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Showing results for "happened".

2661. 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…

2662. 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 …

2663. 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…

2664. In Conversation with…Donald M. Berwick, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
      November 01, 2005 - In Conversation with…Donald M. Berwick, MD, MPP November 1, 2005  Also Read an Essay Citation Text: In Conversation with…Donald M. Berwick, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…

2665. Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-protocol.pdf
      January 01, 2024 - Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care Evidence-based Practice Center Rapid Review Protocol Project Title: Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care Review Question…

2666. 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…

2667. 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

2668. 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

2669. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
      January 01, 2025 - Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report Leveraging Existing Assessments of Risk Now (LEARN) Final Report PI: Donna Woods, EdM, PhD Jane Holl, MD, MPH; Sally Reynolds, MD; Robert Wears, MD; Ellen Schwalenstocker, PhD; Jonathan Young; O…

2670. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
      December 01, 2021 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part I SURVEYS ON PATIENT SAFETY CULTURE™ Surveys on Patient Safety Culture™ Ambulatory Surgery Center Survey: 2021 User Database Report e PATIENT SAFETY [This page is intentionally left blank] Surveys o…

2671. 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.

2672. 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?

2673. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
      October 01, 2017 - Ask: Has anyone here ever used root cause analysis to study why something happened and determine possible

2674. 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

2675. 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

2676. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
      January 01, 2016 - ASK: Has anyone here ever used root cause analysis to study why something happened and determine possible

2677. Final Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program: Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finaldesignplan.pdf
      September 01, 2015 - about whether the CHIPRA funds actually made the difference or whether observed changes would have happened

2678. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865429/psn-pdf
      April 24, 2024 - Precipitating factors include direct irritation of atrial tissue by the venous cannula (as appears to have happened

2679. "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

2680. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853902/psn-pdf
      September 27, 2023 - It is not entirely clear what happened, but aggressive diuresis with concurrent diarrhea, possibly in