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Showing results for "happen".

21. Survey on Patient Safety (facility version) (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
    November 15, 2019 - It is just by chance that more serious mistakes don’t happen around here (1 (2 (3 (4 (5 11. … My supervisor/manager overlooks patient safety problems that happen over and over (1 (2 (3 (4 ( … 5 SECTION C: Communications How often do the following things happen in your work area/unit? … We are informed about errors that happen in this unit (1 (2 (3 (4 (5 4. … (5 SECTION D: Frequency of Events Reported In your work area/unit, when the following mistakes happen

22. Survey on Patient Safety (facility version) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
    November 18, 2019 - It is just by chance that more serious mistakes don’t happen around here .......................... … My supervisor/manager overlooks patient safety problems that happen over and over .................. … 1 2 3 4 5 3 SECTION C: Communications How often do the following things happen … We are informed about errors that happen in this unit .............................. 1 2 3 4 5 … SECTION D: Frequency of Events Reported In your work area/unit, when the following mistakes happen

23. Appendix B19: Handout for Inservice #1, Why Falls Happen, Spanish | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/fallspxmanapb19.html
    December 01, 2017 - Care Resources Injuries Appendix B19: Handout for Inservice #1, Why Falls Happen … Quality Improvement Initiative for Nursing Facilities Appendix B19: Handout for Inservice #1, Why Falls Happen … created February 2010 Internet Citation: Appendix B19: Handout for Inservice #1, Why Falls Happen

24. Presentation: Program Overview
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
    January 01, 2017 - A defect is any clinical or operational event or situation that you would not want to happen again. … From the view of the person involved Why did it happen? … Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 14 Why Did It Happen … Why Did It Happen? … Why Did It Happen?

25. Transcript: How To Have Difficult Conversations With Colleagues Around Infection Prevention Practices (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
    April 01, 2022 - preventing patient errors, the first step is really about setting expectations that communications will happen … Like in the nursing world, it's in nursing practice council, where they can role-play situations that happen … The unit has to set the tone, or it has to be an expectation in the unit that conversations will happen … When those conversations happen and someone comes and complains that the conversation happens, you have … to listen and support that this conversation needed to happen.

26. CLABSI Learning From Defects Tool (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects.docx
    April 01, 2022 - ) Hemodialysis Other: _____________________ Why did the CLABSI happen

27. Appendix B17: Handout for Inservice #1, Why Falls Happen in Nursing Facilities | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb17.html
    December 01, 2017 - Care Resources Injuries Appendix B17: Handout for Inservice #1, Why Falls Happen … Quality Improvement Initiative for Nursing Facilities Appendix B17: Handout for Inservice #1, Why Falls Happen … created February 2010 Internet Citation: Appendix B17: Handout for Inservice #1, Why Falls Happen

28. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - Say: A defect is anything you do not want to have happen again or ever have happen, even if it hasn … Why did it happen? How will you reduce the risk of it happening again? … Slide 21: Why Did It Happen? Ask: Why did the defect occur? … Slide 22: Why Did It Happen? Say: Make the whys visual. … Slide 23: Why Did It Happen? Say: Think about the culture.

29. SOPS Medical Office Survey, Version: 1.0 Language: English (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english.pdf
    March 01, 2023 - SECTION A: List of Patient Safety and Quality Issues The following items describe things that can happen … In your best estimate, how often did the following things happen in your medical office OVER THE PAST … They overlook patient care mistakes that happen over and over ................................ … Mistakes happen more than they should in this office .............................................. … This office is good at changing office processes to make sure the same problems don’t happen again

30. CAUTI Learning From Defects Tool (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.docx
    April 01, 2022 - (Circle): Yes No Why did the CAUTI happen?

31. Medical Office SOPS Translation Information | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/sops/international/medical-office/translators.html
    January 01, 2010 - in the past 12 months, Does Not Apply or Don't Know) The following items describe things that can happen … In your best estimate, how often did the following things happen in your medical office OVER THE PAST … They overlook patient care mistakes that happen over and over. … This office is good at changing office processes to make sure the same problems don't happen again. … Mistakes happen more than they should in this office. (negatively worded) F4.

32. Learn From Defects Tool (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
    December 01, 2017 - Why did it happen? … Why did it happen? Investigate your care delivery system. … Why did it happen? … Why did it happen? … Why did it happen?

33. Medical Office Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/infotransMOSOPS.pdf
    January 01, 2010 - the past 12 months, Does Not Apply or Don’t Know) The following items describe things that can happen … In your best estimate, how often did the following things happen in your medical office OVER THE PAST … They overlook patient care mistakes that happen over and over. … This office is good at changing office processes to make sure the same problems don’t happen again. … Mistakes happen more than they should in this office. (negatively worded) F4.

34. Hospital Survey on Patient Safety (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
    June 09, 2016 - It is just by chance that more serious mistakes don’t happen around here (1 (2 (3 (4 (5 11. … My supervisor/manager overlooks patient safety problems that happen over and over (1 (2 (3 (4 ( … 5 SECTION C: Communications How often do the following things happen in your work area/unit? … We are informed about errors that happen in this unit (1 (2 (3 (4 (5 4. … SECTION D: Frequency of Events Reported In your hospital work area/unit, when the following mistakes happen

35. Hospital Survey on Patient Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
    December 22, 2017 - It is just by chance that more serious mistakes don’t happen around here ......................... … My supervisor/manager overlooks patient safety problems that happen over and over ................. … 1 2 3 4 5 3 SECTION C: Communications How often do the following things happen in your … We are informed about errors that happen in this unit .............................. … SECTION D: Frequency of Events Reported In your hospital work area/unit, when the following mistakes happen

36. Hospital Survey on Patient Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
    March 22, 2017 - It is just by chance that more serious mistakes don’t happen around here ......................... … My supervisor/manager overlooks patient safety problems that happen over and over ................. … 1 2 3 4 5 3 SECTION C: Communications How often do the following things happen in your … We are informed about errors that happen in this unit .............................. … SECTION D: Frequency of Events Reported In your hospital work area/unit, when the following mistakes happen

37. Sample “Plan-Do-Study-Act” Form | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
    June 01, 2017 - Where will huddle happen? Default: In front of the visual management board       9.  … Predict what will happen when the test is carried out  (e.g., if we do “x,” “y” will happen) Measures …                     Predict what will happen … when the test is carried out (i.e., if we do “x,” “y” will happen) Measures to compare prediction

38. Learn From Defects Tool Worksheet: Central Line-Assoiated Bloodstsream Infection (CLABSI) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects.pdf
    April 01, 2022 - administration Total parenteral nutrition (TPN) Hemodialysis Other: _____________________ Why did the CLABSI happen

39. Sample “Plan-Do-Study-Act” Form | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/pdsa-form.html
    June 01, 2017 - reviewed during huddle; if huddle is not scheduled regularly yet, let all relevant staff know huddle will happen … Predict what will happen when the test is carried out  (e.g., if we do “x,” “y” will happen) Measures …                     Predict what will happen … when the test is carried out (i.e., if we do “x,” “y” will happen) Measures to compare prediction

40. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - Does the same fix happen for all patients, all caregivers, and all shifts? … SAY: A defect is anything you do not want to have happen again or ever have happen, even if it hasn’t … Slide 20 Why Did It Happen? ASK: Why did the defect occur? … Slide 21 Why Did It Happen? SAY: Make the whys visual. … Slide 22 Why Did It Happen? SAY: Think about the culture.