-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/pharmlitqi/slidedeck3/slidedeck3.pptx
March 01, 2011 - proposed change.
9
Plan-Do-Study-Act
Plan: Determine tasks needed to assess change, and predict what will happen … What do you predict will
happen and how will you know? … That is to determine what tasks are needed to assess or test the change and predict what will happen. … What do you predict will happen and how will you know it happened?
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pharmhealthlit/pharmlit/pharmlitap3.pdf
October 15, 2007 - Common severe side or adverse effects,
interactions and contraindications that can
happen, including … how to avoid them and what
the patient should do if they happen.
-
www.qualitymeasures.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
November 01, 2016 - huge networks of community health workers develop across the country and some really amazing things happen … And I think that sometimes that happens when conversations happen about gun and gun violence.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-appendix.pdf
January 01, 2019 - We look at staff actions and the way we do things to understand why mistakes
happen in this pharmacy … We look at staff actions and the way we do things to understand why
mistakes happen in this pharmacy … We look at staff actions and the way we do things to understand
why mistakes happen in this pharmacy … We look at staff actions and the way we do things to
understand why mistakes happen in this pharmacy
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part2.pdf
April 01, 2018 - They overlook patient care mistakes that happen over and
over. … Mistakes happen more than they should in this office. (F3R) 78% 75%
3. … Mistakes happen more than they should in this office. … They overlook patient care mistakes that happen over and
over. … They overlook patient care mistakes that happen over
and over.
-
www.qualitymeasures.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?
-
www.qualitymeasures.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?
-
www.qualitymeasures.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.
-
www.qualitymeasures.ahrq.gov/health-literacy/improve/pharmacy/guide/app-3.html
November 01, 2019 - Common severe side or adverse effects, interactions and contraindications that can happen, including … how to avoid them and what the patient should do if they happen.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool0a.docx
January 01, 2011 - What will happen? For this program, we will use the U.S.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
June 01, 2021 - Why did it happen?
How can we reduce the risk of this happening again?
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/brownslides.pdf
August 13, 2015 - emphasized when mistakes are
made.
78%
70%
Staff are told about patient safety
problems that happen
-
www.qualitymeasures.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
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.pdf
March 01, 2017 - Remember T.E.A.M.S. to Improve Safety Culture
T
E
A
M
S
Team
Formation
Excellent
Communication
Assess
What’s
Working
Meet
Monthly
Sustain
Efforts
The most effective teams are diverse. Make sure
your team includes people of differing perspectives
and roles.
Communication should be effective. Commu…
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dx-journey-presenter-notes.pdf
March 01, 2022 - Why did this have to
happen? … Why did this have to
happen? I guess we will never know.
Slide 18
4 weeks after
PCP, Mr.
-
www.qualitymeasures.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
-
www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module8/igchangemgmt.html
March 01, 2019 - groups, and individuals in the organization who must feel the need for change for team training to happen … Communicate for Understanding and Buy-In
Say:
The third phase in implementing change is making it happen … Phase 2: Making it happen—Training and implementation.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate and Engage Residents and Family Members
Tool 6. Managing Resident and Family Expectations
Nurses, prescribing clinicians, and any other staff who discuss or dispense medication may
experience pressure from residen…
-
www.qualitymeasures.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.
-
www.qualitymeasures.ahrq.gov/diagnostic-safety/research/index.html
March 01, 2024 - AHRQ funds research to better understand how diagnostic errors happen and what can be done to prevent