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Showing results for "happen".

101. Aspirin, Heart Disease, and Stroke Pamphlet: American Stroke Association | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/heart-health/aspirin/stroke.html
     September 01, 2018 - Resource description: This patient education booklet explains how heart attack and stroke happen, and

102. SOPS Medical Office Survey, Version: 1.0 Language: English (pdf file)
     www.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

103. Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/index.html
     January 01, 2007 - Diagnostic Safety and Quality Learn about AHRQ's research to better understand how diagnostic errors happen … AHRQ funds research to better understand how diagnostic errors happen and what can be done to prevent

104. Action-Plan-Template (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/action-plan-template.docx
     April 01, 2022 - How will this happen? … [Be specific and include important steps to make the idea/activity happen.] _________________________ … Who will make this happen?

105. Learn from Defects Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
     December 01, 2012 - A defect is any clinical or operational event or situation that you would not want to have happen again … Why did it happen? Below is a framework to help you review and evaluate your case.

106. Appendix A. Action Plan Tool for Project Sustainability | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/guides/sustainability-guideapa.html
     October 01, 2015 - Plan for Sustainability Need or Interest Idea or Activity Tools To Use How Will This Happen … Who Should Make This Happen? When Will This Happen? … What Other Information Do I Need To Make This Happen?

107. Learn From Defects Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
     December 01, 2017 - Why did it happen? … Why did it happen? Investigate your care delivery system. … Why did it happen? … Why did it happen? … Why did it happen?

108. CAUTI Learning From Defects Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.docx
     April 01, 2022 - (Circle): Yes No Why did the CAUTI happen?

109. CAUTI Learning From Defects Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.docx
     April 01, 2022 - (Circle): Yes No Why did the CAUTI happen?

110. Medical Office Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/infotransMOSOPS.pdf
     January 01, 2010 - the past 12 months, Does Not Apply or Don’t Know) 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. … 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.

111. Medical Office SOPS Translation Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/international/medical-office/translators.html
     January 01, 2010 - in the past 12 months, Does Not Apply or Don't Know) 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. … 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.

112. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
     December 01, 2017 - Slide 6: What Is a Defect Anything you do not want to happen again. … (From view of person involved) Why did it happen? … Slide 12: Why Did It Happen? Critical to include adaptive teamwork concerns.

113. Hospital Survey on Patient Safety (doc file)
     www.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

114. Hospital Survey on Patient Safety (pdf file)
     www.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

115. Hospital Survey on Patient Safety (pdf file)
     www.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

116. SOPS® Nursing Home Survey Items and Composite Measures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-items-composite-english.pdf
     September 01, 2024 - 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.

117. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
     December 01, 2017 - Does the same fix happen for all patients, all caregivers, and all shifts? … SAY: A defect is anything you do not want to have happen again or ever have happen, even if it hasn’t … Slide 20 Why Did It Happen? ASK: Why did the defect occur? … Slide 21 Why Did It Happen? SAY: Make the whys visual. … Slide 22 Why Did It Happen? SAY: Think about the culture.

118. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     December 01, 2017 - Say: A defect is anything you do not want to have happen again or ever have happen, even if it hasn … Why did it happen? How will you reduce the risk of it happening again? … Slide 21: Why Did It Happen? Ask: Why did the defect occur? … Slide 22: Why Did It Happen? Say: Make the whys visual. … Slide 23: Why Did It Happen? Say: Think about the culture.

119. Learn From Defects Tool Worksheet: Central Line-Assoiated Bloodstsream Infection (CLABSI) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects.pdf
     April 01, 2022 - administration Total parenteral nutrition (TPN) Hemodialysis Other: _____________________ Why did the CLABSI happen

120. Learn From Defects Tool Worksheet: Central Line-Assoiated Bloodstsream Infection (CLABSI) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects-revised.pdf
     April 01, 2022 - administration Total parenteral nutrition (TPN) Hemodialysis Other: _____________________ Why did the CLABSI happen