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Total Results: 4,075 records

Showing results for "happened".

  1. Hypoxic Gas Supply from Cross-Connected Pipelines | PSNet

    psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
    February 05, 2020 - Hypoxic Gas Supply from Cross-Connected Pipelines Citation Text: Bohringer C, Guemidjian A, Utter G. Hypoxic Gas Supply from Cross-Connected Pipelines. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google S…

  2. Strategies for Improving Patient Experience with Ambulatory Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/6-improvement-strategies.pdf
    March 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 6: Strategies for Improving Patient Experience with Ambulatory Care Visit the AHRQ Website for the full Guide. March 2017 https://www.ah…

  3. Robotic Surgery: Risks vs. Rewards | PSNet

    psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
    October 31, 2023 - SPOTLIGHT CASE Robotic Surgery: Risks vs. Rewards Citation Text: Kirkpatrick T, LaGrange C. Robotic Surgery: Risks vs. Rewards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Googl…

  4. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet

    psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
    August 14, 2024 - SPOTLIGHT CASE Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. Citation Text: Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…

  5. Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
    January 01, 2002 - Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense 425 Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense Heidi B. King, Beth Kohsin, Mary Salisbury Abstract Advancing to a culture of safety requires a systems change. Teamw…

  6. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
    April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System Debora Simmons, RN, MSN, CCRN, CCNS; JoAnn Mick, PhD, RN, MBA, AOCN, CNAA, BC; Krisanne Graves, RN, BSN, CPHQ; Sharon K. Martin, ME…

  7. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
    May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians 353 Physician Event Reporting: Training the Next Generation of Physicians Quang-Tuyen Nguyen, Joanna Weinberg, Lee H. Hilborne Abstract Physician reporting of adverse events and unsafe situations remains extremely low, despite the increa…

  8. Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety Concerns - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs022894-pratt-final-report-2020.pdf
    January 01, 2020 - Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety Concerns - Final Report AHRQ Final Report Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety Concerns Principal I…

  9. Event Transcipt August (pdf file)

    digital.ahrq.gov/sites/default/files/docs/Event%20Transcipt%20August.pdf
    August 27, 2009 - A National Web Conference, E-Prescribing and Medication Management: Current Realities and Future Directions (August 27, 2009) Ladies and gentlemen, we appreciate your patience. Now I would like to turn things over to Bob Mayes AHRQ to introduce the panel. Bob? Welcome to the national web conference sponso…

  10. In Conversation With... Freya Spielberg, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
    September 28, 2022 - In Conversation With... Freya Spielberg, MD, MPH September 28, 2022  Also Read the Essay Citation Text: In Conversation With.. Freya Spielberg, MD, MPH. PSNet [internet]. 2022.In Conversation With... Freya Spielberg, MD, MPH. PSNet [internet]. Rockville (MD): Agen…

  11. Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
    January 01, 2025 - Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse TITLE PAGE Title of Project: Ambulatory patient safety of clients in treatment for substance abuse Principal Investigator: Bentson McFarland, MD, PhD Team Members: Colleen Lewy, PhD Christina Nicolaidis, MD Patri…

  12. Situation Monitoring: Severe Hypertension - PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
    July 01, 2023 - Situation Monitoring: Severe Hypertension - PowerPoint Presentation Situation Monitoring Severe Hypertension Module 4 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 4 of the SPPC-II Teamwork Toolkit. In this module, we will talk about situation monito…

  13. SOPS™ Value and Efficiency Supplemental Items for Hospitals and Medical Offices Webcast Transcript (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcasttranscript.pdf
    January 09, 2018 - SOPS™ Value and Efficiency Supplemental Items for Hospitals and Medical Offices Webcast Transcript January 2018 https://www.ahrq.gov/sops/index.html 1 New AHRQ SOPS™ Value and Efficiency Supplemental Items for Hospitals and Medical Offices January 9, 2018 – Webcast Transcript Sp…

  14. Final Progress Report: Consumer-Led Workshop To Advance Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
    January 01, 2024 - Anderson Cancer Center to graciously host us, the gathering could not have happened.

  15. Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
    July 28, 2016 - this one- page interview guide prompts clinical or quality staff to elicit a recounting of what happened … Would you mind telling me about what happened between the time you left the hospital and the time you

  16. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - varied, the great majority of both patients and clinicians supported disclosure with details about what happened … , how it happened, how it will be corrected, and an apology.

  17. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
    May 01, 2016 - varied, the great majority of both patients and clinicians supported disclosure with details about what happened … , how it happened, how it will be corrected, and an apology.

  18. Disposition of Comments for Technical Brief 20 Core Functionality in Pediatric Electronic Health Records (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/pediatric-ehr_disposition-comments.pdf
    May 01, 2015 - Disposition of Comments for Technical Brief 20 Core Functionality in Pediatric Electronic Health Records Technical Brief Disposition of Comments Report Research Review Title: Core Functionality in Pediatric Electronic Health Records Draft review available for public comment from November 25, 2014 to De…

  19. Slide 1

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
    December 01, 2015 - Council report out Event Analysis Tool 66 Learn from Defects Have own tool but process of what happened

  20. Seizures | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/health-topics/seizures
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