Results

Total Results: 1,482 records

Showing results for "happen".

281. Ambulatory Surgery Center Survey on Patient Safety Pilot Study Results (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
     April 01, 2015 - We are good at changing processes to make sure the same patient safety problems don’t happen again. 90% … We are good at changing processes to make sure the same patient safety problems don’t happen again. … We are good at changing processes to make sure the same patient safety problems don’t happen again. … 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. 95% 94% 94% 84% 86% 77%

282. 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

283. 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.

284. 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?

285. 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.

286. Aspirin Use Evidence and Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/projects/heart-health/evidence/aspirin.html
     March 01, 2021 - Aspirin, Heart Disease, and Stroke This patient education booklet explains how heart attack and stroke happen

287. 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?

288. Understand the Science of Safety Module Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
     July 01, 2018 - central line-associated blood stream infections per year8   Slide 5 How Can These Errors Happen … Why did it happen? How will you reduce the risk of recurrence?

289. Module 4: Teamwork and Communication | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-slides.html
     March 01, 2017 - N Next— What will happen next? Anticipated changes? What is the plan? … frontline care providers is to help and care for residents without harming them, but adverse events happen

290. ENSW Baseline Semi-Structured Interview Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-baseline-sw.pdf
     April 04, 2016 - It helps us understand what you talked about if we can actually see where things happen. 21) Can you … a) Where are any significant bottlenecks that can happen during this process?

291. Establishing a Program of In Situ Simulations: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
     July 01, 2023 - Timeliness—which measures how long it took for something to happen (e.g., time to incision).

292. Engage Patients and Families for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
     May 01, 2017 - Medical providers are committed to caring for their patients; however, adverse events can happen.

293. Long COVID is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/long-covid.html
     March 01, 2023 - its National Advisory Council, where we will continue to address these critical matters to make that happen

294. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
     September 03, 2014 - Why did it happen? What will we do to reduce the recurrence? How will we know it worked?   … 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.

295. CAHPS Elicitation Protocol Webcast (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-schlesinger.pdf
     January 01, 2017 - CAHPS Elicitation Protocol Webcast Development and Testing of the CAHPS Elicitation Protocol Mark Schlesinger Yale School of Public Health www.ahrq.gov/cahps Goals for narrative elicitation: specifics We aspired to collect narratives that are: • Complete: provide a full picture of the experiences that matter…

296. Improving Patient Safety in Long-Term Care Facilities, Module 1 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
     June 01, 2012 - These situations may happen when a person is ill, and even more so if that person is frail. … 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.”

297. Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14notes.html
     June 01, 2014 - For example, for the item "Mistakes happen more than they should in this office," if 60 percent of respondents … percent positive response would be 80 percent (i.e., 80 percent of respondents do not believe mistakes happen

298. How Will You Manage a Health Care Quality Reporting Project? | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/plan/manage.html
     November 01, 2018 - Establishing a Management Structure Quality reporting projects do not happen by themselves.

299. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
     January 01, 2024 - . 4 1:30 min MD-2 RN-0 MD: And I want to let you know that I am terribly sorry that you had this happen … So, we actually don’t have the specimen, and we’re sorry….And things like this unfortunately [do] happen … There’s just no way that can happen otherwise.” Med RN: “That it is okay to apologize. … an equal member of the healthcare team, then they need to be equally accountable for errors that happen

300. | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/search.html?page=17
     October 01, 2011 - Safety Tips for Hospitals Medical errors may occur in different healthcare settings, and those that happen