Results

Total Results: 1,482 records

Showing results for "happen".

141. 103-How-To-Integrate-Cusp-Approach-Periop-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/103-how-to-integrate-cusp-approach-periop-fg.docx
     April 01, 2025 - A defect is defined as anything “you do not want to happen again.” … What happened, why did it happen using system lenses, what could you do to reduce the risk of it happening … An effective CUSP team knows mistakes happen and is committed to being vigilant to prevent them—and when

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

143. Implementation Guide Appendix J Coaching Tool Instructions and Observation Tool With Coaching Section (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-j.pdf
     June 02, 2025 - Implementation Guide Appendix J Coaching Tool Instructions and Observation Tool With Coaching Section AHRQ Safety Program for Ambulatory Surgery Appendix J. Coaching Tool Instructions and Observation Tool With Coaching Section After using the observation tool to collect information regarding the processes perfor…

144. Module 3: Conversations Around Device Necessity | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3-slides.html
     February 01, 2023 - Slide 5 What Do You Think Will Happen? Images: Photo of "Nurse Sally" and "Nurse Molly."

145. 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 …

146. Research on Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/research/index.html
     November 01, 2024 - AHRQ funds research to better understand how diagnostic errors happen and what can be done to prevent

147. 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/asc-items.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.

148. Strategy 3: Bedside Shift Report (Tool 2) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_2_Nurse_Chklst_508.pdf
     June 02, 2025 - o “What do you want to happen during the next 12 hours?”

149. Coaching Clinical Teams Module | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-slides.html
     May 01, 2017 - "Can you help me understand why that didn't happen?

150. Session 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
     October 01, 2014 - They have learned how to avoid those situations and, when they do happen, to fix them as well as they … A situation in which a care provider's actions are not well-intended may happen; that person may have … Sometimes, there is a situation that can be called "an accident waiting to happen." … Fixing "accidents waiting to happen."

151. 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…

152. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
     August 01, 2022 - FUTURE RISKS Are there other areas in the organization where this could happen?      

153. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
     January 01, 2017 - SAY: A defect is anything that can happen clinically or operationally that you do not want to have happen … First ask, how did the defect happen?

154. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
     February 01, 2017 - Say: A defect is anything that can happen clinically or operationally that you do not want to have … happen again. … First ask, how did the defect happen?

155. Understand the Science of Safety for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
     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? … • Why did it happen? • How will you reduce the risk of recurrence? • How will you know it worked?

156. 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?

157. 019-Perioperative-Infection-Prevention-Strategies-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.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?

158. Talking With Residents and Family Members About Antibiotics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
     June 01, 2021 - Allergic reactions don’t happen often, but when they do they can cause people to feel pretty uncomfortable

159. The Four Es of Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
     February 01, 2017 - How can execute our plan and make this happen? … early mobility at our hospital, change the culture, and provide the necessary resources to make it happen … A defect is anything you do not want to happen again. Ask, "What happened and why did it happen?"

160. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-slides.html
     February 01, 2017 - Slide 5: Errors Happen Because… People are fallible: We expect providers to be perfect. … Health care systems are rarely designed to catch mistakes before they happen.