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Showing results for "happen".

  1. www.ahrq.gov/news/newsroom/case-studies/201534.html
    December 01, 2015 - impact it is having is that patients come in with an expectation and better sense of what is going to happen
  2. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/webinar-012220-fry.pdf
    June 02, 2025 - Understanding CAHPS® Surveys: A Primer for New Users - Fry WHAT IS PATIENT EXPERIENCE AND HOW DOES CAHPS MEASURE IT? Stephanie Fry Senior Study Director Westat What is Patient Experience? Patient experience encompasses the range of interactions that patients have with the health care system, including: Co…
  3. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_II_508.pdf
    January 01, 2020 - They overlook patient care mistakes that happen over and over. … Mistakes happen more than they should in this office. … They overlook patient care mistakes that happen over and over. … Mistakes happen more than they should in this office. … They overlook patient care mistakes that happen over and over.
  4. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-MOSOPS-Database-Report-Part-II-508.pdf
    January 01, 2022 - (Item F2) 85% 89% 87% 85% 79% 80% 74% % Disagree/Strongly Disagree Mistakes happen more than they … (Item E1*) 46% 34% They overlook patient care mistakes that happen over and over. … (Item E1*) 46% 44% 46% 50% They overlook patient care mistakes that happen over and over. … (Item E1*) 42% 45% 44% 31% They overlook patient care mistakes that happen over and over. … (Item E1*) 52% 43% 42% 39% 41% They overlook patient care mistakes that happen over and over.
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
    December 10, 2013 - and chatted for a little while with the staff, and they said, “Well, we can’t really get anything to happen … towards inter-professional practice and inter-professional education, so we’re starting to see that trend happen … If it continues to happen, then you’ve got to figure out a way to escalate that to the right place, and … These things happen all the time, when that interdepartmental hierarchy sometimes happens, where you
  6. www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
    December 01, 2017 - It doesn't happen to be just a day issue. So really, the expectation is every shift is responsible. … need it, and say, "Why don't we think about taking it out, what would be the worst thing that could happen … The definition of a defect being that it is anything that anyone does not want to happen again. … Why did it happen? It focuses on contributing factors, and it lists examples there of factors. … and in this case it was the hand-off process, or a double check process, to ensure that this doesn't happen
  7. www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
    December 01, 2017 - and chatted for a little while with the staff, and they said, “Well, we can't really get anything to happen … towards inter-professional practice and inter-professional education, so we're starting to see that trend happen … If it continues to happen, then you've got to figure out a way to escalate that to the right place, and … These things happen all the time, when that interdepartmental hierarchy sometimes happens, where you
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/020-ss-periop-infection-prevention.pptx
    April 01, 2025 - Why did it happen? How to reduce the likelihood of this defect from happening again? … MRSA Prevention| Surgical Services Perioperative Infection Prevention 32 Case Example: Why Did It Happen
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/020-perioperative-infection-prevention-strategies-slides.pptx
    April 01, 2025 - Why did it happen? How to reduce the likelihood of this defect from happening again? … MRSA Prevention| Surgical Services Perioperative Infection Prevention 32 Case Example: Why Did It Happen
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
    September 03, 2014 - 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? How will we know it worked?   … Why did it happen? What will we do to reduce the risk of recurrence? … Why did it happen? Step 1. Visualize the factors that led to the event. Step 2. … Why did it happen? 3. What will you do to reduce the risk of recurrence? 4.
  11. www.ahrq.gov/hai/tools/mrsa-prevention/surgery/cusp-mrsa-prevention.html
    April 01, 2025 - Assessment The Premortem Tool is a proactive way to anticipate risks and failures before they actually happen
  12. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2concl.html
    October 01, 2014 - Module 2: Communicating Change in a Resident's Condition Conclusion Previous Page Next Page Table of Contents Module 2: Communicating Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources Appendix. Example of th…
  13. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/DESC-technique.pdf
    June 01, 2021 - DESC Technique for Conflict With Residents and Families DESC Script. Johns Hopkins Medicine, Armstrong Institute. Kentucky Hospital Improvement Innovation Network. KY. July 2012. http://www.k- hen.com/Portals/16/Documents/PSCTCommunicationsLab.pdf. Accessed Jun 19, 2017. Describe the specific situation. Expre…
  14. 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
  15. 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
  16. 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
  17. www.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
    June 01, 2023 - ownership Situation Awareness & Contingency Planning Know what’s going on Plan for what might happen
  18. 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
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
    January 01, 2020 - 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. … Staff are told about patient safety problems that happen in this facility. … Staff are told about patient safety problems that happen in this facility. … Staff are told about patient safety problems that happen in this facility.
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
    December 01, 2021 - 94% 92% 91% We are good at changing processes to make sure the same patient safety problems don’t happen … (Item C4) 88% 85% 84% 82% Staff are told about patient safety problems that happen in this facility … (Item C4) 82% 82% 85% 85% Staff are told about patient safety problems that happen in this facility … (Item C4) 87% 97% 74% 94% 94% 83% 78% 76% 76% Staff are told about patient safety problems that happen … (Item C4) 92% 83% 79% 91% Staff are told about patient safety problems that happen in this facility

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