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Showing results for "happen".

121. 20 Tips To Help Prevent Medical Errors: Patient Fact Sheet | Agency for Healthcare Research and Quality
     www.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

122. Implementation Guide for the CANDOR Process: Appendix D | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
     February 01, 2017 - Steps How will this happen? … [Be specific and include important steps to make the idea/activity happen.] … Who will make this happen? [Be specific for each task.] … What other information do I need to make this happen?

123. Implementation Guide for the CANDOR Process: Appendix D | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
     February 01, 2017 - Steps How will this happen? … [Be specific and include important steps to make the idea/activity happen.] … Who will make this happen? [Be specific for each task.] … What other information do I need to make this happen?

124. Implementation Guide for the CANDOR Process: Appendix D | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
     February 01, 2017 - Steps How will this happen? … [Be specific and include important steps to make the idea/activity happen.] … Who will make this happen? [Be specific for each task.] … What other information do I need to make this happen?

125. Implementation Guide for the CANDOR Process: Appendix D | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
     February 01, 2017 - Steps How will this happen? … [Be specific and include important steps to make the idea/activity happen.] … Who will make this happen? [Be specific for each task.] … What other information do I need to make this happen?

126. Implementation Guide for the CANDOR Process: Appendix D | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
     February 01, 2017 - Steps How will this happen? … [Be specific and include important steps to make the idea/activity happen.] … Who will make this happen? [Be specific for each task.] … What other information do I need to make this happen?

127. Implementation Guide for the CANDOR Process: Appendix D | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
     February 01, 2017 - Steps How will this happen? … [Be specific and include important steps to make the idea/activity happen.] … Who will make this happen? [Be specific for each task.] … What other information do I need to make this happen?

128. Implementation Guide for the CANDOR Process: Appendix D | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
     February 01, 2017 - Steps How will this happen? … [Be specific and include important steps to make the idea/activity happen.] … Who will make this happen? [Be specific for each task.] … What other information do I need to make this happen?

129. Implementation Guide for the CANDOR Process: Appendix D | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
     February 01, 2017 - Steps How will this happen? … [Be specific and include important steps to make the idea/activity happen.] … Who will make this happen? [Be specific for each task.] … What other information do I need to make this happen?

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

131. SOPS Nursing Home Survey Items and Composites (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/nhguide/sops-nursing-home-items.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.

132. SOPS Nursing Home Survey Items and Composite Measures (pdf file)
     www.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.

133. Module 2: Example (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/example-pdsa-form.docx
     May 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 … 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

134. Module 2: Example (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/example-pdsa-form.docx
     May 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 … 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

135. 155-Performing-Premortem-Project-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/155-performing-premortem-project-assessment.docx
     October 01, 2024 - What if there was a magic telescope that could look into the future and let you see what is going to happen … Assessment can ensure that everyone is aware of the potential failure points and, if something does start to happen

136. 109-Performing-Premortem-Project-Assessment-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/109-performing-premortem-project-assessment-fg.docx
     April 01, 2025 - What if there was a magic telescope that could look into the future and let you see what is going to happen … Assessment can ensure that everyone is aware of the potential failure points and, if something does start to happen

137. Chapter 1. Background | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
     August 01, 2022 - What caused the patient safety event to happen? Where did the patient safety event happen?

138. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
     February 01, 2017 - Say: A defect is anything you do not want to happen again or to ever happen. … Why did it happen? How will you reduce the risk of the defect happening again? … Slide 20: Why Did It Happen? … Slide 21: Why Did It Happen? Say: Make the "whys" visual. … Slide 22: Why Did It Happen?

139. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
     January 01, 2017 - SAY: A defect is anything you do not want to happen again or to ever happen. … Why did it happen? 3. How will you reduce the risk of the defect happening again? 4. … Slide 14 Why Did It Happen? SAY: Next, move on to why the defect happened. … Slide 19 Why Did It Happen? … Slide 20 Why Did It Happen? SAY: Make the “whys” visual.

140. PowerPoint Presentation: Learn From Defects Through Sensemaking
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
     December 01, 2017 - Anything you do not want to happen again. … SAY: A defect is anything you do not want to have happen again or ever have happen, even if it hasn’t … From view of person involved Why did it happen? … 20 Why Did It Happen? … From view of person involved Why did it happen?