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Showing results for "happened".

  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
    June 02, 2025 - We talk to the resident and staff to figure out what happened when that resident fell or how that pressure
  2. 013-Ss-Cleaning-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/013-ss-cleaning-fg.docx
    April 01, 2025 - They followed the Learning From Defects process to determine what happened and identify contributing
  3. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/survey-methods-research/summary-research-meeting.pdf
    January 01, 2019 - education, in that the purpose of the survey results is to identify systemic issues, not to say what happened
  4. digital.ahrq.gov/sites/default/files/docs/citation/r01hs022305-manojlovich-final-report-2019.pdf
    January 01, 2019 - people to evade face-to-face contact, even as there may be more need for it, as indicated by what happened
  5. www.ahrq.gov/sites/default/files/2024-07/hatlie-report.pdf
    January 01, 2024 - others or responding to others’ questions about one’s own story can lead to internal reframing of what happened—a
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49528/psn-pdf
    January 01, 2015 - The "Customer" Is Always Right February 1, 2007 Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/customer-always-right Case Objectives Understand the importance of identifying a patient's agenda. Appreciate the factors that contribute to unmet patient expectations. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49633/psn-pdf
    September 01, 2011 - The Safety and Quality of Long Term Care September 1, 2011 Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care Case Objectives Identify commonly reported adverse events in long-term care. Identify two to three challenges…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33809/psn-pdf
    June 01, 2016 - In Conversation With… Gregg S. Meyer, MD, MSc June 1, 2016 In Conversation With… Gregg S. Meyer, MD, MSc. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc Editor's note: Dr. Meyer is Chief Clinical Officer of Partners Healthcare System, the large Boston-based system tha…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838855/psn-pdf
    October 27, 2022 - False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. October 27, 2022 Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/false-assumptions-resul…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854897/psn-pdf
    October 31, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose October 31, 2023 Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/weight-and-…
  11. psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
    April 09, 2014 - SPOTLIGHT CASE The Hazards of Distraction: Ticking All the EHR Boxes Citation Text: Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49550/psn-pdf
    December 01, 2007 - Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? December 1, 2007 Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals The Case …
  13. www.ahrq.gov/research/findings/final-reports/stpra/stpraapd.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix D. Site Visit Process Comparison Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Ch…
  14. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Appropriate Collection of Microbiologic Specimens Long-Term Care Slide Title and Commentary Slide Number and Slide Appropriate Collection of Microbiologic Specimens Long-Term Care SAY: Welcome to this presentation, titled, “Appropriate Collection of Microbiol…
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/3-sorra-sops-hospital-survey-2-0-webcast.pdf
    July 20, 2020 - AHRQ Webcast Introducing the New SOPS Hospital Survey 2.0 - Sorra AHRQ Surveys on Patient Safety Culture™ Hospital Survey Version 2.0 Joann Sorra, PhD Project Director, AHRQ Surveys on Patient Safety Culture User Network, Westat 12 HSOPS 2.0 Development Team • Westat Research Team: Theresa Famolaro, MPS, MS, …
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal-notes.docx
    April 01, 2022 - Prompting Removal of Unnecessary Indwelling Urinary Catheters Facilitator Notes CAUTI Module: Indwelling Urinary Catheter Removal Facilitator Guide Slide Number and Image This module, titled “Indwelling Urinary Catheter Removal,” is part of the Agency for Healthcare Research and Quality’s Safety Program for In…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety AHRQ Publication No. 17-0003-20-EF May 2017 SAY: The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also …
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Shoulder Dystocia Labor and Delivery Unit Safety—Shoulder Dystocia Purpose of the tool: This tool describes the key perinatal safety elements related to the saf…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
    May 01, 2017 - Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Publication No. 17-0003-1-EF May 2017 SAY: This module introduces the comprehensive unit-based safety program, …
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/040-mrsa-surveillance-notes.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention MRSA Surveillance ICU & Non-ICU Slide Title and Commentary Slide Number and Slide MRSA Surveillance SAY: Welcome to this presentation on MRSA Surveillance, which will explain how various approaches to MRSA surveillance help to prevent transmission of MRSA in intensive care u…