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Total Results: 3,974 records

Showing results for "happen".

181. SOPS® Nursing Home Survey on Patient Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
     September 01, 2024 - reporting their mistakes 1 2 3 4 5 9 SECTION B: Communications How often do the following things happen … again 1 2 3 4 5 9 SECTION B: Communications (continued) How often do the following things happen … This nursing home lets the same mistakes happen again and again 1 2 3 4 5 9 4.

182. SOPS® Nursing Home Survey on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.pdf
     September 01, 2024 - 1 2 3 4 5 9 SECTION B: Communications How often do the following things happen in your nursing … 1 2 3 4 5 9 3 SECTION B: Communications (continued) How often do the following things happen … This nursing home lets the same mistakes happen again and again .............................

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33788/psn-pdf
     June 01, 2015 - , and the definition is serious and harmful, largely preventable, patient safety issues—harms that happen … ; medication errors should never happen. … So we are eager to work with the electronic data world in order to make that happen. … But it's very hard to measure something that doesn't happen. … The patient safety world is all about measuring when mistakes or bad things happen.

184. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
     June 01, 2021 - Why did it happen? What could you do to reduce the risk? How do you know that risk was reduced? … Imagine the world as they did when the event occurred. 13 Changing the System 13 Why Did It Happen

185. The Power of Patient Stories for Improving the Patient Experience webcast - Ginsberg (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/patient-narratives-webinar-ahrq.pdf
     June 02, 2025 - care Standardized surveys: What happened to the patient in the care encounter, or how often did it happen

186. 111-Ss-Cusp-Lfd-Worksheet-A3 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/111-ss-cusp-lfd-worksheet-a3.docx
     April 01, 2025 - How Can We Reduce the Chance This Will Happen Again?

187. 111-Cusp-Learning-From-Defects-Worksheet (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/111-cusp-learning-from-defects-worksheet.docx
     April 01, 2025 - How Can We Reduce the Chance This Will Happen Again?

188. In Conversation with…Albert Wu, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
     March 24, 2025 - There has been some survey research, and an unsurprising finding is that after these things happen, people … We really feel bad when bad things happen. We all want to behave like human beings. … I think it's because we have such a disbelief that these things happen that when something really goes

189. Understand-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
     May 01, 2017 - The first step in comprehending why they happen is accepting that people are not perfect. … Why did it happen? What will we do to reduce the recurrence? How will we know it worked? … Why did it happen? How will you reduce the risk of recurrence? How will you know it worked?

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854642/psn-pdf
     October 18, 2023 - This eight-episode video series provides an overview for non-technologists on how cyberattacks happen

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73331/psn-pdf
     May 26, 2021 - issue/cancer-diagnoses-delayed-among-prisoners-washington-state https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors

192. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
     July 01, 2018 - How Can These Errors Happen? Slide 6. The Science of Safety Slide 7. … line-associated blood stream infections per year. 8 Return to Contents   Slide 5: How Can These Errors Happen … Why did it happen? How will you reduce the risk of recurrence? How will you know it worked?

193. 170-Cusp-Science-Safety-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
     October 01, 2024 - Slide 15 Beyond Personal Responsibility SAY: When errors happen, we are often quick to focus on the … the individual provider—and not addressing the other system factors means the defect will eventually happen … Latent failures are the “holes in the system”—the weaknesses that could allow an active failure to happen … Slide 18 Swiss Cheese Model: How Errors Happen SAY: But sometimes defenses fail, and errors line … These adverse outcomes are our “defects”—the events that occur and we don’t want them to happen again

194. Scisafetynotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
     June 02, 2025 - The first step in comprehending why they happen is accepting the fact that people are not perfect. … · Why did it happen? · What will we do to reduce the recurrence? · How will we know it worked? … · Why did it happen? · How will you reduce the risk of recurrence? · How will you know it worked? … and patient procedures), and create a communication plan to address any identified issues that may happen

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33678/psn-pdf
     January 01, 2009 - We also know very little about how patients want disclosure to happen in the moment. … organization are doing to mitigate the harm to that particular patient and fix the problem so it doesn't happen

196. In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
     February 26, 2025 - Politically, how were they able to make that happen? JM : The history is interesting. … Often an investigation needs to happen to elucidate the facts if it's a complex error.

197. Disclosure Checklist | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
     August 01, 2022 - Disclosure Checklist AHRQ Communication and Optimal Resolution Toolkit Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations, including key disclosure communication skills. Who should use this tool? Disclosure Lead and any staff who will be engaged in …

198. Mod5-Disclosure-Checklist (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
     April 01, 2016 - Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations, including key disclosure communication skills. Who should use this tool? Disclosure Lead and any staff who will be engaged in disclosure conversations. How to use this tool: Use Part I of the checklist to pre…

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867190/psn-pdf
     November 20, 2024 - This article introduces why diagnostic errors happen, commonly misdiagnosed conditions, and strategies

200. Management of Insomnia Disorder (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/insomnia_consumer.pdf
     August 01, 2017 - But for people with insomnia disorder, sleep problems happen at least 3 nights each week for at least … This may happen because of habits you formed because of your insomnia (such as napping, getting in bed … Or, it may happen because of changes in the ways you think or feel about sleep (such as worrying about … Insomnia disorder can also sometimes happen on its own with no known cause. … � What specific sleep problems am I having, and how often do they happen?