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Total Results: 4,075 records

Showing results for "happened".

  1. 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…

  2. 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…

  3. 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…

  4. 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…

  5. 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. …

  6. 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. …

  7. 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. …

  8. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
    December 01, 2024 - The goal of the RCA process is to find out what happened, why it happened, and how to prevent it from

  9. Resource List - AHRQ Medical Office Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.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

  10. Recent Insights into CAHPS Survey Modes and Response Rates (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys.pdf
    January 01, 2020 - To assess patient experience you have to find out from patients whether something that should have happened … setting, such as clear communication with a provider, actually did happen, or perhaps how often it happened

  11. Develop and Validate Health IT Safety Measures to Capture Violations of the 5 Rights of Medication Safety – Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs024538-adelman-final-report-2022.pdf
    January 01, 2022 - to identify reasons for order errors.7,26 This approach uses non-leading questions to elicit what happened … , why the event happened, and what could have prevented the event.

  12. 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

  13. 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

  14. 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.

  15. 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

  16. Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
    January 01, 2023 - • It is not entirely clear what happened, but aggressive diuresis with concurrent diarrhea, possibly

  17. 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

  18. 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

  19. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
    January 01, 2007 - If so, what happened? Why? Who were the responsible parties?

  20. 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
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