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patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - physician, and/or care provider to be fully transparent when an error occurs, but often this doesn't happen … It is important to understand that communication doesn't happen just once and then you are done; rather
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patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
August 01, 2022 - The second-victim is often fearful at this point about what is going to happen next and whether or not … clinical staff involved in the event, notify clinical staff involved in the event what is going to happen
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/WorkplaceSafetyForNursingHomes.pdf
January 01, 2023 - ☐ 5 ☐ 9
Section B: Moving, Transferring, or Lifting Residents
How often do the following things happen … ☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐ 9
Section D: Interactions Among Staff
How often do the following things happen
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-appendix.pdf
January 01, 2019 - We look at staff actions and the way we do things to understand why mistakes
happen in this pharmacy … We look at staff actions and the way we do things to understand why
mistakes happen in this pharmacy … We look at staff actions and the way we do things to understand
why mistakes happen in this pharmacy … We look at staff actions and the way we do things to
understand why mistakes happen in this pharmacy
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/audio-script-healthcare-professionals-training.pdf
January 18, 2017 - Can you tell me in your own words what might
happen?” … What might happen then? … Doctor: Yes…that could unfortunately happen. … Doctor: That could happen. … How likely are they to happen?
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dx-journey-presenter-notes.pdf
March 01, 2022 - Why did this have to
happen? … Why did this have to
happen? I guess we will never know.
Slide 18
4 weeks after
PCP, Mr.
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patientregistry.ahrq.gov/teamstepps/instructor/fundamentals/module8/igchangemgmt.html
March 01, 2019 - groups, and individuals in the organization who must feel the need for change for team training to happen … Communicate for Understanding and Buy-In
Say:
The third phase in implementing change is making it happen … Phase 2: Making it happen—Training and implementation.
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patientregistry.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
July 01, 2023 - ownership
S ituation Awareness & Contingency Planning
Know what's going on
Plan for what might happen
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
January 01, 2023 - 92% 91% 90%
We are good at changing processes to make sure the same
patient safety problems don’t happen … (Item C4) 87% 84% 85% 84% 81%
Staff are told about patient safety problems that happen in this
facility … (Item C4) 89% 82% 84% 82% 85% 84% 85% 84% 83%
Staff are told about patient safety
problems that happen … Item C4)
86% 98% 82% 97% 95% 80% 78% 71% 76%
Staff are told about patient safety
problems that happen … (Item C4) 92% 84% 79% 90%
Staff are told about patient safety problems that happen in this facility
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patientregistry.ahrq.gov/talkingquality/translate/compare/choose/standard.html
January 01, 2023 - These events are preventable and should never happen.”
-
patientregistry.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - Include resident/family responsibilities for care
N
Next— What will happen next? … CUS can be used as one way to "Stop the line" when something unsafe is about to happen to a resident.
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
February 25, 2014 - groups, and
individuals in the organization who must feel the need for change
for team training to happen … COMMUNICATE FOR
UNDERSTANDING AND BUY-IN
SAY:
The third phase in implementing change is making it happen … phases:
Phase 1: Setting the stage and deciding what to do—
Assessment
Phase 2: Making it happen—Training
-
patientregistry.ahrq.gov/news/blog/ahrqviews/long-covid.html
March 01, 2023 - its National Advisory Council, where we will continue to address these critical matters to make that happen
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - This type of communication should always be discouraged, but unfortunately it does happen.
-
patientregistry.ahrq.gov/talkingquality/distribute/promote/multiple/advertise.html
September 01, 2019 - Recommended resource: Why Bad Ads Happen to Good Causes .
-
patientregistry.ahrq.gov/ncepcr/data-resources/index.html
January 01, 2024 - Skip to main content
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.pdf
October 01, 2016 - This can happen when
someone touches you, or by touching something that has the bacteria on it, such
-
patientregistry.ahrq.gov/talkingquality/translate/labels/measures.html
July 01, 2016 - 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
…
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Infographic Summary
Findings From the 2023 Nursing Home Survey Database
62
participating
nursing homes
3,224
nursing home staff
respondents
Average Response Rate by
Survey Administration Mode
Paper 52%
Web 45%…
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_1_Be_Partner_508.docx
February 10, 2011 - Strategy 2: Communicating for Improve Quality (Tool 1)
Be a Partner in Your Care
Strategy 1: Working with Patients & Families as Advisors
[Type text] [Type text] [Type text]
Strategy 2: Communicating to Improve Quality (Tool 1)
Guide to Patient and Family Engagement :: 1
Guide to Patient and Family Engagement
We w…