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Showing results for "happen".

61. An Update on the CAHPS Patient Narrative Item Sets - Schlesinger (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-schlesinger.pdf
    December 14, 2021 - An Update on the CAHPS Patient Narrative Item Sets - Schlesinger PREVIEW OF NEW NARRATIVE ITEM SETS IN DEVELOPMENT Mark Schlesinger, PhD A Growing Family of Narrative Item Sets CG-CAHPS Narrative Item Set Health Plan Narrative Item Set Inpatient Narrative Items: For Child HCAHPS 19 The Health Plan Narr…

62. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
    August 21, 2015 - Why did it happen? How will the organization prevent the event from happening to another patient? … Why did the event happen? … issue and redirect the conversation toward a shared goal of ensuring that a similar event does not happen

63. Approach to Residents With Reported Penicillin Allergy (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
    June 01, 2021 - _______________ o How soon after starting the antibiotic did the reaction happen (e.g., minutes to hours … by: Datetime: Reviewed by physician: How soon after starting the antibiotic did the reaction happen

64. Learn-From-Defects-Facilitator-Guide (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
    May 01, 2017 - Why did it happen? What will you do to reduce risk? … Skill-based failures happen when a person fails in the performance of a routine task that normally requires … The consequent event is described in terms of the event’s consequences: Harm that did happen Harm that … Why did it happen? Step 1. Visualize the factors that led to the event. Step 2. … Defects are clinical or operational events that you do not want to happen again.

65. Appendix A. Action Plan Tool for Project Sustainability | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/guides/sustainability-guideapa.html
    October 01, 2015 - Action Plan for Sustainability Need or Interest Idea or Activity Tools To Use How Will This Happen … Who Should Make This Happen? When Will This Happen? … What Other Information Do I Need To Make This Happen?

66. Mod5-Disclosure-Checklist (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
    April 01, 2016 - Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations, including key disclosure communication skills. Who should use this tool? Disclosure Lead and any staff who will be engaged in disclosure conversations. How to use this tool: Use Part I of the checklist to pre…

67. Learn From Defects | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.html
    March 01, 2017 - the types of systems that contributed to the defect (an event or situation that you do not want to happen … Why did it happen?

68. Hospital Survey Version 2.0: Background and Information for Translators | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/sops/international/hospital/translators-version-2.html
    September 01, 2023 - (negatively worded) More about this item: When patient safety problems happen, this unit does not do … anything to ensure the problem does not happen again. 4. … (negatively worded) More about this item: Staff feel like they are unfairly blamed when mistakes happen … We are informed about errors that happen in this unit. C2.  … When errors happen in this unit, we discuss ways to prevent them from happening again. C3. 

69. Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
    August 01, 2023 - (negatively worded) • More about this item: When patient safety problems happen, this unit does not … do anything to ensure the problem does not happen again. 4. … negatively worded) • More about this item: Staff feel like they are unfairly blamed when mistakes happen … We are informed about errors that happen in this unit. C2. … When errors happen in this unit, we discuss ways to prevent them from happening again. C3.

70. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/identify/identify.html
    December 01, 2012 - Why Did It Happen? Slide 24. What Will You Do To Reduce the Risk of Recurrence? Slide 25. … Why did it happen? What will you do to reduce the risk of recurrence? … (vignette still) Click to play Return to Contents   Slide 23: Why Did It Happen? … Defects or failures are clinical or operational events that you do not want to happen again.

71. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/identify/notes.html
    December 01, 2012 - Why Did It Happen? Slide 24. What Will You Do To Reduce the Risk of Recurrence? Slide 25. … Why did it happen? What will you do to reduce risk? … Why did it happen? Step 1. Visualize the factors that led to the event. Step 2. … Return to Contents   Slide 23: Why Did It Happen? Do: Play the video. … Defects are clinical or operational events that you do not want to happen again.

72. Changing-System-Facilitator-Guide (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
    June 01, 2021 - They are considered latent because they have to do with how the work environment was set up and could happen … · Why did it happen? · What could you do to reduce the risk of this happening again? … Slide 13 Why Did It Happen?

73. 20 Tips To Help Prevent Medical Errors: Patient Fact Sheet | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/questions/resources/20-tips.html
    November 01, 2020 - They can happen during even the most routine tasks, such as when a hospital patient on a salt-free diet … 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

74. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Why did the event happen? … issue and redirect the conversation toward a shared goal of ensuring that a similar event does not happen

75. Learndefects (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
    August 08, 2012 - A defect is any clinical or operational event or situation that you would not want to have happen again … Why did it happen? Below is a framework to help you review and evaluate your case.

76. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    May 01, 2017 - • Why did it happen? • What will you do to reduce risk? … • Skill-based failures happen when a Slide 4 Sensemaking and Learn From Defects for Perinatal … The consequent event is described in terms of the event’s consequences: • Harm that did happen • … Why did it happen? • Step 1. Visualize the factors that led to the event. • Step 2. … • Defects are clinical or operational events that you do not want to happen again.

77. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
    June 01, 2021 - Why did it happen? What could you do to reduce the risk? How do you know that risk was reduced? … Imagine the world as they did when the event occurred. 13 Changing the System 13 Why Did It Happen

78. Chapter 1. Background | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
    August 01, 2022 - What caused the patient safety event to happen? Where did the patient safety event happen?

79. Sensemakingnotes (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
    August 08, 2012 - · Why did it happen? · What will you do to reduce risk? … categorized in three main types: skill-based, rule-based, and knowledge-based. · Skill-based failures happen … The consequent event is described in terms of the event's consequences: · Harm that did happen · Harm … that did not happen—No harm event · Event did not reach the patient—Near-miss event We then ask why … Why did it happen? · Step 1. Visualize the factors that led to the event. · Step 2.

80. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
    August 01, 2019 - We are informed about errors that happen in this unit. C2. … When errors happen in this unit, we discuss ways to prevent them from happening again. C3.