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Total Results: 3,987 records

Showing results for "happened".

2621. "Do You Want Everything Done?": Clarifying Code Status | PSNet
      psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
      March 27, 2024 - possible that fatigue and burnout contributed to the resident’s failure to enter the orders promptly as happened

2622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865454/psn-pdf
      March 27, 2024 - most commonly sought form of support was a respected peer with whom to discuss the details of what happened

2623. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery | PSNet
      psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
      March 25, 2020 - Precipitating factors include direct irritation of atrial tissue by the venous cannula (as appears to have happened

2624. Ensuring Patient and Workforce Safety Culture in Healthcare | PSNet
      psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
      March 27, 2024 - most commonly sought form of support was a respected peer with whom to discuss the details of what happened

2625. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet
      psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
      January 29, 2021 - It is not entirely clear what happened, but aggressive diuresis with concurrent diarrhea, possibly in

2626. Informing Consumer Health Information Technology Design: How Patients Use Social Networking Sites - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r03hs022930-valdez-final-report-2015.pdf
      January 01, 2015 - Whatever  happened  to  qualitative  description?

2627. Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
      January 01, 2017 - contribute to defects, plan improvements, and sustain those improvements through four questions: • What happened

2628. Primary Care Practice Facilitation Curriculum Module 9: Using Appreciative Inquiry with Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
      September 01, 2015 - Describe it to me with enough detail that I can see what happened as if I were watching a movie.

2629. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
      psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
      January 12, 2022 - Tremendous innovation happened with good results but sometimes it would take a trial of two or three

2630. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
      psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
      January 12, 2022 - Tremendous innovation happened with good results but sometimes it would take a trial of two or three

2631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49424/psn-pdf
      November 01, 2003 - Waiting Too Long November 1, 2003 Rosen MA. Waiting Too Long. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/waiting-too-long The Case A 31-year-old gravida 1, para 1 woman presented at 40 weeks in the early stages of labor having received limited prenatal care at an outside clinic. Physical exam performed…

2632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33633/psn-pdf
      May 01, 2006 - Patient Safety in the Physician Office Setting May 1, 2006 Elder NC. Patient Safety in the Physician Office Setting. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/patient-safety-physician-office-setting Perspective Dr. Jones was sure he had increased Mr. H's cholesterol-lowering medication to 80 mg 6 …

2633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33705/psn-pdf
      January 01, 2011 - Risk Management and Patient Safety December 1, 2010 Manuel BM, McCarthy JL, Berry WR, et al. Risk Management and Patient Safety. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/risk-management-and-patient-safety Perspective In 1990, a Harvard-based research team reported the incidence of medical errors …

2634. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49851/psn-pdf
      January 01, 2019 - One Bronchoscopy, Two Errors January 1, 2019 Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors The Case A 67-year-old man with a history of hypertension was admitted to the intensive care unit (ICU) with hypoxic respiratory failure…

2635. Create a Safe Medicine List Together (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
      June 02, 2025 - Create a Safe Medicine List Together Create a Safe Medicine List Together AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Presenter Presentation Notes The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Impr…

2636. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/faq.html
      April 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Frequently Asked Questions Implementation Be Prepared to Be Engaged Create a Safe Medicine List Together Teach-Back Warm Handoff Plus Implementation 1. How do I get leadership buy-in? Leaders play an imp…

2637. Microsoft Word - Eight Key Lessons_FINAL (pdf file)
      digital.ahrq.gov/sites/default/files/docs/library/Eight_Key_Lessons_FINAL.pdf
      July 01, 2011 - Microsoft Word - Eight Key Lessons_FINAL Made possible through support from the Robert Wood Johnson Foundation and Kaiser Permanente. any states are looking to managed care partners to help them meet their expanded coverage responsibilities in 2014. As they address Medicaid spending and simultaneously prepare for …

2638. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
      June 02, 2025 - PowerPoint Presentation Create a Safe Medicine List Together AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Improving Patient Safety in Primary Care Settings by Engagin…

2639. 5 Tk2 T2-Concise Antibiogram Toolkit Getting Started (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T2-Concise_Antibiogram_Toolkit_Getting_Started.pdf
      May 01, 2014 - www.ahrq.gov/NH-ASPGuide ● May 2014 AHRQ Pub. No. 14-0012-2-EF Concise Antibiogram Toolkit Getting Started—Sources of Data Once you decide that an antibiogram will be a useful tool for your nursing home, there are a few things to consider. 1. What will you need to create the antibiogram? 2. What data are need…

2640. Improving Communication Between Members of the Practice Around Antibiotic Decisions – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-guide.docx
      September 01, 2022 - Improving Communication Between Members of the Practice Around Antibiotic Decisions – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Improving Communication Between Members of the Practice Around Antibiotic Decisions Ambulatory Care Slide Title and Commentary Slide Number and Slide Im…