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Total Results: over 10,000 records

Showing results for "happen".

141. Wounds and Injuries | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/health-topics/wounds-and-injuries
     November 14, 2023 - Injuries can happen at work or play , indoors or outdoors, driving a car, or walking across the street … They often happen because of an accident, but surgery, sutures, and stitches also cause wounds.

142. Medical Office Survey on Patient Safety (doc file)
     digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/SurveyOnPatientSafetyCulture.doc
     January 01, 2008 - 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 (1 (2 (3 (4 (5 (9 3. … Mistakes happen more than they should in this office (1 (2 (3 (4 (5 (9 4. … This office is good at changing office processes to make sure the same problems don’t happen again

143. PowerPoint Presentation: Learn From Defects for Sustainability
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
     December 01, 2017 - Anything you do not want to happen again. … A defect is anything you do not want to happen or have happen again. … From view of people involved Why did it happen? … Why Did It Happen? … ASK: Why did it happen?

144. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
     www.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.

145. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
     December 01, 2017 - The same problem, though addressed for that one moment in time, could easily happen again. … Say: Unless you fix the system and proactively prevent the defect from happening again, it will happen … A defect is anything you do not want to happen or happen again. … Slide 12: Why Did It Happen? Ask: Why did it happen?

146. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
     December 01, 2017 - The same problem, though addressed for that one moment in time, could easily happen again. … SAY: Unless you fix the system and proactively prevent the defect from happening again, it will happen … A defect is anything you do not want to happen or happen again. … Slide 11 Why Did It Happen? ASK: Why did it happen?

147. Learn From Defects Tool Worksheet: Catheter-Associated Urinary Tract Infection (CAUTI) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.pdf
     April 01, 2022 - No Yes No Why did the CAUTI happen? What factors contributed?

148. Learn From Defects Tool Worksheet: Catheter-Associated Urinary Tract Infection (CAUTI) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.pdf
     April 01, 2022 - No Yes No Why did the CAUTI happen? What factors contributed?

149. Teach-Back Questions for Informed Consent | Agency for Healthcare Research and Quality
     www.ahrq.gov/health-literacy/improve/precautions/tool5b.html
     March 01, 2024 - "Just to make sure that I explained things well, can you tell me in your own words what will happen if … Can you tell me in your own words what might happen?"

150. The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? | PSNet
     psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
     March 27, 2005 - Meeting/Conference Proceedings The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Citation Text: The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop…

151. Appendix B13: Pre and Posttests for Inservice #1, Why Falls Happen | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb7.html
     December 01, 2017 - Resources Injuries Appendix B13: Pre and Posttests for Inservice #1, Why Falls Happen … Improvement Initiative for Nursing Facilities Appendix B13: Pre and Posttests for Inservice #1, Why Falls Happen … February 2010 Internet Citation: Appendix B13: Pre and Posttests for Inservice #1, Why Falls Happen

152. Defects (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.docx
     March 01, 2017 - the types of systems that contributed to the defect (an event or situation that you do not want to happen … Why did it happen?

153. Defects (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.docx
     March 01, 2017 - the types of systems that contributed to the defect (an event or situation that you do not want to happen … Why did it happen?

154. Defects (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/defects.docx
     May 01, 2017 - the types of systems that contributed to the defect (an event or situation that you do not want to happen … Why did it happen?

155. Learning-From-Antibiotic-Adverse (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
     June 01, 2021 - Events An antibiotic-associated adverse event is any event or situation that you would not want to happen … (Why did it happen?) Step 3. … (Why did it happen?) Factors Moment 1: Does the resident have symptoms that suggest an infection?

156. Learning-From-Antibiotic-Adverse (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
     June 01, 2021 - Events An antibiotic-associated adverse event is any event or situation that you would not want to happen … (Why did it happen?) Step 3. … (Why did it happen?) Factors Moment 1: Does the resident have symptoms that suggest an infection?

157. Using Aviation Technology to Prevent Healthcare Errors: The Health IT Black Box | Digital Healthcare Research
     digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
     January 01, 2019 - Profile: Context is Critical: Understanding When and Why Electronic Health Record-Related Safety Hazards Happen … improvements in EHR design and usability As a practicing clinician, you see themes of errors that happen … They happen over and over again and more than 99 percent of the time nothing bad happens.

158. Fallpxtool1A (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1a.docx
     January 01, 2004 - 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

159. Understanding CAHPS® Surveys: A Primer for New Users (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-experience-fry-webinar.pdf
     January 01, 2014 - Satisfaction • Patient Experience  Focus on patient reports  Whether something that should happen … actually did happen, and how often it happened  Frequency scales  Objective assessment • Patient

160. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
     December 01, 2017 - Why did it happen? … Why did it happen? Investigate your care delivery system. … Why did it happen? … Why did it happen? Investigate your care delivery system. … One method you can use to reduce the likelihood that a defect will happen again is to— Focus your