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Showing results for "happen".

41. Transcript: How To Have Difficult Conversations With Colleagues Around Infection Prevention Practices (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
    April 01, 2022 - preventing patient errors, the first step is really about setting expectations that communications will happen … Like in the nursing world, it's in nursing practice council, where they can role-play situations that happen … The unit has to set the tone, or it has to be an expectation in the unit that conversations will happen … When those conversations happen and someone comes and complains that the conversation happens, you have … to listen and support that this conversation needed to happen.

42. CLABSI Learning From Defects Tool (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
    April 01, 2022 - ) Hemodialysis Other: _____________________ Why did the CLABSI happen

43. What We Planned, What Happened, and What We Learned | Agency for Healthcare Research and Quality
    www.ahrq.gov/takeheart/assessing/slide-presentation/index.html
    August 01, 2023 - What We Planned, What Happened, and What We Learned TAKEheart: AHRQ's Initiative to Increase Patient Participation in Cardiac Rehabilitation This PowerPoint Presentation explores what the AHRQ TAKEheart team planned from this project, what happened, and what was learned. It was presented by Michael Harrison…

44. Premortem Assessment | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mrsa-prevention/surgery/premortem-assessment.html
    April 01, 2025 - What if there was a magic telescope that could look into the future and let you see what is going to happen

45. Aspirin, Heart Disease, and Stroke Pamphlet: American Stroke Association | Agency for Healthcare Research and Quality
    www.ahrq.gov/evidencenow/heart-health/aspirin/stroke.html
    September 01, 2018 - Resource description: This patient education booklet explains how heart attack and stroke happen, and

46. SOPS Medical Office Survey, Version: 1.0 Language: English (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english.pdf
    March 01, 2023 - SECTION A: List of Patient Safety and Quality Issues The following items describe things that can happen … In your best estimate, how often did the following things happen in your medical office OVER THE PAST … They overlook patient care mistakes that happen over and over ................................ … Mistakes happen more than they should in this office .............................................. … This office is good at changing office processes to make sure the same problems don’t happen again

47. Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/index.html
    January 01, 2007 - Diagnostic Safety and Quality Learn about AHRQ's research to better understand how diagnostic errors happen … AHRQ funds research to better understand how diagnostic errors happen and what can be done to prevent

48. Learn from Defects Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
    December 01, 2012 - A defect is any clinical or operational event or situation that you would not want to have happen again … Why did it happen? Below is a framework to help you review and evaluate your case.

49. Appendix A. Action Plan Tool for Project Sustainability | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/guides/sustainability-guideapa.html
    October 01, 2015 - Plan for Sustainability Need or Interest Idea or Activity Tools To Use How Will This Happen … Who Should Make This Happen? When Will This Happen? … What Other Information Do I Need To Make This Happen?

50. Learn From Defects Tool (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
    December 01, 2017 - Why did it happen? … Why did it happen? Investigate your care delivery system. … Why did it happen? … Why did it happen? … Why did it happen?

51. CAUTI Learning From Defects Tool (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.docx
    April 01, 2022 - (Circle): Yes No Why did the CAUTI happen?

52. CAUTI Learning From Defects Tool (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.docx
    April 01, 2022 - (Circle): Yes No Why did the CAUTI happen?

53. Medical Office Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/infotransMOSOPS.pdf
    January 01, 2010 - the past 12 months, Does Not Apply or Don’t Know) The following items describe things that can happen … In your best estimate, how often did the following things happen in your medical office OVER THE PAST … They overlook patient care mistakes that happen over and over. … This office is good at changing office processes to make sure the same problems don’t happen again. … Mistakes happen more than they should in this office. (negatively worded) F4.

54. Medical Office SOPS Translation Information | Agency for Healthcare Research and Quality
    www.ahrq.gov/sops/international/medical-office/translators.html
    January 01, 2010 - in the past 12 months, Does Not Apply or Don't Know) The following items describe things that can happen … In your best estimate, how often did the following things happen in your medical office OVER THE PAST … They overlook patient care mistakes that happen over and over. … This office is good at changing office processes to make sure the same problems don't happen again. … Mistakes happen more than they should in this office. (negatively worded) F4.

55. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
    December 01, 2017 - Slide 6: What Is a Defect Anything you do not want to happen again. … (From view of person involved) Why did it happen? … Slide 12: Why Did It Happen? Critical to include adaptive teamwork concerns.

56. Hospital Survey on Patient Safety (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
    June 09, 2016 - It is just by chance that more serious mistakes don’t happen around here (1 (2 (3 (4 (5 11. … My supervisor/manager overlooks patient safety problems that happen over and over (1 (2 (3 (4 ( … 5 SECTION C: Communications How often do the following things happen in your work area/unit? … We are informed about errors that happen in this unit (1 (2 (3 (4 (5 4. … SECTION D: Frequency of Events Reported In your hospital work area/unit, when the following mistakes happen

57. Hospital Survey on Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
    March 22, 2017 - It is just by chance that more serious mistakes don’t happen around here ......................... … My supervisor/manager overlooks patient safety problems that happen over and over ................. … 1 2 3 4 5 3 SECTION C: Communications How often do the following things happen in your … We are informed about errors that happen in this unit .............................. … SECTION D: Frequency of Events Reported In your hospital work area/unit, when the following mistakes happen

58. Hospital Survey on Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
    December 22, 2017 - It is just by chance that more serious mistakes don’t happen around here ......................... … My supervisor/manager overlooks patient safety problems that happen over and over ................. … 1 2 3 4 5 3 SECTION C: Communications How often do the following things happen in your … We are informed about errors that happen in this unit .............................. … SECTION D: Frequency of Events Reported In your hospital work area/unit, when the following mistakes happen

59. SOPS® Nursing Home Survey Items and Composite Measures (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-items-composite-english.pdf
    September 01, 2024 - Sometimes, Most of the time, Always, Does Not Apply or Don’t Know) How often do the following things happen … Sometimes, Most of the time, Always, Does Not Apply or Don’t Know) How often do the following things happen … Sometimes, Most of the time, Always, Does Not Apply or Don’t Know) How often do the following things happen … This nursing home lets the same mistakes happen again and again. (negatively worded) D4.

60. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - Does the same fix happen for all patients, all caregivers, and all shifts? … SAY: A defect is anything you do not want to have happen again or ever have happen, even if it hasn’t … Slide 20 Why Did It Happen? ASK: Why did the defect occur? … Slide 21 Why Did It Happen? SAY: Make the whys visual. … Slide 22 Why Did It Happen? SAY: Think about the culture.