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Showing results for "happen".

241. Improving Patient Safety in Long-Term Care Facilities, Module 2 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
     June 01, 2012 - Sometimes systems create “an accident waiting to happen.” … Following up – The next step is being clear about what will happen after the message is given and received … Following up – The next step is being clear about what will happen after the message is given and received … Recommendation: › What should happen next? › What do you need? › Timeframe? … above the therapeutic range.” › Then, in an SBAR recommendation, say what you think might need to happen

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

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

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

245. SOPS Medical Office Survey, Version: 1.0 Language: English (pdf file)
     ce.effectivehealthcare.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

246. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
     May 01, 2017 - • Why did it happen? • What will you do to reduce risk? … • Skill-based failures happen when a Slide 4 Sensemaking and Learn From Defects for Perinatal … The consequent event is described in terms of the event’s consequences: • Harm that did happen • … Why did it happen? • Step 1. Visualize the factors that led to the event. • Step 2. … • Defects are clinical or operational events that you do not want to happen again.

247. Learndefects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
     August 08, 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.

248. A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. | PSNet
     psnet.ahrq.gov/issue/national-mixed-methods-evaluation-preparedness-general-surgery-residency-and-association
     September 02, 2020 - September 9, 2020 When bad things happen: training medical students to anticipate the … September 2, 2020 Surgical errors happen, but are learners trained to recover from them

249. Medical Office SOPS Translation Information | Agency for Healthcare Research and Quality
     www.cpsi.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.

250. Medical Office SOPS Translation Information | Agency for Healthcare Research and Quality
     preventiveservices.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.

251. Medical Office SOPS Translation Information | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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.

252. Scoring Different Kinds of Health Care Quality Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/translate/scores/scoring.html
     June 01, 2016 - Do you want to tell people how often this event happened or how often it did not happen? … Experience indicates that in this case, saying how often a patient safety event did happen will be

253. 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

254. 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
     December 14, 2021 - 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…

255. CAUTI Learning From Defects Tool (doc file)
     www.qualitymeasures.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?

256. CAUTI Learning From Defects Tool (doc file)
     ce.effectivehealthcare.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?

257. Learn From Defects Tool (doc file)
     ce.effectivehealthcare.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?

258. Medical Office Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
     www.cpsi.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.

259. Medical Office Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
     ce.effectivehealthcare.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.

260. 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