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Showing results for "happened".

  1. 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.”

  2. Shock | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/health-topics/shock/

  3. 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

  4. TeamSTEPPS Long-Term Care Specialty Scenarios (pdf file)

    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/scenarios/ts2-0ltc_scenarios.pdf
    April 24, 2017 - Beth, sounding confused, says, “How could this have happened? I did just as you said.

  5. TeamSTEPPS Long-Term Care Specialty Scenarios (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/scenarios/ts2-0ltc_scenarios.pdf
    April 24, 2017 - Beth, sounding confused, says, “How could this have happened? I did just as you said.

  6. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)

    ce.effectivehealthcare.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

  7. TeamSTEPPS Long-Term Care Specialty Scenarios (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/scenarios/ts2-0ltc_scenarios.pdf
    April 24, 2017 - Beth, sounding confused, says, “How could this have happened? I did just as you said.

  8. Appendix F. Hospital Practice Insights: Challenges and Solutions | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-f.html
    September 01, 2017 - The team presented data showing that 95 percent of falls in this unit happened when patients tried to

  9. 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

  10. Patient Identification Errors: A Systems Challenge | PSNet

    psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
    February 23, 2011 - Patient Identification Errors: A Systems Challenge Citation Text: Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Googl…

  11. Chest Tube Complications | PSNet

    psnet.ahrq.gov/web-mm/chest-tube-complications
    September 27, 2023 - Chest Tube Complications Citation Text: Santhosh L, Broaddus C. Chest Tube Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

  12. Adverse Events, Near Misses, and Errors | PSNet

    psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
    March 30, 2022 - Adverse Events, Near Misses, and Errors Citation Text: Adverse Events, Near Misses, and Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  13. CRP Certification: Promoting Accountability and Learning After Adverse Events (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
    January 01, 2024 - would have an expectation and know what it is and have an expectation that if a medical error 13 happened

  14. Structured Communication about Warfarin and Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/chain/practice-tools/warfarin-1-slides.pdf
    March 19, 2017 - Structured Communication about Warfarin and Patient Safety Slide 1 Structured Communication about Warfarin and Patient Safety University of Massachusetts Medical School and Qualidigm Welcome! This program is designed to introduce you to a method for communicating effectively around the management o…

  15. Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/anumba-report.pdf
    August 07, 2023 - Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety FINAL PROGRESS REPORT PROJECT TITLE: A PILOT STUDY FOR INTEGRATING FACILITY INFORMATION WITH HEALTHCARE INFORMATION TO IMPROVE PATIENT SAFETY PRINCIPAL INVESTIGATOR: DR C. J. ANUMBA (Penn…

  16. Module-7-Implementation-Guide (pdf file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-implementation-guide.pdf
    February 13, 2023 - 1 TAKEheart - Troubleshooting Your Automatic Referral System Implementation Guide - Module 7 Purpose and Overview This implementation guide is designed to help you think through the steps you can take to troubleshoot a successful automatic referral (AR) order set for your hospital/health system. …

  17. Emergency Nurses Association content and transcript (pdf file)

    www.cpsi.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
    September 01, 2015 - Emergency Nurses Association content and transcript AHRQ Safety Program for Reducing CAUTI in Hospitals The Emergency Nurses Association Presents CAUTI Slides and Transcript AHRQ Pub No. 15-0073-5-EF September 2015 Contents Attribution......................................................................…

  18. Implementing the SPPC-II Teamwork Toolkit (pdf file)

    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
    July 01, 2023 - Implementing the SPPC-II Teamwork Toolkit Hospital AI Tea Lea SPPC‐ M m ds II Implementing the SPPC‐II Teamwork Toolkit Module 7 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 7 of the SPPC‐II Teamwork Toolkit. In this module, we’ll discuss tactics and planning for the SPPC‐II Teamwork Toolkit implement…

  19. Implementing the SPPC‐II Teamwork Toolkit (pdf file)

    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
    July 01, 2023 - Implementing the SPPC‐II Teamwork Toolkit Hospital AIM Team Leads SPPC‐II Implementing the SPPC‐II Teamwork Toolkit Module 7 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 7 of the SPPC‐II Teamwork Toolkit. In this module, we’ll discuss tactics and planning for the SPPC‐II Teamwork Toolkit implementation…

  20. Training-Tools-Facnotes (doc file)

    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Sustainability Module Facilitator Notes SAY: This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to au…
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