Results

Total Results: 1,482 records

Showing results for "happen".

121. The Power of Patient Stories for Improving the Patient Experience webcast - Ginsberg (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/patient-narratives-webinar-ahrq.pdf
     June 02, 2025 - care Standardized surveys: What happened to the patient in the care encounter, or how often did it happen

122. 111-Ss-Cusp-Lfd-Worksheet-A3 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/111-ss-cusp-lfd-worksheet-a3.docx
     April 01, 2025 - How Can We Reduce the Chance This Will Happen Again?

123. 111-Cusp-Learning-From-Defects-Worksheet (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/111-cusp-learning-from-defects-worksheet.docx
     April 01, 2025 - How Can We Reduce the Chance This Will Happen Again?

124. Understand-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
     May 01, 2017 - The first step in comprehending why they happen is accepting that people are not perfect. … Why did it happen? What will we do to reduce the recurrence? How will we know it worked? … Why did it happen? How will you reduce the risk of recurrence? How will you know it worked?

125. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
     July 01, 2018 - How Can These Errors Happen? Slide 6. The Science of Safety Slide 7. … line-associated blood stream infections per year. 8 Return to Contents   Slide 5: How Can These Errors Happen … Why did it happen? How will you reduce the risk of recurrence? How will you know it worked?

126. 170-Cusp-Science-Safety-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
     October 01, 2024 - Slide 15 Beyond Personal Responsibility SAY: When errors happen, we are often quick to focus on the … the individual provider—and not addressing the other system factors means the defect will eventually happen … Latent failures are the “holes in the system”—the weaknesses that could allow an active failure to happen … Slide 18 Swiss Cheese Model: How Errors Happen SAY: But sometimes defenses fail, and errors line … These adverse outcomes are our “defects”—the events that occur and we don’t want them to happen again

127. Scisafetynotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
     June 02, 2025 - The first step in comprehending why they happen is accepting the fact that people are not perfect. … · Why did it happen? · What will we do to reduce the recurrence? · How will we know it worked? … · Why did it happen? · How will you reduce the risk of recurrence? · How will you know it worked? … and patient procedures), and create a communication plan to address any identified issues that may happen

128. Disclosure Checklist | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
     August 01, 2022 - Disclosure Checklist AHRQ Communication and Optimal Resolution Toolkit 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 …

129. Mod5-Disclosure-Checklist (pdf file)
     www.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…

130. Morning Briefing and Shadowing (Slide Presentation) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing-slides/slides.html
     October 01, 2014 - An Overview Members of the team have an understanding of what’s going on and what is likely to happen … competence Who has what skills  Who performs what  Who knows what  Predicts what will happen

131. 162-Example-Completed-Learning-Defects-Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
     October 01, 2024 - A defect is any clinical or operational event that you would not want to happen again. … Why did it happen?

132. Silence A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/silence.html
     August 01, 2017 - Second, we need to know that what happened to our loved one is not going to happen to anyone else.

133. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
     July 01, 2018 - How Can These Errors Happen? Slide 6. The Science of Safety Slide 7. … Return to Contents   Slide 5: How Can These Errors Happen? … The first step in comprehending why they happen is accepting the fact that people are not perfect. … Why did it happen? What will we do to reduce the recurrence? How will we know it worked? … Why did it happen? How will you reduce the risk of recurrence? How will you know it worked?

134. Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Welcome from AHRQ (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-ginsberg.pdf
     June 02, 2025 - surveys measure experience: ► What happened to the patient in the care encounter, or how often did it happen

135. Strategy 3: Nurse Bedside Shift Report (Tool 1) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.pdf
     June 02, 2025 - • If nurse bedside shift report does not happen, call the nurse manager at [insert phone number]

136. 124-Cusp-Science-Safety-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
     April 01, 2025 - address other system factors, because defects in the system increase the likelihood that the error will happen … prevents infusions from running too fast is an example of a latent failure that enabled the defect to happen … Latent failures are the “holes in the system”—the weaknesses that could allow an active failure to happen … Slide 18 Swiss Cheese Model: How Errors Happen SAY: Sometimes defenses fail, and errors line up, … These adverse outcomes are our “defects”—the events that occur and we don’t want them to happen again

137. Narrative Items for the CAHPS Clinician & Group Visit Survey 4.0 (beta) | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
     July 01, 2021 - Narrative Items for the CAHPS Clinician & Group Visit Survey 4.0 (beta) These supplemental items are designed to be used with the CAHPS Clinician & Group Visit Survey 4.0 (beta). Learn about the CAHPS Patient Narrative Item Sets . Learn about the Clinician & Group Visit Survey 4.0 (beta) . Placing …

138. 110-Ss-Lfd-Sample (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.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.

139. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/briefing-slides/Morning-Briefing-and-Shadowing-July-12-2011-508.ppt
     January 01, 2011 - -- An Overview Members of the team have an understanding of what’s going on and what is likely to happen … procedure Establishes competence Who has what skills Who performs what Who knows what Predicts what will happen

140. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp-intro.html
     May 01, 2014 - What didn't happen? There was no discussion of diet and nutrition as part of Ms. … Why didn't it happen?