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  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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 …
  7. 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…
  8. 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.
  9. 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…
  10. 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.
  11. 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.
  12. 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.
  13. 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?
  14. 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.
  15. 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?
  16. 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 …
  17. 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.
  18. 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
  19. www.cahps.ahrq.gov/cahps/surveys-guidance/item-sets/ch/suppl-narrative-items-child-hospital-survey.html
    November 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  20. 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

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