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www.talkingquality.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.
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www.talkingquality.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
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www.talkingquality.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?
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www.talkingquality.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.
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www.talkingquality.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?
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www.talkingquality.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 …
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www.talkingquality.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.
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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…
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www.talkingquality.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
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www.talkingquality.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?
-
www.talkingquality.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Skip to main content
An official website of the Department of Health and Human Services
Careers
Contact Us
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FAQs
Search all AHRQ sites
Search small
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…
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www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-j.html
May 01, 2017 - Skip to main content
An official website of the Department of Health and Human Services
Careers
Contact Us
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FAQs
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/administering_cg_narrative_items.pdf
June 01, 2021 - About the CAHPS Patient Narratives Elicitation Protocol
June 2021
Administering the CAHPS® Clinician &
Group Narrative Item Set
Introduction ......................................................................................................... 1
Placing the Narrative Items in the Survey ......................…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/agenda-lesson1.pdf
November 30, 2015 - Are any of the situations observed in the video situations that could happen in your office?
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www.talkingquality.ahrq.gov/news/blog/ahrqviews/intentional-about-equity.html
April 01, 2024 - But this can only happen if those who create and use those technologies—developers, vendors, healthcare … systems, payers, and providers—actively take steps to make it happen .
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - (C1)
We are informed about errors that happen in this
unit. … -------------------------------------- My supervisor/manager overlooks patient safety problems that happen … 2.0
Overall Perceptions of Patient Safety
It is just by chance that more serious mistakes don’t happen … (C1)
We are informed about errors
that happen in this unit. … (C3) 66% 66% 0%
+/- 3%
[-3% to 3%]
No
change
When errors happen in this unit, we
discuss ways
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www.talkingquality.ahrq.gov/patient-safety/reports/liability/silence.html
August 01, 2017 - Second, we need to know that what happened to our loved one is not going to happen to anyone else.