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Total Results: 1,428 records

Showing results for "happen".

41. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
    February 01, 2017 - Say: A defect is anything you do not want to happen again or to ever happen. … Slide 15: Why Did It Happen? Say: Next, move on to why the defect happened. … Slide 20: Why Did It Happen? … Slide 21: Why Did It Happen? Say: Make the "whys" visual. … Slide 22: Why Did It Happen?

42. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
    December 01, 2017 - The same problem, though addressed for that one moment in time, could easily happen again. … Say: Unless you fix the system and proactively prevent the defect from happening again, it will happen … A defect is anything you do not want to happen or happen again. … Slide 12: Why Did It Happen? Ask: Why did it happen?

43. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
    February 01, 2017 - Why did it happen? How will you reduce the risk of it happening again? … Slide 15: Why Did It Happen? … Slide 20: Why Did It Happen? Try to go deeper as you identify contributing factors. … Slide 21: Why Did It Happen? … Slide 22: Why Did It Happen? What about the people side of the defect?

44. SOPS Nursing Home Survey Items and Composite Measures (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/sops-nurse-home-items-06-16-21.pdf
    January 01, 2000 - 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.

45. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Why did it happen? … Why did it happen? Investigate your care delivery system. … Why did it happen? … Why did it happen? Investigate your care delivery system. … One method you can use to reduce the likelihood that a defect will happen again is to— Focus your

46. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
    December 01, 2017 - Slide 6: What Is a Defect Anything you do not want to happen again. … (From view of person involved) Why did it happen? … Slide 12: Why Did It Happen? Critical to include adaptive teamwork concerns.

47. An Update on the CAHPS Patient Narrative Item Sets - Martino (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
    June 01, 2021 - An Update on the CAHPS Patient Narrative Item Sets - Martino UPDATED NARRATIVE ITEM SETS FOR THE CAHPS CLINICIAN & GROUP SURVEY Steven Martino, PhD Overview of Narrative Item Set Development Process • Literature review and environmental scan • Drafting of narrative items • Pretesting to assess readability and …

48. PowerPoint Presentation: Learn From Defects Through Sensemaking
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
    December 01, 2017 - Anything you do not want to happen again. … SAY: A defect is anything you do not want to have happen again or ever have happen, even if it hasn’t … From view of person involved Why did it happen? … 20 Why Did It Happen? … From view of person involved Why did it happen?

49. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
    February 16, 2021 - My supervisor/manager overlooks patient safety problems that happen over and over. … It is just by chance that more serious mistakes don't happen around here. (negatively worded) A17. … We are informed about errors that happen in this unit. C5.

50. Learn From Defects Tool Worksheet: Catheter-Associated Urinary Tract Infection (CAUTI) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.pdf
    April 01, 2022 - No Yes No Why did the CAUTI happen? What factors contributed?

51. PowerPoint Presentation: Learn From Defects for Sustainability
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
    December 01, 2017 - Anything you do not want to happen again. … A defect is anything you do not want to happen or have happen again. … From view of people involved Why did it happen? … Why Did It Happen? … ASK: Why did it happen?

52. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
    December 01, 2017 - The same problem, though addressed for that one moment in time, could easily happen again. … SAY: Unless you fix the system and proactively prevent the defect from happening again, it will happen … A defect is anything you do not want to happen or happen again. … Slide 11 Why Did It Happen? ASK: Why did it happen?

53. Fallpxtool1A (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1a.docx
    January 01, 2004 - 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

54. Understanding CAHPS® Surveys: A Primer for New Users (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-experience-fry-webinar.pdf
    January 01, 2014 - Satisfaction • Patient Experience  Focus on patient reports  Whether something that should happen … actually did happen, and how often it happened  Frequency scales  Objective assessment • Patient

55. 20 Tips To Help Prevent Medical Errors (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/care-planning/errors/20tips/20tips.pdf
    September 01, 2011 - They can happen during even the most routine tasks, such as when a hospital patient on a salt­free … But errors also happen when doctors* and patients have problems communicating. … If you know what might happen, you will be better prepared if it does or if something unexpected happens

56. What We Planned, What Happened, and What We Learned | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/takeheart/assessing/slide-presentation/index.html
    August 01, 2023 - 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 …

57. Staff Safety Assessment
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
    January 01, 2006 - Why did it happen? 3. What will you do to reduce the risk of recurrence? 4. … 22 Why Did It Happen? 23 What Will You Do To Reduce the Risk of Recurrence? … several common themes Defects or failures are clinical or operational events that you do not want to happen

58. Hospital 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/hospital/resources/infotranshsops.pdf
    September 01, 2009 - My supervisor/manager overlooks patient safety problems that happen over and over. … It is just by chance that more serious mistakes don't happen around here. … worded) (More about this item: It is because of good luck or good fortune that more mistakes do not happen … In other words, the reason mistakes do not happen more often is good luck, NOT because procedures or … We are informed about errors that happen in this unit. C5.

59. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/sops/international/hospital/translators.html
    October 01, 2014 - My supervisor/manager overlooks patient safety problems that happen over and over. … It is just by chance that more serious mistakes don't happen around here. … In other words, the reason mistakes do not happen more often is good luck, not because procedures or … We are informed about errors that happen in this unit. C5. … worded) ( More about this item: Shift changes cause problems for patients in this hospital—problems happen

60. Engage the Team and Applying CUSP in the ICU Setting Slides (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
    April 01, 2022 - As we discussed at the beginning of this presentation, staff need a clear understanding of what will happen … · Why did it happen? · How will you reduce the risk of the defect happening again? … Slide 14 In order for the CUSP team to better understand why defects happen, make the "whys" visual