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Total Results: 1,577 records

Showing results for "happen".

281. 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

282. 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.

283. Patient Safety and Quality Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/index.html
     January 01, 2024 - Diagnostic Safety and Quality Funding research to better understand how diagnostic errors happen

284. 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

285. 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 .........…

286. 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.

287. 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?

288. 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

289. 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

290. 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.

291. 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

292. 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

293. 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?

294. 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?

295. 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

296. TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
     June 02, 2025 - Why did this have to happen? … Why did this have to happen? I guess we will never know. Slide 18 4 weeks after PCP, Mr.

297. Journey of Mr. Kane
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
     June 02, 2025 - Why did this have to happen? I guess we will never know. What Could I Have Done? … Why did this have to happen?

298. 025-Assessing-Evc-Webinar-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/025-assessing-evc-webinar-notes.docx
     October 01, 2024 - A defect is defined as anything that you do not want to have happen again. … Why did it happen? 3. How do we reduce the likelihood of this defect from happening again? 4.

299. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
     January 01, 2014 - 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; rather

300. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.html
     February 01, 2017 - Why did it happen? How will you reduce the risk of it happening again?