Results

Total Results: 2,150 records

Showing results for "happen".

141. SOPS® Nursing Home Survey on Patient Safety (doc file)
     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.

142. Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ambulatory-surgery-sops-items-and-composites.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.

143. Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items (pdf file)
     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.

144. 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 …

145. 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

146. Silence A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/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.

147. 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.

148. 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?

149. Appendix B17: Handout for Inservice #1, Why Falls Happen in Nursing Facilities | Agency for Healthcare Research and Quality
     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

150. Nursing Home Survey on Patient Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nh-survey-06-16-21.doc
     June 16, 2021 - mistakes (1 (2 (3 (4 (5 (9 SECTION B: Communications How often do the following things happen … (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.

151. 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
     May 23, 2022 - care Standardized surveys: What happened to the patient in the care encounter, or how often did it happen

152. Supplemental Items for the CAHPS Child Hospital Survey: Narrative Comments | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/item-sets/ch/suppl-narrative-items-child-hospital-survey.html
     November 01, 2023 - Supplemental Items for the CAHPS Child Hospital Survey: Narrative Comments Population version: Child Learn about: CAHPS Patient Narrative Item Sets CAHPS Child Hospital Narrative Item Set   Placing the items in the survey: Insert these supplemental items before the "About You" section of the sur…

153. The Timeline to Diagnostic Safety SIDM -Research as a Priority (pdf file)
     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

154. Appendix J. Coaching Tool Instructions and Observation Tool With Coaching Section - Implementation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-j.html
     May 01, 2017 - Appendix J. Coaching Tool Instructions and Observation Tool With Coaching Section - Implementation Guide After using the observation tool to collect information regarding the processes performed in the operating room or procedure room, use the coaching tool to coach the team on what it is doing well and how it …

155. Nursing Home SOPS Translation Information | Agency for Healthcare Research and Quality
     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.

156. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-form.pdf
     August 26, 2019 - 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

157. 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

158. 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.

159. 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 .............................

160. 019-Ss-Periop-Infection-Prevention-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
     April 01, 2025 - · Why did it happen? · How do we reduce the likelihood of this happening again? … Slide 32 Case Example: Why Did it Happen? SAY: So, why did it happen?