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Total Results: 4,075 records

Showing results for "happened".

  1. 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…

  2. 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…

  3. 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…

  4. 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…

  5. 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…

  6. 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…

  7. 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 …

  8. 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…

  9. 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results.pdf
    January 01, 2025 - 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services …

  10. Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
    February 24, 2008 - Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture Karen L. Hannah, MBA; Charles P. Schade, MD, MPH; David R. Lomely, BS; Patricia Ruddick,…

  11. 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 …

  12. July Teleconference Transcript (pdf file)

    digital.ahrq.gov/sites/default/files/docs/July%20Teleconference%20Transcript.pdf
    June 16, 2021 - see these ridges over here, this is the patient’s glucose and it’s stratified by how long ago it happened

  13. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
    April 01, 2023 - The goal of the RCA process is to find out what happened, why it happened, and how to prevent it from

  14. 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 …

  15. 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

  16. 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

  17. 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

  18. 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part I (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt1.pdf
    January 01, 2016 - 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part I PATIENT SAFETY NURSING HOME SURVEY ON PATIENT SAFETY CULTURE: 2016 User Comparative Database Report The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Health…

  19. Transfer Troubles | PSNet

    psnet.ahrq.gov/web-mm/transfer-troubles
    December 29, 2014 - Although it was not completely clear to the orthopedic team or anesthesiologists what happened, all agreed

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49522/psn-pdf
    November 01, 2006 - led to a gradual shift toward the use of process measures (what was done) instead of outcomes (what happened
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