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psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error
July 01, 2016 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/development-and-evaluation-checklist-support-decision-making-cancer-multidisciplinary-team
September 25, 2011 - May 20, 2020
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
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psnet.ahrq.gov/issue/shifting-indirect-patient-care-duties-after-hours-era-work-hours-restrictions
February 18, 2011 - Patient Safety and the Evolution of WebM&M and PSNet
September 1, 2019
What happened
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psnet.ahrq.gov/issue/we-cant-get-along-without-each-other-qualitative-interviews-physicians-about-device-industry
March 07, 2018 - June 14, 2019
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.
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psnet.ahrq.gov/issue/we-need-talk-primary-care-provider-communication-discharge-era-shared-electronic-medical
October 13, 2018 - Patient Safety and the Evolution of WebM&M and PSNet
September 1, 2019
What happened
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psnet.ahrq.gov/issue/role-quality-improvement-and-patient-safety-academic-promotion-results-survey-chairs
July 13, 2016 - View More
Related Resources
Inside the preventable deaths that happened
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psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
December 22, 2008 - Diagnostic Safety and Quality
April 26, 2023
Deny, Dismiss, Dehumanise: What Happened
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psnet.ahrq.gov/issue/how-can-specialist-investigation-agencies-inform-system-wide-learning-patient-safety
January 29, 2014 - September 27, 2023
Events that inspired change: the importance of sharing what happened
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psnet.ahrq.gov/issue/national-analysis-ed-presentations-early-pregnancy-and-complications-implications-post-roe
September 07, 2016 - It happened to me, as a pregnant OB-GYN.
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psnet.ahrq.gov/issue/three-missed-critical-nursing-care-processes-labor-and-delivery-units-during-covid-19
October 29, 2017 - It happened to me, as a pregnant OB-GYN.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/implement/action-plan.html
March 01, 2017 - Facility Action Plan Template
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplish the work. In order to implement activities identified, goals and obj…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
January 01, 2018 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Facility Action Plan Template
The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplis…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guideapa.pdf
January 01, 2009 - Topic
A Model for Sustaining and Spreading Safety Interventions
Appendix A. Action Plan Tool for Project Sustainability
The Purpose of This Tool
This tool is intended to support sustainability efforts for your catheter-associated urinary tract infections (CAUTI) prevention project team. This
worksheet will help…
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www.ahrq.gov/sites/default/files/publications/files/sustainability-guideapa.pdf
January 01, 2009 - Topic
AHRQ Safety Program for Reducing CAUTI in Hospitals
A Model for Sustaining and Spreading Safety Interventions
Appendix A. Action Plan Tool for Project Sustainability
The Purpose of This Tool
This tool is intended to support sustainability efforts for your catheter-associated urinary tract infect…
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psnet.ahrq.gov/node/33781/psn-pdf
March 01, 2015 - I think what has happened subsequently was an incredible change in the acceptance of HSMRs. … problems, there's a commitment to change and reorganize,
and yet, as you've pointed out, not much happened
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
August 01, 2015 - patient requiring the brain MRI had the same initials as another patient on the same unit who also happened … patients-the-x-factor-for-health-information-exchange
14
This Case
Greater outreach and education to providers is needed to ensure what happened
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www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
February 01, 2017 - Implementation Guide for the CANDOR Process: Appendix D
Action Plan Template
Purpose: To provide leaders and staff a template Action Plan to work through project activities and tasks.
Who should use this tool? Leaders (administrators, director of nursing, medical director, etc.) and any staff who are wo…
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psnet.ahrq.gov/node/861286/psn-pdf
January 24, 2024 - Surgical safety does not happen by accident: learning
from perioperative near miss case studies.
January 24, 2024
Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning
from perioperative near miss case studies. J Perianesth Nurs. 2024;39(1):10-15.
doi:10.1016/j.jopa…
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psnet.ahrq.gov/node/33789/psn-pdf
August 01, 2015 - If an error happened on the floor in the old days, the nurse would have tapped the doctor on the shoulder … better for rheumatoid arthritis through a lengthy complex double blind
trial, we'll be looking at what happened
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psnet.ahrq.gov/issue/frequency-and-outcome-cervical-cancer-prevention-failures-united-states
April 09, 2013 - June 21, 2023
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.