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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
February 01, 2017 - Steps
How will this happen? … [Be specific and include important steps to make the idea/activity happen.] … Who will make this happen? [Be specific for each task.] … What other information do I need to make this happen?
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pcmh.ahrq.gov/diagnostic-safety/index.html
January 01, 2007 - Diagnostic Safety and Quality
Learn about AHRQ's research to better understand how diagnostic errors happen … AHRQ funds research to better understand how diagnostic errors happen and what can be done to prevent
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
November 15, 2019 - 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. … (5
SECTION D: Frequency of Events Reported
In your work area/unit, when the following mistakes happen
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 09, 2016 - 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
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
December 22, 2017 - 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 ................. … 1 2 3 4 5
3
SECTION C: Communications
How often do the following things happen in your … We are informed about errors that happen in this unit .............................. … SECTION D: Frequency of Events Reported
In your hospital work area/unit, when the following mistakes happen
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Module 7: Resolution
Module 8: Organizational Learning and Sustainability
“We realize mistakes happen … Harms such as hospital-acquired infections or medication errors can happen during any stage of care.
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pcmh.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 …
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pcmh.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.
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pcmh.ahrq.gov/questions/videos/patient-mcgregor.html
November 01, 2020 - I happen to be the car."
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pcmh.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
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pcmh.ahrq.gov/evidencenow/heart-health/aspirin/stroke.html
September 01, 2018 - Resource description: This patient education booklet explains how heart attack and stroke happen, and
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pcmh.ahrq.gov/talkingquality/distribute/promote/multiple/using-media.html
September 01, 2019 - Bad press can happen because the people you worked with didn’t take the time to understand your work, … While any of these misfortunes can happen, they are not reasons to avoid working with the media entirely … Bad press can happen to anyone.
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pcmh.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
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pcmh.ahrq.gov/news/blog/ahrqviews/intentional-about-equity.html
April 01, 2024 - But this can only happen if those who create and use those technologies—developers, vendors, healthcare … systems, payers, and providers—actively take steps to make it happen .
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
August 01, 2022 - SHARE:
More topics in this section
Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered Rounds …
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pcmh.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…
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pcmh.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - SHARE:
More topics in this section
Consumer Assessment of Healthcare Providers and Systems (CAHPS)®
About CAHPS
Surveys and Guidance
Supplemental Items
Browse All Items
Patient Narrative Items
Patient-Centered Medical Home
H…
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pcmh.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…
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pcmh.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
October 01, 2021 - But we know that in many instances this just doesn’t happen. … DM: Do diagnostic errors happen often?
JB: They’re more prevalent than one might think. … patient safety research, we understand that it’s often instructive to compare the things we intend to happen
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pcmh.ahrq.gov/hai/cusp/videos/index.html
September 01, 2019 - Why Did It Happen?