Results

Total Results: 712 records

Showing results for "happen".

21. An Update on the CAHPS Patient Narrative Item Sets - Martino (pdf file)
    www.qualitymeasures.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 …

22. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
    February 16, 2021 - My supervisor/manager overlooks patient safety problems that happen over and over. … It is just by chance that more serious mistakes don't happen around here. (negatively worded) A17. … We are informed about errors that happen in this unit. C5.

23. Learn From Defects Tool Worksheet: Catheter-Associated Urinary Tract Infection (CAUTI) (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.pdf
    April 01, 2022 - No Yes No Why did the CAUTI happen? What factors contributed?

24. Fallpxtool1A (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1a.docx
    January 01, 2004 - 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

25. What We Planned, What Happened, and What We Learned | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/takeheart/assessing/slide-presentation/index.html
    August 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 …

26. Hospital Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
    September 01, 2009 - My supervisor/manager overlooks patient safety problems that happen over and over. … It is just by chance that more serious mistakes don't happen around here. … worded) (More about this item: It is because of good luck or good fortune that more mistakes do not happen … In other words, the reason mistakes do not happen more often is good luck, NOT because procedures or … We are informed about errors that happen in this unit. C5.

27. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/sops/international/hospital/translators.html
    October 01, 2014 - My supervisor/manager overlooks patient safety problems that happen over and over. … It is just by chance that more serious mistakes don't happen around here. … In other words, the reason mistakes do not happen more often is good luck, not because procedures or … We are informed about errors that happen in this unit. C5. … worded) ( More about this item: Shift changes cause problems for patients in this hospital—problems happen

28. Engage the Team and Applying CUSP in the ICU Setting Slides (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
    April 01, 2022 - As we discussed at the beginning of this presentation, staff need a clear understanding of what will happen … · Why did it happen? · How will you reduce the risk of the defect happening again? … Slide 14 In order for the CUSP team to better understand why defects happen, make the "whys" visual

29. An Update on the CAHPS Patient Narrative Item Sets - Schlesinger (pdf file)
    www.qualitymeasures.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…

30. Approach to Residents With Reported Penicillin Allergy (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
    June 01, 2021 - _______________ o How soon after starting the antibiotic did the reaction happen (e.g., minutes to hours … by: Datetime: Reviewed by physician: How soon after starting the antibiotic did the reaction happen

31. Learn-From-Defects-Facilitator-Guide (doc file)
    www.qualitymeasures.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.

32. Mod5-Disclosure-Checklist (pdf file)
    www.qualitymeasures.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…

33. Learn From Defects | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.html
    March 01, 2017 - the types of systems that contributed to the defect (an event or situation that you do not want to happen … Why did it happen?

34. Changing-System-Facilitator-Guide (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
    June 01, 2021 - They are considered latent because they have to do with how the work environment was set up and could happen … · Why did it happen? · What could you do to reduce the risk of this happening again? … Slide 13 Why Did It Happen?

35. 20 Tips To Help Prevent Medical Errors: Patient Fact Sheet | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/questions/resources/20-tips.html
    November 01, 2020 - They can happen during even the most routine tasks, such as when a hospital patient on a salt-free diet … But errors also happen when doctors * and patients have problems communicating. … If you know what might happen, you will be better prepared if it does or if something unexpected happens

36. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
    www.qualitymeasures.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.

37. PowerPoint Presentation
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
    June 01, 2021 - Why did it happen? What could you do to reduce the risk? How do you know that risk was reduced? … Imagine the world as they did when the event occurred. 13 Changing the System 13 Why Did It Happen

38. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
    www.qualitymeasures.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.

39. Implementation Guide Appendix J Coaching Tool Instructions and Observation Tool With Coaching Section (pdf file)
    www.qualitymeasures.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…

40. Using Mass Media To Spread Messages About a Quality Report | Agency for Healthcare Research and Quality
    www.qualitymeasures.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.