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monahrq.ahrq.gov/hai/tools/surgery/guide-surg-comp.html
December 01, 2017 - Identification and Mitigation Tool ( Word , 1.73 MB)
Understand where, when, and why workarounds happen
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monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
February 01, 2022 - Skip to main content
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - 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 ................... … 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. … We are informed about errors that happen in this unit.
C5.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
May 01, 2017 - plan is through briefings and team management, being aware of what is going on and what is likely to happen … other delegated staff speaks to patient and partner regarding the urgency of the situation and what may happen
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monahrq.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.html
February 01, 2023 - In this scenario, the transporter didn’t understand what might happen because of wrong bag placement
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - collaboratively with patients and family members should make everyone clear about what should and should not happen … The doctor gives the order for discharge, but, this should not be a surprise or happen in a vacuum. … What needs to happen? Who is responsible? … As you play out the scene, the objectives are to make sure that:
Emily is fully aware of what will happen … As you play out the scene, the objectives are to make sure that:
Arnold is fully aware of what will happen
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - plan is through briefings and team management,
· being aware of what is going on and what is likely to happen … provide timely, clear information to patient and family to explain what is happening, what needs to happen
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monahrq.ahrq.gov/news/blog/ahrqviews/ltc-quality-measures.html
December 01, 2022 - and whether these gaps are reduced for all long-term care patients, since long-term care may not just happen
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monahrq.ahrq.gov/teamstepps/lep/traintrainers/lepslimp.html
December 01, 2012 - The process is summarized at the bottom of the chart: Set the stage, decide what to do, make it happen
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monahrq.ahrq.gov/research/publications/search.html?page=17
March 01, 2010 - Safety Tips for Hospitals
Medical errors may occur in different healthcare settings, and those that happen
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monahrq.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/about.html
September 01, 2020 - YES / NO
A change in clinical practice doesn't happen overnight.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
January 01, 2016 - Performance & Safety Culture
Slide ‹#›
About HCA
Approximately 5% of all U.S. hospital services happen
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module2/ebteamstruct.pdf
January 01, 2012 - environment, including changing behaviors of team members; and have a shared understanding
of what should happen
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
May 01, 2017 - plan is through
briefings and team management, being
aware of what is going on and what is
likely to happen … delegated staff speaks to patient and partner
regarding the urgency of the situation and
what may happen
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monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
January 01, 2023 - (Item D10)
72% 64%
% Strongly Disagree/Disagree
This nursing home lets the same mistakes happen … (Item D10)
62% 69%
% Strongly Disagree/Disagree
This nursing home lets the same mistakes happen … 82% 63% 62% 60% 82% 69%
% Strongly Disagree/Disagree
This nursing home lets the same mistakes happen … (Item D10)
63% 79%
% Strongly Disagree/Disagree
This nursing home lets the same mistakes happen … (Item D10)
70% 62% 60%
% Strongly Disagree/Disagree
This nursing home lets the same mistakes happen
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monahrq.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
April 01, 2022 - Responsiveness refers to the expectation that things should happen in a timely fashion and that people
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monahrq.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
October 01, 2020 - What needs to happen to avoid problems? If you were Ms. Pierre-Louis, what could you do?
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monahrq.ahrq.gov/funding/process/grant-app-basics/hsubjects.html
August 01, 2018 - This may happen for various reasons, some related to the claims about the research protocol (e.g., for
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - plan is through briefings and team management,
· being aware of what is going on and what is likely to happen … provide timely, clear information to patient and family to explain what is happening, what needs to happen
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
May 01, 2017 - plan is through briefings and team management,
· being aware of what is going on and what is likely to happen … provide timely, clear information to patient and family to explain what is happening, what needs to happen