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Total Results: 1,482 records

Showing results for "happen".

261. 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/science-of-safety-facguide.docx
     January 01, 2017 - Slide 4 Errors Happen Because… SAY: Errors happen because people are fallible.

262. How Can Leaders Drive Improvements in Diagnostic Safety? | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-3.html
     June 01, 2021 - people need feedback on the organization’s progress toward those goals and to understand what will happen

263. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
     May 01, 2011 - The second-victim is often fearful at this point about what is going to happen next and whether or not … clinical staff involved in the event, notify clinical staff involved in the event what is going to happen

264. Improving Patient Safety in Long-Term Care Facilities, Module 3 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
     June 01, 2012 - 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.” … o Fixing “accidents waiting to happen.” … Not having a falls assessment for a resident is like allowing an “accident waiting to happen” to occur

265. Mod01-Grand-Rounds-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
     April 01, 2016 - physician, and/or care provider to be fully transparent when an error occurs, but often this doesn’t happen … ■ It is important to understand that communication doesn’t happen just once and then you are done

266. Mod5-Comm-Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
     April 01, 2016 - stable; her heart rate, blood pressure, and oxygen level are all in normal ranges, but something did happen

267. Medical Office Survey on Patient Safety Culture: 2018 User Database Report, Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part2.pdf
     April 01, 2018 - They overlook patient care mistakes that happen over and over. … Mistakes happen more than they should in this office. (F3R) 78% 75% 3. … Mistakes happen more than they should in this office. … They overlook patient care mistakes that happen over and over. … They overlook patient care mistakes that happen over and over.

268. Engaging Senior Executives in Care of Mechanically Ventilated Patients: Facilitator's Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/engaging-sr-exec-fac-guide.html
     February 01, 2017 - is much easier to engage someone (anyone, not just executives) if you can be clear about what will happen … The CUSP components of this safety program can be a way to make this happen in a structured, predictable … This does not happen without preplanning and a strong and consistent communication process with the entire

269. Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-2.pdf
     January 01, 2015 - We look at staff actions and the way we do things to understand why mistakes happen in this pharmacy … We look at staff actions and the way we do things to understand why mistakes happen in this pharmacy … We look at staff actions and the way we do things to understand why mistakes happen in this pharmacy

270. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - Include resident/family responsibilities for care N Next— What will happen next? … CUS can be used as one way to "Stop the line" when something unsafe is about to happen to a resident.

271. Digestive Health Clinic, LLC: Slide Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/brownslides.pdf
     June 02, 2025 - emphasized when mistakes are made. 78% 70% Staff are told about patient safety problems that happen

272. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/102-how-to-integrate-cusp-approach-periop.pptx
     April 01, 2025 - Approach Step Two: Identify Defects in the Surgical Environment A defect is anything "you do not want to happen … Why did it happen? (use system lenses from science of safety)  What could you do to reduce risk?

273. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
     December 01, 2017 - It's not going to happen overnight. … I think it really gives you the [inaudible 00:11:17] what really happened and can continue to happen … Come up with questions and predictions and why it happen and then again start PDSA model. … Again, learning from defects is important and answering those questions what happen, why did it happen … , what can you do to reduce the risk that it would happen again, how will you go that that risk has been

274. Cauti-Sustainability-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
     January 01, 2014 - It's not going to happen overnight. … I think it really gives you the [inaudible 00:11:17] what really happened and can continue to happen … Come up with questions and predictions and why it happen and then again start PDSA model. … Again, learning from defects is important and answering those questions what happen, why did it happen … , what can you do to reduce the risk that it would happen again, how will you go that that risk has been

275. Visual Management Board Component Kit | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-comp-kit.html
     June 01, 2017 - problems in your safety management that you can tackle (problems are gaps between what you want to happen

276. Module 4: Teamwork and Communication: Material Use Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/guide.html
     March 01, 2017 - What has staff seen happen in the past? How is this process improving?

277. Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/guide.docx
     March 01, 2017 - What has staff seen happen in the past? How is this process improving?

278. Administering the CAHPS Child Hospital Narrative Item Set (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/administering-child-hcahps-narrative-items.pdf
     November 01, 2023 - Administering the CAHPS Child Hospital Narrative Item Set Administering the CAHPS® Child Hospital Narrative Item Set November 2023 Introduction ..................................................................................................................... 1 Deciding Whether to Use Narrative Items .........…

279. You Can Quit Smoking | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/tearsheets/prenatal.html
     October 01, 2014 - Good Things Happen as Soon as You Quit For Your baby: Your baby will be healthier.

280. You Can Quit Smoking (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/tearsheets/prenatal.pdf
     September 01, 2008 - You Can Quit Smoking GOOD THINGS HAPPEN AS SOON AS YOU QUIT FOR YOUR BABY: Your baby will be healthier