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Total Results: 1,577 records

Showing results for "happen".

121. SOPS® Nursing Home Survey on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.pdf
     September 01, 2024 - 1 2 3 4 5 9 SECTION B: Communications How often do the following things happen in your nursing … 1 2 3 4 5 9 3 SECTION B: Communications (continued) How often do the following things happen … This nursing home lets the same mistakes happen again and again .............................

122. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
     January 01, 2021 - 1 2 3 4 5 9 SECTION C: Communication How often do the following things happen in your unit … We are informed about errors that happen in this unit ............................................ … When errors happen in this unit, we discuss ways to prevent them from happening again .. 1 2 3 4

123. 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?

124. CUSP Videos | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/videos/index.html
     September 01, 2019 - Why Did It Happen?

125. 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

126. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
     January 01, 2003 - What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare 423 What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare William E. Encinosa, Fred J. Hellinger Abstract Objective: To estimate the impact of potentially preventable adverse event…

127. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-rev.pdf
     January 01, 2024 - (Item F2) 84% Mistakes happen more than they should in this office. … (Item E1*) 46% They overlook patient care mistakes that happen over and over. … In your best estimate, how often did the following things happen in your medical office OVER THE PAST … In your best estimate, how often did the following things happen in your medical office OVER THE PAST … (Item E1*) 46% 23.11% 0% 17% 30% 45% 63% 75% 100% They overlook patient care mistakes that happen

128. 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

129. 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?

130. 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?

131. 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

132. 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…

133. 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 …

134. 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

135. 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?

136. 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?

137. 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.

138. 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]

139. 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

140. 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?