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Total Results: 3,987 records

Showing results for "happened".

  1. Facilitator-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/facilitator-notes.docx
    March 01, 2017 - feedback, and focus on how to prevent a problem from reoccurring rather than just focusing on what happened

  2. WebM&M: Case Studies | PSNet

    psnet.ahrq.gov/webmm-case-studies
    March 25, 2025 - and embarrassed that the patient remembered waking up during the operation but could not explain what happened

  3. The SHARE Approach: Facilitator's Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/share-facilitator-guide.pdf
    October 01, 2024 - Guide the group to come back together and discuss what happened.

  4. The PeaceHealth Ambulatory Medication Safety Culture Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
    January 01, 2007 - this clinic we have defined protocols about reporting and discussing medication mistakes that almost happened

  5. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
    January 01, 2024 - Precipitating factors include direct irritation of atrial tissue by the venous cannula (as appears to have happened

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50754/psn-pdf
    December 18, 2019 - possible that fatigue and burnout contributed to the resident’s failure to enter the orders promptly as happened

  7. Total Parenteral Nutrition, Multifarious Errors | PSNet

    psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
    January 23, 2017 - misconnections, and ineffective or nonexistent systems of independent double-checks.( 14 ) However, as happened

  8. Using Barcode Medication Administration to Improve Quality and Safety (pdf file)

    digital.ahrq.gov/sites/default/files/docs/lesson/09-0023-ef-bcma.pdf
    December 01, 2008 - I believe that [this situation] may have happened to most of the nurses, and that’s why they have become

  9. Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
    January 01, 2024 - Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training Final Progress Report A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training Principal Investigator: Sandrijn M. van Schaik, MD, PhD Team Members: • Naike Bochatay, PhD • Deborah Fr…

  10. The CAHPS Ambulatory Care Improvement Guide: Determining Where to Focus Efforts to Improve Patient Experience (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
    May 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Determining Where to Focus Efforts to Improve Patient Experience The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 5: Determining Where to Focus Efforts to Improve Patient Experience Visit the AHRQ Website for…

  11. Patient-Family-Centered-Care-Transcript (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-transcript.doc
    April 09, 2013 - Paul Tedrick American Hospital Association - Chicago April 9, 2013 11:00AM Central Time Operator: The following recording is for Paul Tedrick with the American Hospital Association - Chicago for the April National Content Call on Tuesday, April 9, 2013 at 11:00AM Central Time. Excuse me, ladies and gentlemen. We n…

  12. Patient and Family-Centered Care (April 9, 2013) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
    December 01, 2017 - Patient and Family-Centered Care (April 9, 2013) Webinar Transcript Paul Tedrick American Hospital Association - Chicago April 9, 2013 11:00AM Central Time Operator: The following recording is for Paul Tedrick with the American Hospital Association - Chicago for the April National Content Call on Tue…

  13. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/excelling_cahps_lessons_medicaid_webinar_transcript.pdf
    January 01, 2016 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans March 2015  Webcast Speakers Stacia Cohen, RN, MBA, Vice President, Medicare Stars Center of Excellence, BCBS of Minnesota, Eagan, MN Christopher Seller…

  14. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascguide.pdf
    April 01, 2015 - AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide PATIENT SAFETY AMBULATORY SURGERY CENTER SURVEY ON PATIENT SAFETY CULTURE User’s Guide AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide Prepared for: Agency for Healthcare Research and Quality U.S. …

  15. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-user-guide.pdf
    July 01, 2018 - AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide PATIENT SAFETY AMBULATORY SURGERY CENTER SURVEY ON PATIENT SAFETY CULTURE User’s Guide AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide Prepared for: Agency for Healthcare Research and Quality U.S. …

  16. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascguide.pdf
    April 01, 2015 - AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide PATIENT SAFETY AMBULATORY SURGERY CENTER SURVEY ON PATIENT SAFETY CULTURE User’s Guide AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide Prepared for: Agency for Healthcare Research and Quality U.S. …

  17. NATIONAL WEB-BASED TELECONFERENCE ON HEALTH IT: QUALITY METRICS AND MEASUREMENT (pdf file)

    digital.ahrq.gov/sites/default/files/docs/quality-metrics-transcript-042811.pdf
    December 31, 2007 - And that is what has happened really in the last couple of years, that the docs said this is the way

  18. Shock | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/health-topics/shock

  19. Improving Asthma Care With Health Information Technology (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/asthmacarewithhit_081011comp.pdf
    July 01, 2011 - Improving Asthma Care With Health Information Technology Final ACTION Contract Report Improving Asthma Care With Health Information Technology Final Report Improving Asthma Care With Health Information Technology Prepared for: Agency for Healthcare Research and Quality 540 Gaither Road Rockvil…

  20. Measuring Patient Safety | PSNet

    psnet.ahrq.gov/perspective/measuring-patient-safety
    December 14, 2022 - Measuring Patient Safety Michelle Schreiber, MD; Cindy Van, MHSA; Sarah E. Mossburg, RN, PhD | December 14, 2022  Also Read the Conversation View more articles from the same authors. Citation Text: Schreiber M, Van C, Mossburg SE. Measuring Patient Safety. PSN…
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