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Showing results for "happened".

2761. Improving the Value of Patient Safety Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
      June 12, 2008 - They must also commit sufficient time to review each incident, understand what happened and why, and

2762. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
      December 01, 2003 - The focus is not on what happened, but on who did it.

2763. Module 5: Resident and Family Engagement: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-facguide.html
      March 01, 2017 - feedback, and focus on how to prevent a problem from reoccurring rather than just focusing on what happened

2764. Pediatric Health Care Quality Measures: Considerations for Pharmacotherapy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/LomotanDougherty2013.pdf
      April 01, 2013 - Dougherty happened and what has not? Eur J Clin Pharmacol. 2012;68(1): 1–10. 18.

2765. AHRQ National Web Conference on the Role of Health IT to Improve Care Transitions - Slides (pdf file)
      digital.ahrq.gov/sites/default/files/docs/care-transitions-slides-092619.pdf
      September 26, 2019 - It’s hard to report on the process because it hasn’t actually happened yet.”

2766. AHRQ National Web Conference on Applying Advanced Analytics in Clinical Care - Q&As (pdf file)
      digital.ahrq.gov/sites/default/files/docs/clinical-care-qas-10142020.pdf
      October 14, 2020 - preliminary data and plan an additional 4 months to tinker with the algorithm (while other things happened

2767. Implementation and Dissemination of 'Gabby,' a Health Information Technology (HIT) System for Young Women, into Community-Based Clinical Sites - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs025131-jack-final-report-2022.pdf
      January 01, 2022 - who enrolled, any technical issues that occurred and a description of any provider follow-up that happened

2768. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
      June 30, 2004 - aspects of the event (e.g., roles of participants, procedures or treatments involved, how the event happened

2769. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Umbilical Cord Prolapse Labor and Delivery Unit Safety—Umbilical Cord Prolapse Purpose of the tool: This tool describes the key perinatal safety elements …

2770. Learn-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety SAY: This module introduces the comprehensive unit-based safety program, also called CUSP, that we will use as the foundation …

2771. Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
      July 01, 2023 - Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety Say: This module introduces the comprehensive unit-based safety program, also calle…

2772. Rapidresponse Facguide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety Rapid Response for Perinatal Safety SAY: The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also referred to as a rapid response system, for responding to urgent maternity care issues. Slide …

2773. Antibiotic Stewardship Slides, Part 2
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
      March 01, 2017 - Antibiotic Stewardship Slides, Part 2 Antibiotic Stewardship AHRQ Pub. No. 16(17)-0003-22-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to today’s educational session on antibiotic stewardship. This module is part of the Agency for Healthcare Research and Quality (or AHRQ) Safety Progra…

2774. Creating a Learning Health Care System: The Role of Practice Facilitators in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/webinar_summary.pdf
      August 02, 2017 - Creating a Learning Health Care System: The Role of Practice Facilitators in Primary Care CREATING A LEARNING HEALTH CARE SYSTEM: THE ROLE OF PRACTICE FACILITATORS IN PRIMARY CARE Webinar Summary 2 AHRQ | EvidenceNOW AHRQ EvidenceNOW Public Webinar “Creating a Learning Health Care System: The…

2775. Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-fac-guide.html
      February 01, 2017 - Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Assess Patient Safety Culture Using the Hospital Survey on Patient Safety Say: In this module, we will introduce the Hospital Survey on Patient S…

2776. Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
      April 01, 2022 - Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting Overv…

2777. Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
      December 01, 2017 - Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship Slide Presentation Slide 1 Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship CAPT Arjun Srinivasan, MD Associate Director for Healthcare Associated Infection Prevention Programs Division of Healthcare Quality …

2778. Build a Business Case for Quality Improvement: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-fac-guide.html
      February 01, 2017 - Build a Business Case for Quality Improvement: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Build a Business Case for Quality Improvement Say: This slide set introduces building a business case for quality improvement. Slide 2: Learning Objectives Say: Afte…

2779. CAHPS Dental Plan Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/dental/dental-plan-adult-eng-751.pdf
      February 10, 2009 - CAHPS Dental Plan Survey CAHPS® Dental Plan Survey Version: Adult Language: English For assistance with this survey, please contact the CAHPS Help Line at 800-492-9261 or cahps1@westat.com. File name: dental-plan-adult-eng-751.doc Last updated: February 10, 2009 mailto:cahps1@westat.com CAHPS Dental Pl…

2780. 017-Ss-Importance-Ssi-Mrsa-Prevention-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/017-ss-importance-ssi-mrsa-prevention-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Importance of MRSA and SSI Prevention Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Importance of MRSA and SSI Prevention SAY: Welcome to this presentation on the i…