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Showing results for "happen".

161. 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?”

162. 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?

163. 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?

164. 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."

165. 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?

166. Communication Assessment Guide: Appendix 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/ap2.html
     August 01, 2022 - stable; her heart rate, blood pressure, and oxygen level are all in normal ranges, but something did happen

167. Video-Transcript-Spanish (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/video-transcript-spanish.docx
     June 02, 2025 - Unfortunately, things like this happen. … I hope that doesn´t happen to me. What should I do? ¿En serio? Espero que no me pase lo mismo. … It was an honest mistake, which won´t happen again. I´m sorry.

168. 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?"

169. 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

170. 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.

171. Comparing Quality Scores to an Independent Standard | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/translate/compare/choose/standard.html
     January 01, 2023 - These events are preventable and should never happen.”

172. Ambulatory Procedure/Surgery Center Survey on Patient Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.docx
     June 02, 2025 - Staff are told about patient safety problems that happen in this facility ........................... … We are good at changing processes to make sure the same patient safety problems don’t happen again

173. TeamSTEPPS® Diagnosis Improvement: Module 4 Leadership - Facilitator’s Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-presenters-notes.pdf
     January 05, 2022 - These  examples  can  be  from  actual  experience  or  situations  that  you  imagine could happen. … Slide 11 could happen. 3. … • How could that happen in your setting? … • Did everything happen for a patient or patients that was intended? … These  examples  can  be from  actual  experience  or  situations  that  you  imagine  could  happen

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

175. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
     July 01, 2023 - Question 2: Why did it happen? Question 3: What will you do to reduce the risk of reoccurrence? … Defects or failures are clinical or operational events that you do not want to happen again.

176. The Business Case for CUSP (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/business-case.html
     April 01, 2013 - set the stage with this one, that if you do the improvements in quality and patient safety, what can happen … It isn’t going to happen. … Let’s go to slide number 25 and take a look at what does happen to hospital throughput. … What would happen if you put a sign up in your hospital that said, 25 minutes since our last hospital … You’re spending more, but what’s going to happen is you’ll stop the spread of infection from staff to

177. The Science of Improving Patient Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
     March 01, 2009 - deaths from central line-associated blood stream infections per year8 4 4 How Can These Errors Happen … Why did it happen? How will you reduce the risk of recurrence? How will you know it worked?

178. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
     December 01, 2017 - Slide 6: How Do These Errors Happen? … Say: Errors happen because people are fallible. … a powerful exercise in which teams evaluate their processes to identify gaps that allow mistakes to happen … Simply put, a defect is any clinical or operational event or situation that you would not want to happen

179. Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-grob-narrative-elicitation-protocol.pdf
     June 02, 2025 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care The CAHPS Narrative Elicitation Protocol Rachel Grob, Ph.D. Director of National Initiatives and Clinical Professor, Center for Patient Partnerships Madison, WI www.ahrq.gov/cahps CAHPS Narrative Elicitation Protocol • A …

180. Identify Defects Module Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
     March 01, 2013 - Why did it happen? What will you do to reduce the risk of recurrence? … (vignette still) Click to play Video icon Slide 23 Why Did It Happen? … several common themes Defects or failures are clinical or operational events that you do not want to happen