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Total Results: 712 records

Showing results for "happen".

41. Public Reporting of Patients' Comments with Quality Measures: How Can We Make It Work? (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/3_rachel_grob.pdf
    June 25, 2014 - past 12 months) Positive experiences: 1 Question with narrative guide (what happened, how did it happen … (past 12 months) Positive experiences: 1 Question with narrative guide (what happened, how did it happen

42. Understand-Facilitator-Guide (doc file)
    www.qualitymeasures.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?

43. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.qualitymeasures.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.

44. Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ambulatory-surgery-sops-items-and-composites.pdf
    January 01, 2015 - 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.

45. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.qualitymeasures.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?

46. The Timeline to Diagnostic Safety SIDM -Research as a Priority (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
    January 01, 2017 - devastating consequences.” 1 in 20 chance per year X 80 years = approximately 100% Where do they happen … Arch Int Med 165:1493-9, 2005 Why do they happen? … safety challenge� Slide Number 28 Slide Number 29 Slide Number 30 Slide Number 31 Where do they happen

47. Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-grob-narrative-elicitation-protocol.pdf
    October 29, 2018 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care The CAHPS Narrative Elicitation Protocol Rachel Grob, Ph.D. Director of National Initiatives and Clinical Professor, Center for Patient Partnerships Madison, WI www.ahrq.gov/cahps CAHPS Narrative Elicitation Protocol • A …

48. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
    www.qualitymeasures.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.

49. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
    www.qualitymeasures.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

50. Supplemental Items for the CAHPS Child Hospital Survey: Narrative Comments | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/item-sets/ch/suppl-narrative-items-child-hospital-survey.html
    November 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 …

51. AHRQ Slide Template-Regular
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/assessing/takeheart-summary-presentation.pptx
    April 26, 2023 - AHRQ Slide Template-Regular TAKEheart: AHRQ’s Initiative to Increase Patient Participation in Cardiac Rehabilitation What We Planned, What Happened, and What We Learned Michael Harrison and Dina Moss April 26, 2023 (Edited 5-25-23) Dina was COR and implementation lead; Michael was co-COR and evaluation/disseminati…

52. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

53. Did You Know, Safety Infographic (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/03-diagnostic-safety-infographic.pdf
    August 01, 2021 - Did You Know, Safety Infographic Did you know... 57% of all diagnostic failures happen in ambulatory

54. Talking With Residents and Family Members About Antibiotics (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
    June 01, 2021 - Allergic reactions don’t happen often, but when they do they can cause people to feel pretty uncomfortable

55. Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care (pdf file)
    www.qualitymeasures.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…

56. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part I (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-rev.pdf
    January 01, 2024 - (Item F2) 84% Mistakes happen more than they should in this office. … (Item E1*) 46% They overlook patient care mistakes that happen over and over. … In your best estimate, how often did the following things happen in your medical office OVER THE PAST … In your best estimate, how often did the following things happen in your medical office OVER THE PAST … (Item E1*) 46% 23.11% 0% 17% 30% 45% 63% 75% 100% They overlook patient care mistakes that happen

57. Understand the Science of Safety for Perinatal Safety (pdf file)
    www.qualitymeasures.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?

58. Strategy 3: Nurse Bedside Shift Report (Tool 1) (pdf file)
    www.qualitymeasures.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]

59. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
    June 09, 2016 - their attention 1 2 3 4 5 9 SECTION C: Communication How often do the following things happen … We are informed about errors that happen in this unit 1 2 3 4 5 9 2. … When errors happen in this unit, we discuss ways to prevent them from happening again 1 2 3 4 5

60. Strategy 3: Nurse Bedside Shift Report (Tool 1) (doc file)
    www.qualitymeasures.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].