-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/assessing/takeheart-summary-presentation.pptx
April 26, 2023 - AHRQ Slide Template-Regular
TAKEheart:
AHRQ’s Initiative to Increase Patient Participation in Cardiac Rehabilitation
What We Planned, What Happened, and What We Learned
Michael Harrison and Dina Moss
April 26, 2023
(Edited 5-25-23)
Dina was COR and implementation lead; Michael was co-COR and evaluation/disseminati…
-
ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
October 01, 2021 - But we know that in many instances this just doesn’t happen. … DM: Do diagnostic errors happen often?
JB: They’re more prevalent than one might think. … patient safety research, we understand that it’s often instructive to compare the things we intend to happen
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/03-diagnostic-safety-infographic.pdf
August 01, 2021 - Did You Know, Safety Infographic
Did you know...
57%
of all diagnostic
failures happen in
ambulatory
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nh-survey-06-16-21.pdf
June 16, 2021 - 1 2 3 4 5 9
SECTION B: Communications
How often do the following things happen in
your … SECTION B: Communications (continued)
How often do the following things happen … This nursing home lets the same mistakes
happen again and again ...................................
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
June 01, 2021 - Allergic reactions don’t happen often, but when they do they
can cause people to feel pretty uncomfortable
-
ce.effectivehealthcare.ahrq.gov/sops/international/nursing-home/translators.html
October 01, 2014 - expect supervisors to investigate all factors, including systems reasons, to determine why mistakes happen … Sometimes, Most of the time, Always, Does Not Apply or Don't Know)
How often do the following things happen … Sometimes, Most of the time, Always, Does Not Apply or Don't Know)
How often do the following things happen … Sometimes, Most of the time, Always, Does Not Apply or Don't Know)
How often do the following things happen … This nursing home lets the same mistakes happen again and again. (negatively worded)
D4.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-demo-project.pdf
October 29, 2018 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care
The NYP Patient Narrative
Demonstration Project
Tara Servati, M.P.H.
Patient Experience Specialist for the Ambulatory Care
Network, New York-Presbyterian
New York, NY
NYP Demonstration Project Overview
Overall Aim:
– Asses…
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-rev.pdf
January 01, 2024 - (Item F2) 84%
Mistakes happen more than they should in this office. … (Item E1*)
46%
They overlook patient care mistakes that happen over and over. … In your best estimate, how often did the following things happen in your
medical office OVER THE PAST … In your best estimate, how often did the following things happen in your
medical office OVER THE PAST … (Item E1*)
46% 23.11% 0% 17% 30% 45% 63% 75% 100%
They overlook patient care mistakes that happen
-
ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/business-case.html
April 01, 2013 - set the stage with this one, that if you do the improvements in quality and patient safety, what can happen … It isn’t going to happen. … Let’s go to slide number 25 and take a look at what does happen to hospital throughput. … What would happen if you put a sign up in your hospital that said, 25 minutes since our last hospital … You’re spending more, but what’s going to happen is you’ll stop the spread of infection from staff to
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/patient-narratives-webinar-quality.pdf
May 23, 2022 - The Power of Patient Stories for Improving the Patient Experience webcast - Nembhard
Using Narratives for Quality Improvement
Ingrid Nembhard, PhD, MS
Fishman Family President’s Distinguished
Associate Professor of Health Care Management
Disclosures
This work was funded by the Agency for Healthcare
Research a…
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - SAY:
A defect is anything that can happen clinically or operationally that you do not want to have happen … First ask, how did the defect happen?
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
May 01, 2017 - The first step in
comprehending why they happen is accepting
that people are not perfect. … • Why did it happen?
• What will we do to reduce the
recurrence? … • Why did it happen?
• How will you reduce the risk of
recurrence?
• How will you know it worked?
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.pdf
May 23, 2013 - • If nurse bedside shift report does not
happen, call the nurse manager at [insert
phone number]
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
June 09, 2016 - their attention
1
2
3
4
5
9
SECTION C: Communication
How often do the following things happen … We are informed about errors that happen in this unit
1
2
3
4
5
9
2. … When errors happen in this unit, we discuss ways to prevent them from happening again
1
2
3
4
5
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-facnotes.docx
May 01, 2017 - Can you help me understand why that didn’t happen? … If something harmful to the patient can be avoided, the coach should say something and not let it happen
-
ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - How Can These Errors Happen?
Slide 6. The Science of Safety
Slide 7. … Return to Contents
Slide 5: How Can These Errors Happen? … The first step in comprehending why they happen is accepting the fact that people are not perfect. … Why did it happen?
What will we do to reduce the recurrence?
How will we know it worked? … Why did it happen?
How will you reduce the risk of recurrence?
How will you know it worked?
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.docx
February 24, 2011 - If nurse bedside shift report does not happen, call the nurse manager at [insert phone number].
-
ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
February 01, 2017 - Say:
A defect is anything that can happen clinically or operationally that you do not want to have … happen again. … First ask, how did the defect happen?
-
ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Skip to main content
An official website of the Department of Health and Human Services
Careers
Contact Us
Español
FAQs
Search all AHRQ sites
Search small
Search
Menu
…
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-items.pdf
January 01, 2015 - We are good at changing processes to make sure the same patient safety problems don’t happen again. … Staff are told about patient safety problems that happen in this facility.