Conversation with...Bradley T. Rosen, MD, MBA March 1, 2008  Also Read an Essay Citation Text: In Conversation with..Bradley T. Rosen, MD, MBA. PSNet [internet]. 2008.In Conversation with...Bradley T. Rosen, MD, MBA. PSNet [internet]. Rockville (MD): Agency for…

  3. Creation of a Medical Procedure Service to Improve Patient Safety | PSNet

    psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
    March 01, 2008 - Creation of a Medical Procedure Service to Improve Patient Safety C. Christopher Smith, MD, and Grace C. Huang, MD | March 1, 2008  Also Read a Conversation View more articles from the same authors. Citation Text: Smith CC, CHuang G. Creation of a Medical Proced…

  4. Medical Scribes and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
    August 01, 2019 - Medical Scribes and Patient Safety Deborah Woodcock, MS, MBA; Robby Bergstrom | August 1, 2019  Also Read a Conversation View more articles from the same authors. Citation Text: Woodcock D, Bergstrom R. Medical Scribes and Patient Safety. PSNet [internet]. Rockv…

  5. In Conversation With… Susan E. Skochelak, MD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
    February 01, 2019 - In Conversation With… Susan E. Skochelak, MD, PhD February 1, 2019  Also Read an Essay Citation Text: In Conversation With… Susan E. Skochelak, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…

  6. In Conversation With… Susan Smith, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-susan-smith-md
    August 01, 2019 - In Conversation With… Susan Smith, MD August 1, 2019  Also Read an Essay Citation Text: In Conversation With… Susan Smith, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Ci…

  7. Health Equity and Maternal Health | PSNet

    psnet.ahrq.gov/perspective/health-equity-and-maternal-health
    October 06, 2021 - Health Equity and Maternal Health October 6, 2021  Also Read the Conversation View more articles from the same authors. Citation Text: Tully K, Stuebe AM, Gibson A, et al. Health Equity and Maternal Health. PSNet [internet]. Rockville (MD): Agency for Healthcare…

  8. AHRQ Webinar: on Leveraging Digital Health Technologies to Address the Needs of Underserved Populations - Q&As (pdf file)

    digital.ahrq.gov/sites/default/files/docs/technologies-underserved-populations-qas-02282023.pdf
    February 28, 2023 - AHRQ Webinar: on Leveraging Digital Health Technologies to Address the Needs of Underserved Populations - Q&As AHRQ National Webinar on Leveraging Digital Health Technologies to Address the Needs of Underserved Populations February 28, 2023 Andrea Wallace, Ph.D., R.N. University of Utah From Emergency to …

  9. In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
    October 06, 2021 - In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD October 6, 2021  Also Read the Essay Citation Text: In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…

  10. Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
    January 01, 2025 - Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions FINAL REPORT Title of Project: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions Principal Investigator: J.B. Jones, PhD, MBA Mark J. Selna (original Principal Investigator) Team Members: Mark Selna, MD …

  11. In Conversation with...Richard P. Shannon, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
    August 01, 2010 - infection has to receive a letter and an explanation from his or her attending physician about what happened

  12. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough | PSNet

    psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
    September 01, 2003 - To understand what happened in these two cases, and how to prevent such errors in the future, we must

  13. In Conversation With… Jack Needleman, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
    September 01, 2012 - daily to-do list as patient conditions change, as new things get ordered, as things that should have happened

  14. Summary of Recommendations from Round 2 Cognitive Testing of the MEPS Cancer SAQ

    meps.ahrq.gov/survey_comp/hc_survey/2011/MEPS_Cancer_SAQ_R2_Results.shtml
    January 01, 2011 - Of the 22 skip errors committed in Round 2, 6 happened in Section 1 before we moved the "is this the … life, not necessarily health," while another commented that the survey was "not so much about what happened … respondent asked whether Q83 is about limitations immediately after treatment or limitations that happened

  15. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
    May 01, 2017 - It gives the team a chance to make a plan for recovery and think about what happened during the procedure … Finally, there should be an opportunity to improve what happened in every case by asking and seeking

  16. Welcome to today’s AHRQ webcast, the National Web-Based Teleconference on Health IT and Underserved Populations Health IT Adoption in Rural Clinical Settings (pdf file)

    digital.ahrq.gov/sites/default/files/docs/AHRQ%20Transcript%208-27-10.pdf
    June 16, 2021 - What's happened here is that four different entities have been discovered to have medication information … And what we think happened in our situation would be contagion – where there wasn't any real adoptions

  17. Preparing for and Recovering After Colorectal Surgery (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/colorectal-booklet.pdf
    November 01, 2023 - It depends on what happened during surgery and on your health before surgery.

  18. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
    July 01, 2023 - Sonentag, obstetrician Frontline SPPC-II SCRIPT The L&D director begins with a description of what happened

  19. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
    January 01, 2025 - reported and the limitations of the classification systems, rather than a true reflection of what happened

  20. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
    April 01, 2011 - What happened during training that could challenge or facilitate implementation?
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