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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - (C1)
We are informed about errors that happen in this
unit. … -------------------------------------- My supervisor/manager overlooks patient safety problems that happen … 2.0
Overall Perceptions of Patient Safety
It is just by chance that more serious mistakes don’t happen … (C1)
We are informed about errors
that happen in this unit. … (C3) 66% 66% 0%
+/- 3%
[-3% to 3%]
No
change
When errors happen in this unit, we
discuss ways
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www.cpsi.ahrq.gov/patient-safety/reports/liability/silence.html
August 01, 2017 - Second, we need to know that what happened to our loved one is not going to happen to anyone else.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_2_Nurse_Chklst_508.docx
February 10, 2011 - “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-lesson2.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/talkingquality/translate/scores/scoring.html
June 01, 2016 - Do you want to tell people how often this event happened or how often it did not happen? … Experience indicates that in this case, saying how often a patient safety event did happen will be
-
www.cpsi.ahrq.gov/cahps/about-cahps/patient-experience/index.html
September 01, 2023 - To assess patient experience, one must find out from patients whether something that should happen in
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
June 19, 2018 - We look at staff actions and the way we do things to understand why mistakes happen in this
pharmacy
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
May 01, 2017 - Medical providers are committed to caring for their patients; however, adverse events can happen.
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - and Analysis is that managing individual performance alone does not ensure that a harm event won't happen
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
May 01, 2017 - In ambulatory surgery centers (ASCs), huddles can happen once per day with each unit (e.g., the operating … Level 3: Daily huddles happen when the supervisor is not present. … What can you do to make the huddle happen every day?
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www.cpsi.ahrq.gov/hai/cusp/videos/index.html
September 01, 2019 - Why Did It Happen?
-
www.cpsi.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
September 01, 2020 - Can you tell me in your own words what might happen?” … What might happen then? … Doctor: Yes…that could unfortunately happen. … Doctor: That could happen. … How likely are they to happen?
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - stable; her heart rate, blood pressure, and oxygen level are all in normal ranges, but something did happen
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
June 06, 2018 - Staff are told about patient safety problems that
happen in this facility ......................... … We are good at changing processes to make sure
the same patient safety problems don’t happen again.
-
www.cpsi.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
June 01, 2019 - Processes answer the question "Why did it happen?"
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
May 17, 2021 - Ask "Why does this happen?" to stimulate brainstorming.
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www.cpsi.ahrq.gov/ncepcr/tools/self-mgmt/what-script.html
February 01, 2016 - Skip to main content
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www.cpsi.ahrq.gov/evidencenow/heart-health/aspirin/stroke.html
September 01, 2018 - Resource description: This patient education booklet explains how heart attack and stroke happen, and
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
May 01, 2017 - Medical providers are committed to caring for
their patients; however, adverse events can
happen.
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - FUTURE RISKS
Are there other areas in the organization where this could happen?