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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - physician, and/or care provider to be
fully transparent when an error occurs, but often this doesn’t happen … ■ It is important to understand that communication doesn’t happen just
once and then you are done
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - physician and/or care provider to be fully transparent when an error occurs, but often this doesn’t happen … It is important to understand that communication doesn’t happen just once and then you are done; rather
-
cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/Workplace-Safety-Supplemental-Item-Set-NursingHomes.docx
January 01, 2023 - 9
Section B: Moving, Transferring, or Lifting Residents
How often do the following things happen … 2
☐ 3
☐ 4
☐ 5
☐ 9
Section D: Interactions Among Staff
How often do the following things happen
-
cahps.ahrq.gov/teamstepps/simulation/traininggd1.html
July 01, 2016 - and “Why did it happen? ”
(3 min.)
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-august2016.pptx
January 01, 2016 - What will you do to reduce probability that it will happen again?
How do you know risk is reduced?
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cahps.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
April 24, 2018 - About the CAHPS Patient Narratives Elicitation Protocol
CAHPS® Clinician & Group Survey and Instructions
About the CAHPS Patient Narrative Elicitation Protocol
Document No. 2315
Updated April 24, 2018
About the CAHPS® Patient Narrative
Elicitation Protocol
Introduction .................................…
-
cahps.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - Medical providers are committed to caring for their patients; however, adverse events can happen.
-
cahps.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - physician, and/or care provider to be fully transparent when an error occurs, but often this doesn't happen … It is important to understand that communication doesn't happen just once and then you are done; rather
-
cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
August 01, 2022 - The second-victim is often fearful at this point about what is going to happen next and whether or not … clinical staff involved in the event, notify clinical staff involved in the event what is going to happen
-
cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/WorkplaceSafetyForNursingHomes.pdf
January 01, 2023 - ☐ 5 ☐ 9
Section B: Moving, Transferring, or Lifting Residents
How often do the following things happen … ☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐ 9
Section D: Interactions Among Staff
How often do the following things happen
-
cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-appendix.pdf
January 01, 2019 - We look at staff actions and the way we do things to understand why mistakes
happen in this pharmacy … We look at staff actions and the way we do things to understand why
mistakes happen in this pharmacy … We look at staff actions and the way we do things to understand
why mistakes happen in this pharmacy … We look at staff actions and the way we do things to
understand why mistakes happen in this pharmacy
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/audio-script-healthcare-professionals-training.pdf
January 18, 2017 - Can you tell me in your own words what might
happen?” … What might happen then? … Doctor: Yes…that could unfortunately happen. … Doctor: That could happen. … How likely are they to happen?
-
cahps.ahrq.gov/diagnostic-safety/research/index.html
March 01, 2024 - AHRQ funds research to better understand how diagnostic errors happen and what can be done to prevent
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cahps.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/cahps-patient-narrative-elicitation-protocol-qa-03-01-2017.pdf
January 01, 2017 - Questions & Answers: The CAHPS Patient Narrative Elicitation Protocol
QUESTIONS & ANSWERS
The CAHPS Patient Narrative Elicitation Protocol:
A Scientific Approach to Collecting Comments on Experiences of Care
Narratives from patients about their health care experiences can provide a valuable complement to
standar…
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cahps.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
July 01, 2023 - ownership
S ituation Awareness & Contingency Planning
Know what's going on
Plan for what might happen
-
cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
January 01, 2023 - 92% 91% 90%
We are good at changing processes to make sure the same
patient safety problems don’t happen … (Item C4) 87% 84% 85% 84% 81%
Staff are told about patient safety problems that happen in this
facility … (Item C4) 89% 82% 84% 82% 85% 84% 85% 84% 83%
Staff are told about patient safety
problems that happen … Item C4)
86% 98% 82% 97% 95% 80% 78% 71% 76%
Staff are told about patient safety
problems that happen … (Item C4) 92% 84% 79% 90%
Staff are told about patient safety problems that happen in this facility
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cahps.ahrq.gov/talkingquality/translate/compare/choose/standard.html
January 01, 2023 - These events are preventable and should never happen.”
-
cahps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - Include resident/family responsibilities for care
N
Next— What will happen next? … CUS can be used as one way to "Stop the line" when something unsafe is about to happen to a resident.
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
February 25, 2014 - groups, and
individuals in the organization who must feel the need for change
for team training to happen … COMMUNICATE FOR
UNDERSTANDING AND BUY-IN
SAY:
The third phase in implementing change is making it happen … phases:
Phase 1: Setting the stage and deciding what to do—
Assessment
Phase 2: Making it happen—Training
-
cahps.ahrq.gov/news/blog/ahrqviews/long-covid.html
March 01, 2023 - its National Advisory Council, where we will continue to address these critical matters to make that happen