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Showing results for "happen".

  1. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
    June 02, 2025 - their attention 1 2 3 4 5 9 SECTION C: Communication How often do the following things happen … We are informed about errors that happen in this unit 1 2 3 4 5 9 2. … When errors happen in this unit, we discuss ways to prevent them from happening again 1 2 3 4 5

  2. Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an exploratory cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/second-victims-among-baccalaureate-nursing-students-aftermath-patient-safety-incident
    June 09, 2021 - February 1, 2023 Bad things can happen: are medical students aware of patient centered … December 23, 2020 When bad things happen: training medical students to anticipate the

  3. "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. | PSNet

    psnet.ahrq.gov/issue/its-big-part-being-good-surgeons-surgical-trainees-perceptions-error-recovery-operating-room
    August 26, 2020 - Download Citation Related Resources From the Same Author(s) Surgical errors happen … September 1, 2021 Surgical errors happen, but are learners trained to recover from them

  4. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare 423 What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare William E. Encinosa, Fred J. Hellinger Abstract Objective: To estimate the impact of potentially preventable adverse event…

  5. An Update on the CAHPS Patient Narrative Item Sets - Schlesinger (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-schlesinger.pdf
    June 02, 2025 - An Update on the CAHPS Patient Narrative Item Sets - Schlesinger PREVIEW OF NEW NARRATIVE ITEM SETS IN DEVELOPMENT Mark Schlesinger, PhD A Growing Family of Narrative Item Sets CG-CAHPS Narrative Item Set Health Plan Narrative Item Set Inpatient Narrative Items: For Child HCAHPS 19 The Health Plan Narr…

  6. Nursing Home SOPS Translation Information | Agency for Healthcare Research and Quality

    www.ahrq.gov/sops/international/nursing-home/translators.html
    October 01, 2014 - expect supervisors to investigate all factors, including systems reasons, to determine why mistakes 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 … 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.

  7. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
    June 02, 2025 - We are informed about errors that happen in this unit. C2. … When errors happen in this unit, we discuss ways to prevent them from happening again. C3.

  8. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/identify/index.html
    July 01, 2018 - Why Did It Happen? (34 sec.) What Will You Do to Reduce the Risk of Recurrence? (40 sec.)

  9. The Timeline to Diagnostic Safety SIDM -Research as a Priority (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
    January 01, 2017 - devastating consequences.” 1 in 20 chance per year X 80 years = approximately 100% Where do they happen … Arch Int Med 165:1493-9, 2005 Why do they happen? … safety challenge� Slide Number 28 Slide Number 29 Slide Number 30 Slide Number 31 Where do they happen

  10. In Conversation with...Diane Rydrych, MA | PSNet

    psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
    February 26, 2025 - RW: When you send out a safety alert, would it be because you've seen this thing happen once or because … know that they're very earnest in identifying reportable events and wanting to understand why they happen … across states would also be a real leap forward in terms of what we could learn about why these events happen … One thing that we've learned is that there are a lot of reasons why these events happen and why they

  11. Appendix 2-A. Suggested Slides for Module 2 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap2a.html
    October 01, 2014 - Recommendation: What should happen next? What do you need? Timeframe?

  12. How Do I Evaluate Workflow? (ppt file)

    digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/HowDoIEvaluateWorkflow.ppt
    December 18, 2021 - Goals of a flowchart To show how processes really happen, as opposed to how they are supposed to happen … or how we expect they happen.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33674/psn-pdf
    February 01, 2009 - If you are going to promulgate a policy that either publicly reports adverse events that happen in hospitals … to be sure that the hospital is not being blamed, for lack of a better word, for things that didn't happen … Sometimes patients are sent to us because they've had bad things happen—they're very ill and it's our … That in fact, hospitals should be paying for things that shouldn't happen, and that this type of policy … system where we will pay for a given diagnosis, I think it is inevitable that when adverse events happen

  14. 091-Decolonization-Implementation-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/091-decolonization-implementation-fg.docx
    April 01, 2025 - Slide 6 Where Does Decolonization Happen? … This tool asks four important questions: what happened, why did it happen, how to reduce the likelihood … The next question was to investigate is, why did it happen? … next step in the process is to develop an intervention to reduce the likelihood that this risk will happen

  15. Consent for Research Memorial Hospital of RI Brown University (pdf file)

    digital.ahrq.gov/sites/default/files/docs/resource/PCC_Lapane_Q2_Focus_Groups_Consent_Form.pdf
    June 16, 2021 - If you decide to participate in the study, here is what will happen: You will take part in one 2-hour … These risks or discomforts have been known to happen; they could happen to you: Risks or Discomforts

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73542/psn-pdf
    July 28, 2021 - psnet.ahrq.gov/issue/diagnostic-safety-event-reporting Adverse event reporting can clarify when mistakes happen

  17. Inside the preventable deaths that happened within a prominent transplant center. | PSNet

    psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center
    May 02, 2018 - Newspaper/Magazine Article Inside the preventable deaths that happened within a prominent transplant center. Citation Text: Inside the preventable deaths that happened within a prominent transplant center. Blau M. ProPublica. June 14, 2023. Copy Citation Save S…

  18. 129-Ss-Blank-Lfd (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
    April 01, 2025 - A defect is any clinical or operational event or situation that you would not want to happen again. … Why Did It Happen? Below is a framework to help you review and evaluate your case.

  19. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)

    www.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

  20. CUSP Videos | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/videos/index.html
    September 01, 2019 - Why Did It Happen?
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