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Showing results for "happen".

  1. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module4-presenters-notes.pdf
    January 05, 2022 - These  examples  can  be  from  actual  experience  or  situations  that  you  imagine could happen. … Slide 11 could happen. 3. … • How could that happen in your setting? … • Did everything happen for a patient or patients that was intended? … These  examples  can  be from  actual  experience  or  situations  that  you  imagine  could  happen
  2. pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-ginsberg.pdf
    June 21, 2023 - HCBS CAHPS Survey Database: What You Need to Know - GINSBERG 5 AHRQ’S CAHPS® PROGRAM Caren Ginsberg, Ph.D., CPXP Director, CAHPS and Surveys on Patient Safety Culture (SOPS) Programs Center for Quality Improvement & Patient Safety, AHRQ 6 AHRQ’s Core Competencies • Health Systems Research: Invest in research…
  3. pbrn.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
  4. pbrn.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
  5. pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
    June 19, 2018 - We look at staff actions and the way we do things to understand why mistakes happen in this pharmacy
  6. pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/administering-child-hcahps-narrative-items.pdf
    November 01, 2023 - Administering the CAHPS Child Hospital Narrative Item Set Administering the CAHPS® Child Hospital Narrative Item Set November 2023 Introduction ..................................................................................................................... 1 Deciding Whether to Use Narrative Items .........…
  7. Slide 1 (ppt file)

    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
    January 30, 2006 - Processes answer the question “Why did it happen?”
  8. pbrn.ahrq.gov/patient-safety/index.html
    January 01, 2024 - Diagnostic Safety and Quality Funding research to better understand how diagnostic errors happen
  9. pbrn.ahrq.gov/teamstepps/simulation/traininggd1.html
    July 01, 2016 - and “Why did it happen? ” (3 min.)
  10. pbrn.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
    September 01, 2020 - 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?
  11. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
    April 01, 2016 - stable; her heart rate, blood pressure, and oxygen level are all in normal ranges, but something did happen
  12. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
    June 06, 2018 - Staff are told about patient safety problems that happen in this facility ......................... … We are good at changing processes to make sure the same patient safety problems don’t happen again.
  13. pbrn.ahrq.gov/talkingquality/distribute/promote/multiple/advertise.html
    September 01, 2019 - Recommended resource: Why Bad Ads Happen to Good Causes .
  14. pbrn.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
    May 17, 2021 -  Ask "Why does this happen?" to stimulate brainstorming.
  15. pbrn.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - Medical providers are committed to caring for their patients; however, adverse events can happen.
  16. pbrn.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
  17. pbrn.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
  18. pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-schlesinger.pdf
    January 01, 2017 - CAHPS Elicitation Protocol Webcast Development and Testing of the CAHPS Elicitation Protocol Mark Schlesinger Yale School of Public Health www.ahrq.gov/cahps Goals for narrative elicitation: specifics We aspired to collect narratives that are: • Complete: provide a full picture of the experiences that matter…
  19. pbrn.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
    June 01, 2023 - ownership Situation Awareness & Contingency Planning Know what’s going on Plan for what might happen
  20. pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-mosops-database-report-part-I.pdf
    January 01, 2022 - (Item Fl) This office is good at changing office processes to make sure the same problems don't happen … (Item F2) Mistakes happen more than they should in this office. … (Item E1*) They overlook patient care mistakes that happen over and over. … (Item F2) 84% 17.23% 17% 60% 75% 88% 100% 100% 100% % Disagree/Strongly Disagree Mistakes happen … (Item E1*) 44% 25.03% 0% 12% 25% 43% 62% 75% 100% They overlook patient care mistakes that happen

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