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Total Results: 1,577 records

Showing results for "happen".

201. Learning-Antibiotic-Adverse-Events-Form (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx
     November 01, 2019 - or situation involving the prescription or administration of antibiotics that you would not want to happen

202. 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…

203. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
     September 10, 2015 - and Analysis is that managing individual performance alone does not ensure that a harm event won’t happen … focusing on individual blame. 11 System And Individual Accountability2 Module 4 12 Why did the event happen

204. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
     December 01, 2017 - Slide 5 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

205. Chapter 5. Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit5.html
     March 01, 2014 - be translatable to any community resource and any practice willing to take the extra step to make it happen

206. Community Pharmacy Survey on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.pdf
     June 02, 2025 - We look at staff actions and the way we do things to understand why mistakes happen in this pharmacy

207. Facilitator Guide: Auditing Your Briefings and Debriefings (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
     December 01, 2017 - with teammates, when people understand what that plan is, when they have a sense of what’s going to happen … Slide 6 Developing a Briefing Audit Tool ASK: How do you think briefings and debriefings should happen … ASK: What is the worst thing that could happen, and what are we going to do about it if it did? … We know this is important, but it’s tough to make happen. … All of these steps happen before the case begins, or prior to incision.

208. Auditing Your Briefings and Debriefings Process: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html
     December 01, 2017 - with teammates, when people understand what that plan is, when they have a sense of what’s going to happen … Slide 7: Developing a Briefing Audit Tool Ask: How do you think briefings and debriefings should happen … Ask: What is the worst thing that could happen, and what are we going to do about it if it did? … We know this is important, but it’s tough to make happen. … All of these steps happen before the case begins, or prior to incision.

209. Daily Huddle Component Kit | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-comp-kit.html
     June 01, 2017 - In ambulatory surgery centers (ASCs), huddles can happen once per day with each unit (e.g., the operating … Level 3: Daily huddles happen when the supervisor is not present. … What can you do to make the huddle happen every day?

210. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
     January 01, 2024 - month but less than 1x/week 4 Frequent: Likely to occur immediately or within a short period (may happen … times in 1 year) Greater than 1x/year but less than 1x/month 3 Occasional: Probably will occur (may happen … several times in 1 to 2 years) Less than 2x/year 2 Uncommon: Possible to occur (may happen sometime … in 2 to 5 years) Once every 2 - 5 years 1 Remote: Unlikely to occur (may happen sometime in 5 to

211. Module 2: Component Kit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
     May 01, 2017 - In ambulatory surgery centers (ASCs), huddles can happen once per day with each unit (e.g., the operating … Level 3: Daily huddles happen when the supervisor is not present. … What can you do to make the huddle happen every day?

212. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/042-vap-prevention-slides.pptx
     October 01, 2024 - care interventions to prevent NV-HAP.49-51 Hospital Acquired Pneumonia Prevention by Engaging Nurses (HAPPEN … NV-HAP Case Example: Implementing the Intervention The team implements oral care protocol based on HAPPEN … evaluation of the national implementation of the Hospital-Acquired Pneumonia Prevention by Engaging Nurses (HAPPEN … Hospital Acquired Pneumonia Prevention by Engaging Nurses (HAPPEN) | VA Diffiusion Marketplace. https … ://marketplace.va.gov/innovations/project-happen.

213. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2024 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-appendix.pdf
     January 01, 2024 - Communication About Error % Always/Most of the time We are informed about errors that happen in this … Communication About Error % Always/Most of the time We are informed about errors that happen in this … (Item C1) 73% 76% 72% 75% 77% When errors happen in this unit, we discuss ways to prevent them from … Communication About Error % Always/Most of the time We are informed about errors that happen in this … (Item C1) 65% 73% 79% 63% 70% 88% 77% 74% 74% 69% When errors happen in this unit, we discuss ways

214. What is Self-Management Support? (Video Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/self-mgmt/what-script.html
     February 01, 2016 - What is Self-Management Support? (Video Transcript) Self-Management Support For me self management support is helping the patient to play an active role in their healthcare and to become a partner with the nurse and physician team instead of the recipient of care. Hello Ms. Mason. How are you doing today? W…

215. Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
     January 01, 2004 - Change Dwight McNeill, Howard Holland, Kerm Henriksen Abstract This paper addresses how to make happen … practices and quality of care will indicate if the models provide useful guidance in making change happen … different approaches for reducing patient harm, increasing the Nation’s knowledge base, and making change happen … In general, the job of action production—i.e., making change happen through implementation—is not done … the seemingly incongruent context of agriculture, provides very useful guidance on how to make this happen

216. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
     July 01, 2023 - Medical providers are committed to caring for their patients; however, adverse events can happen.

217. Session 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
     October 01, 2014 - Changes like this that happen suddenly might be related to their medication, or they may signal a stroke … But once you're familiar with daily patterns, you'll be aware of the things that happen often and those … Sometimes systems create "an accident waiting to happen."

218. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2022 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report-appendixes.pdf
     January 01, 2022 - Communication About Error % Always/Most of the time We are informed about errors that happen in this … Communication About Error % Always/Most of the time We are informed about errors that happen in this … (Item C1) 70% 74% 74% 72% 71% When errors happen in this unit, we discuss ways to prevent them from … (Item C1) 64% 68% 75% 71% 78% 68% 75% 69% 67% When errors happen in this unit, we discuss ways to … (Item C1) 61% 71% 78% 60% 67% 88% 77% 72% 71% 65% When errors happen in this unit, we discuss ways

219. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2021 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-II-508.pdf
     January 01, 2021 - Communication About Error % Most of the time/Always We are informed about errors that happen in this … Communication About Error % Most of the time/Always We are informed about errors that happen in this … (Item C1) 66% 73% 72% 72% 64% 64% When errors happen in this unit, we discuss ways to prevent them … (Item C1) 64% 70% 78% 69% 64% 85% 72% 69% 65% 60% When errors happen in this unit, we discuss ways … (Item C1) 79% 66% 74% 81% 72% 69% 69% 73% 67% When errors happen in this unit, we discuss ways to

220. Module-3-Implementation-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-implementation-guide.pdf
     June 02, 2025 - Remember you are documenting what ACTUALLY happens – not what SHOULD happen ideally. d. … What does happen? Who takes care of this? Who is ultimately accountable? Where does this go?