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www.cpsi.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.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-j.pdf
April 13, 2017 - Implementation Guide Appendix J Coaching Tool Instructions and Observation Tool With Coaching Section
AHRQ Safety Program for Ambulatory Surgery
Appendix J. Coaching Tool Instructions and
Observation Tool With Coaching Section
After using the observation tool to collect information regarding the processes perfor…
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www.cpsi.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.cpsi.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?
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www.cpsi.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.
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www.cpsi.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.cpsi.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.
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www.cpsi.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
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www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nh-survey-06-16-21.pdf
June 16, 2021 - 1 2 3 4 5 9
SECTION B: Communications
How often do the following things happen in
your … SECTION B: Communications (continued)
How often do the following things happen … This nursing home lets the same mistakes
happen again and again ...................................
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-demo-project.pdf
October 29, 2018 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care
The NYP Patient Narrative
Demonstration Project
Tara Servati, M.P.H.
Patient Experience Specialist for the Ambulatory Care
Network, New York-Presbyterian
New York, NY
NYP Demonstration Project Overview
Overall Aim:
– Asses…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
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? … • Why did it happen?
• How will you reduce the risk of
recurrence?
• How will you know it worked?
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.pdf
May 23, 2013 - • If nurse bedside shift report does not
happen, call the nurse manager at [insert
phone number]
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.docx
February 24, 2011 - If nurse bedside shift report does not happen, call the nurse manager at [insert phone number].
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www.cpsi.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Skip to main content
An official website of the Department of Health and Human Services
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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-j.html
May 01, 2017 - 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
…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/administering_cg_narrative_items.pdf
June 01, 2021 - About the CAHPS Patient Narratives Elicitation Protocol
June 2021
Administering the CAHPS® Clinician &
Group Narrative Item Set
Introduction ......................................................................................................... 1
Placing the Narrative Items in the Survey ......................…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_2_Nurse_Chklst_508.pdf
June 04, 2013 - o “What do you want to happen during the next 12 hours?”
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/agenda-lesson1.pdf
November 30, 2015 - Are any of the situations observed in the video situations that could happen in your office?
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www.cpsi.ahrq.gov/news/blog/ahrqviews/intentional-about-equity.html
April 01, 2024 - But this can only happen if those who create and use those technologies—developers, vendors, healthcare … systems, payers, and providers—actively take steps to make it happen .