Results

Total Results: 2,150 records

Showing results for "happen".

241. Improving Communication and Teamwork in the Surgical Environment
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-slideset.pptx
     May 01, 2017 - “Can you help me understand why that didn’t happen?

242. 015-Ss-Hand-Hygiene-Periop-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/015-ss-hand-hygiene-periop-fg.docx
     April 01, 2025 - Why did it happen? 3. How will you reduce the likelihood of this defect happening again? 4. … Slide 25 Case Example: Why Did It Happen? SAY: Why did it happen?

243. Coaching Clinical Teams Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-fac-notes.html
     October 01, 2020 - Can you help me understand why that didn’t happen? … If something harmful to the patient can be avoided, the coach should say something and not let it happen

244. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_I.pdf
     January 01, 2020 - (F2) Mistakes happen more than they should in this office . … (E1R) They overlook patient care mistakes that happen over and over. … This office is good at changing office processes to make sure the same problems don’t happen again. … Mistakes happen more than they should in this office. … They overlook patient care mistakes that happen over and over.

245. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_I-rev0921.pdf
     January 01, 2020 - (F2) Mistakes happen more than they should in this office . … (E1R) They overlook patient care mistakes that happen over and over. … This office is good at changing office processes to make sure the same problems don’t happen again. … Mistakes happen more than they should in this office. … They overlook patient care mistakes that happen over and over.

246. Community Pharmacy Survey on Patient Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.docx
     June 09, 2016 - We look at staff actions and the way we do things to understand why mistakes happen in this pharmacy

247. SOPS Community Pharmacy Survey Items and Composites (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
     June 19, 2018 - We look at staff actions and the way we do things to understand why mistakes happen in this pharmacy

248. About the CAHPS Patient Narratives Elicitation Protocol (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/administering_cg_narrative_items.pdf
     June 01, 2021 - About the CAHPS Patient Narratives Elicitation Protocol June 2021 Administering the CAHPS® Clinician & Group Narrative Item Set Introduction ......................................................................................................... 1 Placing the Narrative Items in the Survey ......................…

249. 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

250. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
     January 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?”

251. Ambulatory Procedure/Surgery Center Survey on Patient Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.docx
     June 06, 2018 - 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

252. 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."

253. Module-3-Implementation-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-implementation-guide.pdf
     April 27, 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?

254. Two More “Es” and How To Spread (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
     April 01, 2013 - And I’ll say, “Yes, I do,” because what is going to happen to you over time, what you can anticipate … notion here is primarily that you have to realize if you’re going to spread it, it may occasionally happen … Okay, so it could happen either way, but you need the support of management, generally, in order to be … So you want to make sure that it doesn’t happen to you by doing a little planning up front. … have many people on the line who are in the same position where they are pretty much making this thing happen

255. 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/quality-patient-safety/patientsafetyculture/hsops2-database-report-part_II.pdf
     March 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

256. 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

257. 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

258. 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.

259. 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.

260. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - GINSBERG (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-ahrq.pdf
     January 01, 2021 - Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - GINSBERG AHRQ’S CAHPS® PROGRAM Caren Ginsberg, Ph.D., CPXP Director, CAHPS and Surveys on Patient Safety Culture (SOPS) Programs Center for Quality Improvement & Patient Safety, AHRQ 6 7 AHRQ’s Core Compe…