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Showing results for "happen".

  1. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb15.html
    December 01, 2017 - Improvement Initiative for Nursing Facilities Appendix B15: Pre and Posttests for Inservice #1, Why Falls Happen
  2. www.ahrq.gov/talkingquality/translate/scores/scoring.html
    June 01, 2016 - Do you want to tell people how often this event happened or how often it did not happen? … Experience indicates that in this case, saying how often a patient safety event did happen will be
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/attitudes-beliefs-transcript.pdf
    April 01, 2022 - So, it can happen. And it does happen. And there's plenty in the literature. … that help us to get there, that improve teamwork, improve communication, that all show that this can happen … So, we know it can happen. … So, to share successes like that, yes, it does happen.
  4. www.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.
  5. www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
    June 01, 2012 - Sometimes systems create “an accident waiting to happen.” … Following up – The next step is being clear about what will happen after the message is given and received … Following up – The next step is being clear about what will happen after the message is given and received … Recommendation: › What should happen next? › What do you need? › Timeframe? … above the therapeutic range.” › Then, in an SBAR recommendation, say what you think might need to happen
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/148-investigating-defect-lfd-worksheet.docx
    June 02, 2025 - ___________________ Revision Date: _________________________ How Can We Reduce the Chance This Will Happen
  7. www.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?
  8. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-schlesinger.pdf
    June 02, 2025 - 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…
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
    June 02, 2025 - 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.
  10. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
    June 02, 2025 - their attention 1 2 3 4 5 9 SECTION C: Communication How often do the following things happen … We are informed about errors that happen in this unit 1 2 3 4 5 9 2. … When errors happen in this unit, we discuss ways to prevent them from happening again 1 2 3 4 5
  11. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/composite-measures-english.pdf
    January 01, 2015 - We are good at changing processes to make sure the same patient safety problems don’t happen again. … Staff are told about patient safety problems that happen in this facility.
  12. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap2a.html
    October 01, 2014 - Recommendation: What should happen next? What do you need? Timeframe?
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb17.html
    December 01, 2017 - Quality Improvement Initiative for Nursing Facilities Appendix B17: Handout for Inservice #1, Why Falls Happen
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/091-decolonization-implementation-fg.docx
    April 01, 2025 - Slide 6 Where Does Decolonization Happen? … This tool asks four important questions: what happened, why did it happen, how to reduce the likelihood … The next question was to investigate is, why did it happen? … next step in the process is to develop an intervention to reduce the likelihood that this risk will happen
  15. www.ahrq.gov/sops/international/nursing-home/translators.html
    October 01, 2014 - expect supervisors to investigate all factors, including systems reasons, to determine why mistakes happen … Sometimes, Most of the time, Always, Does Not Apply or Don't Know) How often do the following things happen … Sometimes, Most of the time, Always, Does Not Apply or Don't Know) How often do the following things happen … Sometimes, Most of the time, Always, Does Not Apply or Don't Know) How often do the following things happen … This nursing home lets the same mistakes happen again and again. (negatively worded) D4.
  16. 129-Ss-Blank-Lfd (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
    April 01, 2025 - A defect is any clinical or operational event or situation that you would not want to happen again. … Why Did It Happen? Below is a framework to help you review and evaluate your case.
  17. www.ahrq.gov/hai/cusp/modules/identify/index.html
    July 01, 2018 - Why Did It Happen? (34 sec.) What Will You Do to Reduce the Risk of Recurrence? (40 sec.)
  18. www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
    January 01, 2017 - devastating consequences.” 1 in 20 chance per year X 80 years = approximately 100% Where do they happen … Arch Int Med 165:1493-9, 2005 Why do they happen? … safety challenge� Slide Number 28 Slide Number 29 Slide Number 30 Slide Number 31 Where do they happen
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
    September 01, 2024 - reporting their mistakes 1 2 3 4 5 9 SECTION B: Communications How often do the following things happen … again 1 2 3 4 5 9 SECTION B: Communications (continued) How often do the following things happen … This nursing home lets the same mistakes happen again and again 1 2 3 4 5 9 4.
  20. www.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

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