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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
December 01, 2017 - is much easier to engage someone (anyone, not just executives) if you can be clear about what will happen … The CUSP components of this safety program can be a way to make this happen in a structured, predictable … This doesn’t happen without preplanning and a strong and consistent communication process with the entire
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-user-guide.pdf
July 01, 2018 - 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 ................... … My supervisor/manager overlooks patient safety problems that happen over and over. … It is just by chance that more serious mistakes don't happen around here. … We are informed about errors that happen in this unit.
C5.
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www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
December 01, 2012 - 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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
September 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/publications/files/sustainability-guide_2.pdf
September 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/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
December 01, 2017 - We know this because wrong-sided surgeries would never happen if timeouts were more effective. … Slide 28
Briefings in the Operating Room
SAY:
Structure debriefings so that they happen before the … Debriefing
SAY:
It took having physician champions and surgeons onboard that made the implementation happen
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/024-assessing-evc-webinar-slides.pptx
October 01, 2024 - Why did it happen?
How do we reduce the likelihood of this defect from happening again?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
January 01, 2016 - My supv/mgr overlooks patient safety problems that happen
over and over. (B4R)
79%
3. … We are informed about errors that happen in this unit. (C3) 69%
3. … It is just by chance that more serious mistakes don't happen
around here. (A10R)
61%
2. … My supv/mgr overlooks patient safety
problems that happen over and over.
79% 7.53% 11% 71% 75% 79% … We are informed about errors that
happen in this unit.
70% 69% 1% 33% -17% 5% -4%
C5 3.
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www.ahrq.gov/data/hcup/sepsis-state-hospital.html
June 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…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
June 01, 2020 - And that’s just because like I could see it happen with good results.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
June 01, 2021 - PowerPoint Presentation
Identifying Targets To
Improve Antibiotic Use
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Identifying Targets
1
Objectives
Identify opportunities to improve antibiotic prescribing
Recognize how to leverage frontline staff to guide saf…
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-ks-success-story.html
April 01, 2015 - New Mexico IMPaCT: Catalyzing Community Health Transformation in Kansas
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Success Stories
A key goal of AHRQ’s IMPaCT (Infrastructure for Maintaining Primary Care Transformation) grants is to learn strategies for spreading succ…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/157-what-are-4-es.docx
October 01, 2024 - Discuss in detail what you want to accomplish and what will need to happen to get the best results.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facilitator-notes.docx
March 01, 2017 - in the future
Senior leaders welcome opportunities to learn from setbacks, events or mistakes that happen … identify the factors that contributed to the defect (an event or situation that you do not want to happen … including senior leaders, to identify ways to learn from an event or situation that you do not want to have happen
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - plan is through briefings and team management,
· being aware of what is going on and what is likely to happen … provide timely, clear information to patient and family to explain what is happening, what needs to happen
-
www.ahrq.gov/ncepcr/tools/obesity/obpcp3.html
May 01, 2014 - What do you think will happen if you don't change anything about your weight? … What do you want to have happen?
Affirmations.
-
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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
June 02, 2025 - Conducting a Morning Briefing
Problem statement: Physicians can improve communication with nursing staff while more efficiently prioritizing patient care delivery and admissions and discharges.
What is a Morning Briefing? A morning briefing is a dialogue between two or more people using concise and relevant informati…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/reporting-patients-comments-transcript.pdf
June 01, 2014 - Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It Work?
Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It
Work?
June 2014 Webcast
Speakers
Steven Martino, PhD, Behavioral Scientist, RAND, Pittsburgh, PA
Rachel Grob, PhD, Senior Scientist, Cent…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
January 22, 2008 - Did anything happen while you were on call that you were not adequately prepared for
after sign-out?