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www.talkingquality.ahrq.gov/questions/videos/patient-mcgregor.html
November 01, 2020 - I happen to be the car."
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www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
July 01, 2023 - Question 2: Why did it happen?
Question 3: What will you do to reduce the risk of reoccurrence? … Defects or failures are clinical or operational events that you do not want to happen again.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context-external.pdf
January 01, 2016 - Coop_Context_Info_Assessment
COOPERATIVE CONTEXT ASSESSMENT INFORMATION
Round 2: External Support
What is the importance of context?
Cooperatives’ initiatives are taking place in different settings, and each cooperative has a variety of different partners and
stakeholders involved. Understanding these project…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-appendix.pdf
January 01, 2024 - (Item E1*) 45% 49% 47% 47% 41% 43%
They overlook patient care mistakes that happen over and over. … (Item E1*) 46% 44%
They overlook patient care mistakes that happen over and over. … (Item E1*) 48% 44% 49% 35%
They overlook patient care mistakes that happen over and over. … (Item E1*) 45% 47% 46% 28%
They overlook patient care mistakes that happen over and over. … (Item E1*) 56% 47% 42% 43% 46%
They overlook patient care mistakes that happen over and over.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
April 24, 2018 - About the CAHPS Patient Narratives Elicitation Protocol
CAHPS® Clinician & Group Survey and Instructions
About the CAHPS Patient Narrative Elicitation Protocol
Document No. 2315
Updated April 24, 2018
About the CAHPS® Patient Narrative
Elicitation Protocol
Introduction .................................…
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www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - Medical providers are committed to caring for their patients; however, adverse events can happen.
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www.talkingquality.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - Medical providers are committed to caring for their patients; however, adverse events can happen.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
October 01, 2018 - the scenario or the care provision that’s being
described, what actually happened and where did it happen … When did it happen? And what was the periodicity?
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www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-comp-kit.html
June 01, 2017 - In ambulatory surgery centers (ASCs), huddles can happen once per day with each unit (e.g., the operating … Level 3: Daily huddles happen when the supervisor is not present. … What can you do to make the huddle happen every day?
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
January 01, 2020 - 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. … Staff are told about patient safety problems that happen in this
facility. … Staff are told about patient safety problems that
happen in this facility. … Staff are told about patient safety problems that happen in this
facility.
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - 94% 92% 91%
We are good at changing processes to make sure the same patient safety
problems don’t happen … (Item C4) 88% 85% 84% 82%
Staff are told about patient safety problems that happen in this facility … (Item C4) 82% 82% 85% 85%
Staff are told about patient safety problems that happen in this facility … (Item C4) 87% 97% 74% 94% 94% 83% 78% 76% 76%
Staff are told about patient safety problems that
happen … (Item C4) 92% 83% 79% 91%
Staff are told about patient safety problems that happen in this
facility
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module7/7_ts_office_summary-ig.pptx
January 20, 2006 - These three events happen at the beginning, middle, and end of each event, shift, or even day. … Honestly, this doesn’t happen overnight.
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www.talkingquality.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
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www.talkingquality.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?
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www.talkingquality.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?
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www.talkingquality.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.
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www.talkingquality.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
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/cahps-patient-narrative-elicitation-protocol-qa-03-01-2017.pdf
January 01, 2017 - Questions & Answers: The CAHPS Patient Narrative Elicitation Protocol
QUESTIONS & ANSWERS
The CAHPS Patient Narrative Elicitation Protocol:
A Scientific Approach to Collecting Comments on Experiences of Care
Narratives from patients about their health care experiences can provide a valuable complement to
standar…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module2/2_ts_office_structure.pptx
January 20, 2006 - PowerPoint Presentation
for
Office-Based Care
Team Structure
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
Page ‹#›
RRS
1
Care Team Structure
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
Page ‹#›
Office-Based Care
Let’s Talk About Your Team
What does it look like?
Who are the team members?
When do you intera…
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www.talkingquality.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
July 01, 2023 - ownership
S ituation Awareness & Contingency Planning
Know what's going on
Plan for what might happen