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Showing results for "happened".

2441. Meeting Minutes, November 2022 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2022-11-nac/nacmtg111722-minutes.html
      July 01, 2023 - Meeting Minutes, November 2022 Virtual Meeting Minutes from the November 17, 2022, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 21, 2022, Meeting Summary AHRQ Director’s Highlights Update on AHRQ Efforts to…

2442. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838221/psn-pdf
      September 28, 2022 - In Conversation With... Freya Spielberg, MD, MPH September 28, 2022 In Conversation With.. Freya Spielberg, MD, MPH. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph Editor’s Note: Freya Spielberg, MD, MPH, is the Founder and CEO of Urgent Wellness LLC, a social enterp…

2443. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33859/psn-pdf
      June 01, 2018 - In Conversation With… Richard Hoppmann, MD June 1, 2018 In Conversation With… Richard Hoppmann, MD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md Editor's note: Dr. Hoppmann is the Dorothea H. Krebs Endowed Chair of Ultrasound Education, Professor of Medicine, and Dire…

2444. Difficult Encounters: A CMO and CNO Respond | PSNet
      psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
      March 01, 2018 - SPOTLIGHT CASE Difficult Encounters: A CMO and CNO Respond Citation Text: Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: …

2445. Dying in the Hospital With Advanced Dementia | PSNet
      psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
      November 01, 2016 - SPOTLIGHT CASE Dying in the Hospital With Advanced Dementia Citation Text: Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Ci…

2446. Delirium or Dementia? | PSNet
      psnet.ahrq.gov/web-mm/delirium-or-dementia
      September 27, 2023 - Upon finding her mother confused, the daughter asked the nurse what had happened and reiterated to the

2447. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49681/psn-pdf
      April 01, 2013 - misconnections, and ineffective or nonexistent systems of independent double-checks.(14) However, as happened

2448. Urine Culturing Stewardship in the ICU Setting Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
      April 01, 2022 - What happened with her?

2449. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/014-ss-cleaning.pptx
      April 01, 2025 - Prevention | Surgical Services Optimizing Environmental Cleaning Case Example: OR MRSA Outbreak What happened

2450. An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet
      psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
      January 29, 2021 - On later review, the patient confirmed that he had mentioned what had happened in his previous bronchoscopy

2451. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
      psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
      February 01, 2004 - That is what happened in this unfortunate case. The patient's phone number did not work.

2452. Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
      October 01, 2024 - Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings AHRQ Safety Program for MRSA Prevention Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings Introduction 1 The Importance of MRSA Prevention 1 Four Key Strategies of MRSA Prevention 1 Decolonize Patients 2 Decontamina…

2453. Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/improving-cg-cahps-scores-webcast-transcript.pdf
      March 01, 2016 - Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores March 2016  Webcast Speakers Rick Evans, MA, Senior Vice President and Chief Experience Officer, NewYork-Presbyterian Hospital Debra Rosen, RN, MPH, Director, Quali…

2454. transforming-guidelines-action-slides-06152023 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-slides-06152023.pdf
      June 15, 2023 - transforming-guidelines-action-slides-06152023 Transforming Guidelines Into Action: Clinical Decision Support at the Point of Care Presented by: Patricia C. Dykes, Ph.D., R.N. Alex C. Spyropoulos, M.D. Kensaku Kawamoto, M.D., Ph.D. Moderated by: Mario Terán, M.D., M.Sc. Agency for He…

2455. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
      January 01, 2004 - Errors were defined as events in physicians’ practices that should not have happened and were not anticipated

2456. Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
      November 01, 2016 - This is an award we've been giving out for ten years, and I've happened to be one of the judges.

2457. Webinar Transcript - National Quality Strategy Webinar: Using the Nine Levers to Achieve Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-using-the-nine-levers-to-achieve-results.html
      November 01, 2016 - So connect with me and help me figure out how to help make that happened.

2458. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
      January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach 241 Diagnostic Failure: A Cognitive and Affective Approach Pat Croskerry Abstract Diagnosis is the foundation of medicine. Effective treatment cannot begin until an accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of clinic…

2459. Best Practices: How Successful Units Engaged Their Senior Executive Leaders (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
      April 01, 2013 - Best Practices: How Successful Units Engaged Their Senior Executive Leaders (Transcript) October 18, 2011 Operator: The following is a recording for Paul Tedrick with the American Hospital Association, Chicago, supplemental call on Tuesday, October 18, 2011, beginning at 1 p.m. Central time. Excuse me, every…

2460. In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ Population | PSNet
      psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
      February 01, 2023 - In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population February 1, 2023  Also Read the Essay Citation Text: In Conversation with.. Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population. PSNet [inte…