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www.ahrq.gov/prevention/curriculum/diabnotebk/diabnotebk24.html
October 01, 2014 - Hypoglycemia can happen if you have taken too much insulin, eaten too little food or not eaten on time … Hypoglycemia can happen even when you are doing your best to control your diabetes.
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-grob-narrative-elicitation-protocol.pdf
October 29, 2018 - 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 …
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
January 01, 2003 - What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare
423
What Happens After a Patient Safety Event?
Medical Expenditures and Outcomes
in Medicare
William E. Encinosa, Fred J. Hellinger
Abstract
Objective: To estimate the impact of potentially preventable adverse event…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey30-child.html
August 01, 2021 - Supplemental Items for the CAHPS Clinician & Group Child Survey 3.0/3.1: Narrative Comments
Population version: Child
Learn about the CAHPS Patient Narrative Item Sets .
Placing the items in the survey:
Insert these supplemental items before the "About Your Child and You" section of the survey.
Int…
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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
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/assessing/takeheart-summary-presentation.pptx
April 26, 2023 - AHRQ Slide Template-Regular
TAKEheart:
AHRQ’s Initiative to Increase Patient Participation in Cardiac Rehabilitation
What We Planned, What Happened, and What We Learned
Michael Harrison and Dina Moss
April 26, 2023
(Edited 5-25-23)
Dina was COR and implementation lead; Michael was co-COR and evaluation/disseminati…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-demo-project.pdf
October 29, 2018 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care
The NYP Patient Narrative
Demonstration Project
Tara Servati, M.P.H.
Patient Experience Specialist for the Ambulatory Care
Network, New York-Presbyterian
New York, NY
NYP Demonstration Project Overview
Overall Aim:
– Asses…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide70.html
October 01, 2014 - Concerns and benefits of quitting (e.g., "What might happen if you quit?").
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www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/surgery/tips/tipsurgery.pdf
October 05, 2005 - What will happen if I don’t have this
operation?
7. Where can I get a second opinion?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_2_Nurse_Chklst_508.pdf
June 04, 2013 - o “What do you want to happen during the next 12 hours?”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/agenda-lesson1.pdf
November 30, 2015 - Are any of the situations observed in the video situations that could happen in your office?
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www.ahrq.gov/teamstepps/officebasedcare/handouts/agenda-lesson2.html
November 01, 2015 - Are any of the situations observed in the video situations that could happen in your office?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-3-slides.pptx
September 01, 2015 - ‹#›
AHRQ Safety Program for Reducing CAUTI in Hospitals
4
5
What Do You Think Will Happen
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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?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.docx
July 18, 2024 - 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
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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?"