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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/MO_Items-Composite_Measures.pdf
October 04, 2023 - Sometimes, Most of the time, Always, Does Not Apply or Don’t Know)
How often do the following things happen … This office is good at changing office processes to make sure the same problems don’t happen again. … Mistakes happen more than they should in this office. (negatively worded)
F4. … They overlook patient care mistakes that happen over and over. (negatively worded)
E3. … In your best estimate, how often did the following things happen in your medical office OVER THE PAST
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-pdsa-form.docx
May 01, 2017 - reviewed during huddle; if huddle is not scheduled regularly yet, let all relevant staff know huddle will happen … Predict what will happen when the test is carried out (e.g., if we do “x,” “y” will happen)
Measures … When to be done
Where to be done
Predict what will happen … when the test is carried out (i.e., if we do “x,” “y” will happen)
Measures to compare prediction
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
November 15, 2019 - 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. … (5
SECTION D: Frequency of Events Reported
In your work area/unit, when the following mistakes happen
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
November 18, 2019 - It is just by chance that more serious mistakes don’t happen around
here .......................... … My supervisor/manager overlooks patient safety problems that happen
over and over .................. … 1 2 3 4 5
3
SECTION C: Communications
How often do the following things happen … We are informed about errors that happen in this unit .............................. 1 2 3 4 5 … SECTION D: Frequency of Events Reported
In your work area/unit, when the following mistakes happen
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english.pdf
March 01, 2023 - SECTION A: List of Patient Safety and Quality Issues
The following items describe things that can happen … In your best estimate, how often did the following things happen in your medical
office OVER THE PAST … They overlook patient care mistakes that
happen over and over ................................ … Mistakes happen more than they should
in this office .............................................. … This office is good at changing office
processes to make sure the same
problems don’t happen again
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 09, 2016 - 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
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
December 22, 2017 - It is just by chance that more serious mistakes don’t happen around
here ......................... … My supervisor/manager overlooks patient safety problems that happen
over and over ................. … 1 2 3 4 5
3
SECTION C: Communications
How often do the following things happen in your … We are informed about errors that happen in this unit .............................. … SECTION D: Frequency of Events Reported
In your hospital work area/unit, when the following mistakes happen
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
March 22, 2017 - It is just by chance that more serious mistakes don’t happen around
here ......................... … My supervisor/manager overlooks patient safety problems that happen
over and over ................. … 1 2 3 4 5
3
SECTION C: Communications
How often do the following things happen in your … We are informed about errors that happen in this unit .............................. … SECTION D: Frequency of Events Reported
In your hospital work area/unit, when the following mistakes happen
-
www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
June 01, 2017 - Where will huddle happen? Default: In front of the visual management board
9. … Predict what will happen when the test is carried out (e.g., if we do “x,” “y” will happen)
Measures …
Predict what will happen … when the test is carried out (i.e., if we do “x,” “y” will happen)
Measures to compare prediction
-
www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/pdsa-form.html
June 01, 2017 - reviewed during huddle; if huddle is not scheduled regularly yet, let all relevant staff know huddle will happen … Predict what will happen when the test is carried out (e.g., if we do “x,” “y” will happen)
Measures …
Predict what will happen … when the test is carried out (i.e., if we do “x,” “y” will happen)
Measures to compare prediction
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/sops-nurse-home-items-06-16-21.pdf
January 01, 2000 - Sometimes, Most of the time, Always, Does Not Apply or Don’t Know)
How often do the following things happen … Sometimes, Most of the time, Always, Does Not Apply or Don’t Know)
How often do the following things happen … Sometimes, Most of the time, Always, Does Not Apply or Don’t Know)
How often do the following things happen … This nursing home lets the same mistakes happen again and again. (negatively worded)
D4.
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www.talkingquality.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 …
-
www.talkingquality.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.
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www.talkingquality.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…
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www.talkingquality.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.
-
www.talkingquality.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…
-
www.talkingquality.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
-
www.talkingquality.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.
-
www.talkingquality.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.
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www.talkingquality.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…