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www.cpsi.ahrq.gov/questions/videos/patient-mcgregor.html
November 01, 2020 - I happen to be the car."
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www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
July 01, 2023 - Question 2: Why did it happen?
Question 3: What will you do to reduce the risk of reoccurrence? … Defects or failures are clinical or operational events that you do not want to happen again.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context-external.pdf
January 01, 2016 - Coop_Context_Info_Assessment
COOPERATIVE CONTEXT ASSESSMENT INFORMATION
Round 2: External Support
What is the importance of context?
Cooperatives’ initiatives are taking place in different settings, and each cooperative has a variety of different partners and
stakeholders involved. Understanding these project…
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www.cpsi.ahrq.gov/teamstepps/simulation/traininggd1.html
July 01, 2016 - and “Why did it happen? ”
(3 min.)
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
April 24, 2018 - About the CAHPS Patient Narratives Elicitation Protocol
CAHPS® Clinician & Group Survey and Instructions
About the CAHPS Patient Narrative Elicitation Protocol
Document No. 2315
Updated April 24, 2018
About the CAHPS® Patient Narrative
Elicitation Protocol
Introduction .................................…
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www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - Medical providers are committed to caring for their patients; however, adverse events can happen.
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www.cpsi.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - Medical providers are committed to caring for their patients; however, adverse events can happen.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/assessment-quiz.docx
March 01, 2024 - What can happen when health literacy is not addressed?
☐ A. Medication errors.
☐ B.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
October 01, 2018 - the scenario or the care provision that’s being
described, what actually happened and where did it happen … When did it happen? And what was the periodicity?
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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-comp-kit.html
June 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/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - 94% 92% 91%
We are good at changing processes to make sure the same patient safety
problems don’t happen … (Item C4) 88% 85% 84% 82%
Staff are told about patient safety problems that happen in this facility … (Item C4) 82% 82% 85% 85%
Staff are told about patient safety problems that happen in this facility … (Item C4) 87% 97% 74% 94% 94% 83% 78% 76% 76%
Staff are told about patient safety problems that
happen … (Item C4) 92% 83% 79% 91%
Staff are told about patient safety problems that happen in this
facility
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
January 01, 2020 - We are good at changing processes to make sure the same patient
safety problems don’t happen again. … Staff are told about patient safety problems that happen in this facility. … Staff are told about patient safety problems that happen in this
facility. … Staff are told about patient safety problems that
happen in this facility. … Staff are told about patient safety problems that happen in this
facility.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module7/7_ts_office_summary-ig.pptx
January 20, 2006 - These three events happen at the beginning, middle, and end of each event, shift, or even day. … Honestly, this doesn’t happen overnight.
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www.cpsi.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3.html
February 01, 2023 - Does anything like this happen in his/her facility?
Slide 3: Is This the Right Call?
… Slide 5: What Do You Think Will Happen?
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/audio-script-healthcare-professionals-training.pdf
January 18, 2017 - 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/evidencenow/results/research/interview-protocol-baseline-sw.pdf
April 04, 2016 - It helps us understand what you talked about if we can
actually see where things happen.
21) Can you … a) Where are any significant bottlenecks that can happen during this process?
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www.cpsi.ahrq.gov/teamstepps/officebasedcare/module7/office_sum-ig.html
April 01, 2022 - These three events happen at the beginning, middle, and end of each event, shift, or even day. … Honestly, this doesn’t happen overnight.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.docx
March 06, 2013 - If you do share someone else’s story, let people know that this experience did not happen to you and … That can happen when you are working as an advisor, too. … What do you hope will happen as a result of me sharing my story?
Who is the audience? … One way to identify areas for improvement is to look at whether the right things happen as part of our
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www.cpsi.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/prevention-modules.html
April 01, 2022 - Tier 1 interventions are actions that should happen with every patient, and Tier 2 interventions are
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
December 01, 2017 - Inservices for All Facility Staff
Goals and objectives of class
The goals of Inservice #1, " Why Falls Happen … There is one handout for inservice #1, Why Falls Happen , and one handout for inservice #2, How to … Handout for inservice #1, Why Falls Happen , a copy for each participant.