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Total Results: 1,577 records

Showing results for "happen".

341. Summary of Survey Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-summary.html
     August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Summary of Survey Findings Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Introdu…

342. | Agency for Healthcare Research and Quality
     www.ahrq.gov/
     June 12, 2025 - Diagnostic Safety and Quality Funding research to better understand how diagnostic errors happen and

343. Presentation: Auditing Your Briefings and Debriefings
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
     December 01, 2017 - with teammates, when people understand what that plan is, when they have a sense of what’s going to happen … Safety Program for Surgery – Implementation ASK: How do you think briefings and debriefings should happen … ASK: What is the worst thing that could happen, and what are we going to do about it if it did? … We know this is important, but it’s tough to make happen. … All of these steps happen before the case begins, or prior to incision.

344. Conclusions | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/conclusions.html
     July 01, 2018 - Some changes happen sooner, some later.

345. Final Progress Report: Patient Safety in Hospice Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
     January 01, 2024 - practice that should not have happened, that was not anticipated, and that made you say, ‘that should not happen … in hospice care and I don’t want to have it happen again’.”

346. CMV_27_M3_CUSP_SSA_Premortem
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
     January 01, 2017 - Why did it happen? How will you reduce the risk of it happening again?

347. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
     June 01, 2021 - Why did it happen? How can you reduce the risk for next time?

348. Strategy 1: Working with Patients & Families as Advisors (Tool 9) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.pdf
     March 06, 2013 - If you do share someone else’s story, let people know that this experience did not happen to you and … That can happen when you are working as an advisor, too. … • What do you hope will happen as a result of me sharing my story? • Who is the audience? … One way to identify areas for improvement is to look at whether the right things happen as part of our

349. Measuring What Matters: Catalyzing Conversations on the Quality of Long-Term Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/ltc-quality-measures.html
     December 01, 2022 - and whether these gaps are reduced for all long-term care patients, since long-term care may not just happen

350. How CUSP Enables Nurse Empowerment (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/empowerment.html
     April 01, 2013 - was the defect, a brief description of what happened, and then talk about with the staff: Why did it happen … written daily goal sheet which was helpful to focus communication, to say, “This is what’s going to happen

351. CUSP: A Framework for Success (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
     April 01, 2013 - A defect in our language is anything that happens that you wouldn't want to have happen again in the … But quite often, they get at issues that are absolutely crucial to allowing those things to happen. … because when you have to actually write it down and measure it, you are much more likely to see things happen … ’s discharge, if we help people understand why those things are important, it’s much more likely to happen

352. The Science of Improving Patient Safety and Identifying Defects: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
     December 01, 2017 - Slide 6: How Do These Errors Happen? Medicine is still treated as an art, not a science. … Anything that happens that you do not want to happen again.

353. Optimizing Environmental Cleaning (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.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. … Slide 38 Case Example: Why Did It Happen?

354. Labor and Delivery Unit Safety: Safe Cesarean Section | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
     July 01, 2023 - Being aware of what is going on and what is likely to happen next. … transfer to recovery); being aware of what is going on throughout the case; and anticipating what is to happen … provide timely, clear information to patient and family to explain what is happening, what needs to happen

355. Teamworknotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
     June 02, 2025 - . · And N stands for next—Tell what will happen next, anticipated changes, the plan, and any contingency … Situational awareness occurs when members of the team have a grasp of what is happening and what will likely happen … and patient procedures), and create a communication plan to address any identified issues that may happen

356. Morning Briefing and Shadowing (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
     April 01, 2013 - So we're able to determine based on a clinical situation what's going to happen next or what we can anticipate … We just begin to move on and discuss what's going to happen next, which is where the rounds should begin … If those things didn't happen, which patients will be transferring out? … The tool itself actually says who reported the issue and to report follow-ups, so what's going to happen … Ten years ago, we would never have seen that happen. We have many models here at Hopkins.

357. NAA National Webinar, February 2025: Establishing Psychological Safety for Healthcare Workers (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/psychological-safety-slides.pdf
     March 18, 2025 - Communicate to clinical staff about importance of CRP, resources to support clinicians when harm events happen

358. Prescribers-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
     June 01, 2021 - State what you think needs to happen for the patient and also suggest a timeframe. … This is unlikely to happen and not necessary at this point, as the resident is feeling fine. … Although not appropriate, this is likely to happen if information regarding symptoms and resident status

359. AHRQ’s Primary-Care Related Data Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/data-resources/index.html
     September 01, 2024 - AHRQ’s Primary-Care Related Data Resources AHRQ's Compendium of U.S. Health Systems The Compendium is the foremost public resource for data on characteristics of healthcare organizations over time. Enumerating each organization and detailing its key features, the annual files enable users to see the changing la…

360. Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/action-plan-trip-fac-guide.html
     February 01, 2017 - State your objectives and make a prediction about what will happen and why. … Ask: What did you predict would happen? What actually happened? What did you learn?