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Showing results for "happened".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49791/psn-pdf
    April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable April 1, 2017 Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable The Case An 84-year-old wo…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33773/psn-pdf
    September 01, 2014 - Overuse as a Patient Safety Problem September 1, 2014 Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem Perspective Nearly half of primary care physicians in the United States believe that patients cared for in their own prac…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33821/psn-pdf
    December 01, 2016 - Errors and Near Misses: What Health Care Could Learn From Aviation December 1, 2016 Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation Perspective Some of the most urg…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867655/psn-pdf
    February 26, 2025 - Learning Health Systems for Patient Safety February 26, 2025 Savitz LA, Sousane Z, Mossburg SE. Learning Health Systems for Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/learning-health-systems-patient-safety Despite an observable decrease in adverse events in health care over time, rat…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33846/psn-pdf
    November 01, 2017 - The Role of Patient-facing Technologies to Empower Patients and Improve Safety November 1, 2017 Rozenblum R, Bates DW. The Role of Patient-facing Technologies to Empower Patients and Improve Safety. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-imp…

  6. Spotlight Case (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
    May 01, 2006 - Spotlight Case Spotlight Case May 2006 Right? Left? Neither! Source and Credits This presentation is based on the May 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Elizabeth A. Howell, MD, MPP; Mark R. Chassin, MD…

  7. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet

    psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
    December 23, 2020 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience James B. Conway; Saul N. Weingart, MD, PhD | May 1, 2005  View more articles from the same authors. Citation Text: Conway JB, Weingart SN. Organizational Change…

  8. School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services for Children with Special Health Care Needs Living in Rural and Underserved Communities | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/school-based-tele-physiatry-assistance-rehabilitative-and-therapeutic-services
    January 01, 2024 - School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services for Children with Special Health Care Needs Living in Rural and Underserved Communities Project Final Report ( PDF , 1.21 MB) Disclaimer Disclaimer The findings and conclusions in this document are…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849660/psn-pdf
    May 31, 2023 - Strategies to Improve Organizational Health Literacy. May 31, 2023 Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy Background Health literacy is important at both the personal …

  10. Slide 1 (ppt file)

    digital.ahrq.gov/sites/default/files/docs/page/SRD%20Call%208.30.06.ppt
    August 22, 2006 - Slide 1 Volunteer eHealth Initiative SW Tennessee’s experience The Legal Side of the Project Vicki Estrin – Program Manager vicki.y.estrin@vanderbilt.edu Funding: AHRQ Contract 290-04-0006; State of Tennessee; Vanderbilt University. This presentation has not been approved by the Agency for Healthcare Research…

  11. Summary of Recommendations from Round 1 Cognitive Testing of the MEPS Cancer SAQ

    meps.ahrq.gov/survey_comp/hc_survey/2011/MEPS_Cancer_SAQ_R1_Results.shtml
    January 01, 2011 - , they didn’t remember enough to answer some of the questions, they were unaware of what actually happened … The other respondent pointed out that the questions assume the employment change happened in the past … This respondent’s cancer treatment had happened in the distant past.

  12. The Role of Community Pharmacists in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
    October 24, 2021 - The team also participates in quality reviews, looking at where errors happened, and collecting data

  13. Patient Engagement and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
    February 01, 2013 - therapy, their thoughts about the transition to home, their concerns about safety, their views about what happened

  14. Making a Case for Organizational Change in Patient Safety Initiatives (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
    January 01, 2003 - Making a Case for Organizational Change in Patient Safety Initiatives 455 Making a Case for Organizational Change in Patient Safety Initiatives Rangaraj Ramanujam, Donna J. Keyser, Carl A. Sirio Abstract Objectives: Widespread organizational change is indispensable for significantly improved patient safety…

  15. TeamSTEPPS® Diagnosis Improvement: Module 3 Communication - Facilitator’s Notes (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-presenters-notes.pdf
    January 13, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 3 Communication - Facilitator’s Notes Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                        …

  16. Module 3: Communication

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-communication.pptx
    January 13, 2022 - Module 3: Communication Module 3 Communication To Improve Diagnosis TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 3, Communication To Improve Diagnosis, that you will review as the facilitator. Individuals who plan to take the …

  17. Strategy 2: Communicating for Improve Quality (Tool 6)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
    July 23, 2010 - Strategy 2: Communicating for Improve Quality (Tool 6) Insert hospital logo here Communicating to Improve Quality Training [Hospital Name | Presenter name and title | Date of presentation] Strategy 2: Communicating to Improve Quality Training (Tool 6) Guide to Patient & Family Engagement As people enter the …

  18. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
    August 01, 2017 - Preventing Pressure Ulcers in Hospitals Section 7. Tools and Resources (continued) Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices…

  19. Final Progress Report: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity (pdf file)

    www.ahrq.gov/sites/default/files/2024-09/halpern-report.pdf
    January 01, 2024 - Final Progress Report: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity Principal Investigator: Scott D. Halpern, M.D., Ph.D. Perelman School of Medicine, University of Pennsylvania Other key team …

  20. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
    August 01, 2017 - Preventing Pressure Ulcers in Hospitals Section 7. Tools and Resources (continued) Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices…
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