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www.cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/pdsa-worksheet.pdf
August 20, 2018 - ______________________________________________________________________
What do you predict will happen … What do you need to do to get ready:
How will you evaluate how it went:
What do you predict will happen
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
November 15, 2019 - 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. … (5
SECTION D: Frequency of Events Reported
In your work area/unit, when the following mistakes happen
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www.cahps.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
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www.cahps.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
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www.cahps.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
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
June 01, 2021 - An Update on the CAHPS Patient Narrative Item Sets - Martino
UPDATED NARRATIVE ITEM SETS FOR THE
CAHPS CLINICIAN & GROUP SURVEY
Steven Martino, PhD
Overview of Narrative Item Set Development Process
• Literature review and environmental scan
• Drafting of narrative items
• Pretesting to assess readability and …
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-schlesinger.pdf
December 14, 2021 - An Update on the CAHPS Patient Narrative Item Sets - Schlesinger
PREVIEW OF NEW NARRATIVE ITEM
SETS IN DEVELOPMENT
Mark Schlesinger, PhD
A Growing Family of Narrative Item Sets
CG-CAHPS Narrative Item Set
Health Plan
Narrative Item Set
Inpatient Narrative Items:
For Child HCAHPS
19
The Health Plan Narr…
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - Why did it happen?
What will you do to reduce risk? … Skill-based failures happen when a person fails in the performance of a routine task that normally requires … The consequent event is described in terms of the event’s consequences:
Harm that did happen
Harm that … Why did it happen?
Step 1. Visualize the factors that led to the event.
Step 2. … Defects are clinical or operational events that you do not want to happen again.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
April 01, 2016 - Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations,
including key disclosure communication skills.
Who should use this tool? Disclosure Lead and any staff who will be engaged in disclosure conversations.
How to use this tool: Use Part I of the checklist to pre…
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
May 01, 2017 - • Why did it happen?
• What will you do to reduce risk? … • Skill-based failures happen when a
Slide 4
Sensemaking and Learn From Defects for Perinatal … The consequent event is described in terms of
the event’s consequences:
• Harm that did happen
• … Why did it happen?
• Step 1. Visualize the factors that
led to the event.
• Step 2. … • Defects are clinical or operational
events that you do not want to happen
again.
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
August 01, 2019 - We are informed about errors that happen in this unit.
C2. … When errors happen in this unit, we discuss ways to prevent them from happening again.
C3.
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www.cahps.ahrq.gov/talkingquality/distribute/promote/multiple/using-media.html
September 01, 2019 - Bad press can happen because the people you worked with didn’t take the time to understand your work, … While any of these misfortunes can happen, they are not reasons to avoid working with the media entirely … Bad press can happen to anyone.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - The first step in comprehending why they happen is accepting that people are not perfect. … Why did it happen?
What will we do to reduce the recurrence?
How will we know it worked? … Why did it happen?
How will you reduce the risk of recurrence?
How will you know it worked?
-
www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
July 01, 2023 - Why did it happen?
What will you do to reduce risk? … The consequent event is described in terms of the event's consequences:
Harm that did happen. … Harm that did not happen—No-harm event.
Event did not reach the patient—Near-miss event. … Why did it happen?
Step 1. Visualize the factors that led to the event.
Step 2. … Defects are clinical or operational events that you do not want to happen again.
-
www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - Slide 4: How Can These Errors Happen? … The first step in comprehending why they happen is accepting that people are not perfect. … Why did it happen?
What will we do to reduce the recurrence?
How will we know it worked? … Why did it happen?
How will you reduce the risk of recurrence?
How will you know it worked?
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-grob-narrative-elicitation-protocol.pdf
October 29, 2018 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care
The CAHPS Narrative Elicitation
Protocol
Rachel Grob, Ph.D.
Director of National Initiatives and Clinical Professor,
Center for Patient Partnerships
Madison, WI
www.ahrq.gov/cahps
CAHPS Narrative Elicitation Protocol
• A …
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www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Module 7: Resolution
Module 8: Organizational Learning and Sustainability
“We realize mistakes happen … Harms such as hospital-acquired infections or medication errors can happen during any stage of care.
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - 1 2 3 4 5 9
SECTION C: Communication
How often do the following things happen in your unit … We are informed about errors that happen in
this unit ............................................ … When errors happen in this unit, we discuss
ways to prevent them from happening again .. 1 2 3 4
-
www.cahps.ahrq.gov/cahps/surveys-guidance/item-sets/ch/suppl-narrative-items-child-hospital-survey.html
November 01, 2023 - Skip to main content
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www.cahps.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
October 01, 2021 - But we know that in many instances this just doesn’t happen. … DM: Do diagnostic errors happen often?
JB: They’re more prevalent than one might think. … patient safety research, we understand that it’s often instructive to compare the things we intend to happen