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  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
    June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…
  2. www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
    February 01, 2017 - Are there policies and procedures in place to assure that these interventions happen?
  3. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
    January 01, 2023 - Negative We are good at changing processes to make sure the same patient safety problems don’t happen
  4. www.ahrq.gov/data/hcup/sepsis-state-hospital.html
    March 01, 2025 - Sepsis in the United States Sepsis is a life-threatening emergency that happens when a body's response to an infection damages vital organs and, often, causes death. It is one of the most expensive conditions treated in hospitals in the United States. This visualization presents data from the Healthcare Cost a…
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
    September 01, 2015 - How many happen every year? · What is his/her unit’s approach to catheter use? … In this scenario, the transporter didn’t understand what might happen because of wrong bag placement … Does anything like this happen in his/her facility?
  6. www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-1.pdf
    January 01, 2016 - Mistakes happen more than they should in this office. (F3R) 81% 3. … This office is good at changing office processes to make sure the same problems don't happen again. … They overlook patient care mistakes that happen over and over. (E2R) 82% 3. … Mistakes happen more than they should in this office. … They overlook patient care mistakes that happen over and over.
  7. www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
    December 01, 2017 - My supervisor/manager overlooks patients safety problems that happen over and over. 71% Slide 36 … We are informed about errors that happen in this department. 57% 3.
  8. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.html
    March 01, 2017 - T.E.A.M.S. infographic AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Culture consists of values, attitudes, and beliefs that can have an impact on resident safety, care outcomes, and staff satisfaction. Culture influences how change can occur. T Team Formation The most effective…
  9. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/getting-ready.html
    August 01, 2017 - role in the care team is to take the time to learn about your surgery—how to prepare, what's going to happen
  10. www.ahrq.gov/ncepcr/tools/obesity/obpcp5.html
    May 01, 2014 - This can happen in any number of ways. 
  11. Getting Ready (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/getting_ready.pdf
    May 01, 2017 - role in the care team is to take the time to learn about your surgery—how to prepare, what’s going to happen
  12. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
    October 01, 2014 - What will happen? … describe key processes in your organization where pressure ulcer prevention activities could or should happen
  13. www.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
    December 01, 2009 - Safety Tips for Hospitals Medical errors may occur in different health care settings, and those that happen
  14. www.ahrq.gov/hai/cusp/toolkit/content-calls/nurse-empower/slides.html
    October 01, 2014 - CUSP: How it Empowers Nurses in the Hospital Nurses are empowered when — They see change happen
  15. www.ahrq.gov/patient-safety/reports/hotline/design2.html
    May 01, 2016 - [text box] When did it happen? [text box] Why do you think this happened?
  16. www.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
    July 01, 2018 - Patient and Family Engagement The Patient and Family Engagement module of the CUSP Toolkit focuses on making sure patients and their family members understand what is happening during the patient's hospital stay, are active participants in the patient's care, and are prepared for discharge. This module expl…
  17. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
    January 01, 2013 - My supervisor/manager overlooks patient safety problems that happen over and over. … My supervisor/manager overlooks patient safety problems that happen over and over. … We are informed about errors that happen in this department. (C3) 3. … We are informed about errors that happen in this department. (C3) 57% 3.
  18. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/lessons_from_top-performing_medical_practices_CG-CAHPS_transcript.pdf
    October 01, 2014 - , has been doing this for about three years now, and we were rather focused on trying to make that happen … Yee, how do you ensure that they actually happen? Are they put on the physician schedule? … Who is responsible for making them happen? Mon L. Yee All of us are. … So in 2015, it will happen next March, for the two-week period from March 16th through the 27th. … For the Health Plan survey database, submission will happen during the summer of 2015, and we will be
  19. www.ahrq.gov/talkingquality/plan/partners/index.html
    May 01, 2019 - experience with quality measurement and reporting as well as the flexibility to move quickly to make things happen
  20. www.ahrq.gov/patient-safety/reports/hotline/appd.html
    May 01, 2016 - If no, what will happen? Probe:  have there been any glitches that we should know about?  G.

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