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Total Results: 3,987 records

Showing results for "happened".

  1. EMS Perils from Hospital Overcrowding | PSNet

    psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
    November 25, 2020 - EMS Perils from Hospital Overcrowding Citation Text: Brown S, Rose JS, Barnes DK. EMS Perils from Hospital Overcrowding. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX E…

  2. Angina | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/health-topics/angina

  3. Barotrauma | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/health-topics/barotrauma

  4. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)

    www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
    January 01, 2025 - Participants’ judgments of what was done wrong can be used not as a way to conclusively judge what happened … response as definitely showing the root causes of each of these error; rather, the survey describes what happened

  5. Understanding Health-Systems’ Use of and Need for Evidence To Inform Decisionmaking (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-systems-research.pdf
    October 01, 2017 - I've never really kind of connected it back to the EPC work in particular, thinking through how that happened

  6. Introducing the CAHPS Child Hospital Survey_Transcript (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/introducing-cahps-child-hospital-survey-transcript.pdf
    January 01, 2015 - And so we don’t want to actually measure peoples’ satisfaction, we want to measure what actually happened

  7. Infused, Not Ingested | PSNet

    psnet.ahrq.gov/web-mm/infused-not-ingested
    February 01, 2017 - Infused, Not Ingested Citation Text: Foley M. Infused, Not Ingested. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  8. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - Spotlight Spotlight False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy Source and Credits • This presentation is based on the September 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by:…

  9. The Wrong Channel | PSNet

    psnet.ahrq.gov/web-mm/wrong-channel
    February 01, 2003 - The Wrong Channel Citation Text: Gosbee JW. The Wrong Channel . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  10. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet

    psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
    September 01, 2012 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization Citation Text: Pham TH, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Ci…

  11. Assess-Resident-Uti-Facilitator-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Assessment of the Resident With a Suspected Urinary Tract Infection Long-Term Care Slide Title and Commentary Slide Number and Slide Assessment of the Resident With a Suspected Urinary Tract Infection Long-Term Care SAY: Welcome to the presentation titled, “A…

  12. TeamSTEPPS® Diagnosis Improvement: Module 2 Diagnostic Team Structure

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module2-team-structure.pptx
    January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 2 Diagnostic Team Structure Module 2 Diagnostic Team Structure TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 2, Diagnostic Team Structure, that you will review as the facilitator. Indiv…

  13. How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/cgcahps-webcast-brief-2014.pdf
    January 01, 2014 - How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement 1 Issue Brief How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement This brief shares the experiences of two provider groups using the 12-Month version of the CAHPS Clinician & …

  14. TeamSTEPPS® Diagnosis Improvement: Module 2 Diagnostic Team Structure (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module2-presenters-notes.pdf
    January 12, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 2 Diagnostic Team Structure Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                                  …

  15. The Rationale for Case Mix and Mode Adjustments - Elliott (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/3-case-mix-mode-adjustments-webcast-elliott.pdf
    June 02, 2025 - The Rationale for Case Mix and Mode Adjustments - Elliott The Rationale for Case-Mix and Mode Adjustments to AHRQ’s CAHPS Surveys Marc Elliott Senior Principal Researcher RAND Corporation, Santa Monica, CA Outline • Background • Purpose and Methods of Case-Mix and Mode Adjustment • Examples of Case-Mix and M…

  16. Rapid Response for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
    July 01, 2023 - Rapid Response for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Say: The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also referred to as a rapid response system, for respon…

  17. Labor and Delivery Unit Safety: Shoulder Dystocia | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
    July 01, 2023 - Labor and Delivery Unit Safety: Shoulder Dystocia AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements related to the safe management of a delivery complicated by a shoulder dystocia. The key elements are presented within the framework …

  18. The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
    March 01, 2017 - The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures The Culture of Culturing— The Importance of Knowing When To Order Urine Cultures AHRQ Pub. No. 16(17)-0003-16-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to today’s educational session on The Culture of C…

  19. AHRQ Slide Template 2019-Widescreen (pdf file)

    pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
    January 01, 2020 - AHRQ Slide Template 2019-Widescreen Working With Patient Safety Organizations (PSOs) – The Value for Hospitals During COVID-19 and Beyond We will get started in just a few minutes. Housekeeping All lines are currently muted. We will have a Q&A period at the end of the presentation. Chat Function: Use chat to a…

  20. Frequently Asked Questions: The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/faqs-final508.pdf
    June 02, 2025 - Frequently Asked Questions: The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Frequently Asked Questions Frequently Asked Questions | 1 Implementation 1. How do I g…
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