-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-buy-in-transcript.pdf
April 01, 2022 - It's just dealing with patients who are sick, they are at risk, and
sometimes these things happen. … And so, not to say that when things just happen and they go right we should
celebrate, but when we intervene
-
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…
-
www.ahrq.gov/ncepcr/tools/self-mgmt/why-script.html
February 01, 2016 - But to stay at the baseline or to improve, if they don't do it at home, it doesn't happen.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/Improving_diagnosis_flyer.pdf
April 01, 2019 - AHRQ is also funding research to
better understand how diagnostic errors happen, what can be done to
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.docx
October 01, 2016 - An allergic reaction doesn’t often happen, but sometimes it does.
1. … Side effects happen sometimes, but usually aren’t too much of a problem.
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.docx
October 01, 2016 - This can happen when someone touches you, or by touching something that has the bacteria on it, such
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
June 01, 2021 - Defining goals of care should happen before emergent situations come up. … Depending on the situation, this may need to happen more than once.
-
www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
October 01, 2015 - How To Use This Document
Planning for sustainability should happen early in the process of implementing … Defects”
A defect is any clinical event or situation that a staff member or provider would not want to happen … Why did it happen?
What will we do to reduce the risk of recurrence?
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.docx
October 01, 2016 - Tool 6. Managing Resident and Family Expectations
Nurses, prescribing clinicians, and any other staff who discuss or dispense medication may experience pressure from residents and family members to prescribe antibiotics. This is a template for discussing this topic and introducing the talking points to use with residen…
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate and Engage Residents and Family Members
Tool 6. Managing Resident and Family Expectations
Nurses, prescribing clinicians, and any other staff who discuss or dispense medication may
experience pressure from residen…
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context.pdf
June 01, 2013 - Coop_Context_Info_Assessment_Final
COOPERATIVE CONTEXT ASSESSMENT INFORMATION
What is the importance of context?
Cooperatives’ initiatives are taking place in different settings and have a variety of different partners and
stakeholders involved. Understanding these projects requires examination of the cont…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/011-ss-decolonization-strategies-fg.docx
April 01, 2025 - These are: what happened, why did it happen, how to reduce the likelihood of it happening again, and
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sfstrategies.pdf
August 01, 2015 - One planned visit can
happen during the Health Supervision Visit (HSV).
5
Tobacco Exposure
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
April 01, 2016 - ___________________________________________________________________
Steps How will this
happen? … [Be specific and
include important
steps to make
the idea/activity
happen.] … Who will
make this
happen?
[Be specific for
each task.] … What other
information
do I need to
make this
happen?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt2.pdf
January 01, 2016 - This nursing home lets the same mistakes happen again and again. (D3R) 69% 65% 66% 63%
2. … This nursing home lets the same mistakes happen again and again. (D3R) 64% 68%
2. … This nursing home lets the same mistakes happen again and again. (D3R) 67% 63%
2. … This nursing home lets the same mistakes happen again and
again. … This nursing home lets the same mistakes happen again and again. (D3R) 63% 72%
2.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part1.pdf
April 01, 2018 - (F2)
85
Mistakes happen more than they should in this office. … (E1R)
47
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. … They overlook patient care mistakes that happen
over and over.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2018mosopsdatabasereport-part1-rev0921.pdf
April 01, 2018 - (F2)
85
Mistakes happen more than they should in this office. … (E1R)
47
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. … They overlook patient care mistakes that happen
over and over.
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
December 01, 2017 - We know this because wrong-sided surgeries would never happen if timeouts were more effective. … Slide 29: Debriefings in the Operating Room
Say:
Structure debriefings so that they happen before … Debriefing
Say:
It took having physician champions and surgeons onboard that made the implementation happen
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - clinically-integrated digital health apps have the potential to more accurately predict risk of adverse events that may happen
-
www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh3.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Exhibit 3. Reporting of patient safety events
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Desi…