Results

Total Results: 2,150 records

Showing results for "happen".

181. 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?

182. 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?

183. 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."

184. 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?

185. 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

186. 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
     May 23, 2013 - • If nurse bedside shift report does not happen, call the nurse manager at [insert phone number]

187. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-form.docx
     June 09, 2016 - their attention 1 2 3 4 5 9 SECTION C: Communication How often do the following things happen … We are informed about errors that happen in this unit 1 2 3 4 5 9 2. … When errors happen in this unit, we discuss ways to prevent them from happening again 1 2 3 4 5

188. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
     June 09, 2016 - their attention 1 2 3 4 5 9 SECTION C: Communication How often do the following things happen … We are informed about errors that happen in this unit 1 2 3 4 5 9 2. … When errors happen in this unit, we discuss ways to prevent them from happening again 1 2 3 4 5

189. 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.”

190. 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

191. 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?

192. Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0/3.1: Narrative Comments | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey30-adult.html
     August 01, 2021 - Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0/3.1: Narrative Comments Population version: Adult Learn about the CAHPS Patient Narrative Item Sets . Placing the items in the survey: Insert these supplemental items before the "About You" section of the survey. Introducing the it…

193. Appendix A. Teamwork and Communication Definitions and Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/appa.html
     October 01, 2015 - What do you want to happen by when?

194. Assessing TAKEheart | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/assessing/index.html
     August 01, 2023 - Assessing TAKEheart Through our assessment of TAKEheart, we learned many lessons that will help guide future work in this area. Our Evaluation Report Executive Summary describes the project activities, key findings, lessons learned, and recommendations for future similar efforts. Our Hybrid Cardiac Rehabilita…

195. 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?

196. 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
     February 24, 2011 - If nurse bedside shift report does not happen, call the nurse manager at [insert phone number].

197. 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.

198. Tool 2C: Current Process Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/process-analysis.html
     January 01, 2013 - used to describe key processes in your organization where fall prevention activities could or should happen

199. Shore Health System | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/cusp-success/shore.html
     September 01, 2012 - were surprised nevertheless when their Chief Eexecutive Officer (CEO) chartered them to “make zero happen … Bryan said, “some people's view had been, ‘infections happen, they're inevitable.' … They are the movers and shakers: they make things happen here, they know how to get things done. … Zero is a whole system effort in which every person in the organization must do their part to make it happen … But when they do, they will do what they need to do clinically to make it happen.

200. Practice Facilitator Agenda—Lesson 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/officebasedcare/handouts/agenda-lesson1.html
     November 01, 2015 - Are any of the situations observed in the video situations that could happen in your office?