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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-grob-narrative-elicitation-protocol.pdf
June 02, 2025 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care
The CAHPS Narrative Elicitation
Protocol
Rachel Grob, Ph.D.
Director of National Initiatives and Clinical Professor,
Center for Patient Partnerships
Madison, WI
www.ahrq.gov/cahps
CAHPS Narrative Elicitation Protocol
• A …
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psnet.ahrq.gov/node/848092/psn-pdf
April 26, 2023 - Doctors must stop tuning out Black women. It happened
to me, as a pregnant OB-GYN.
April 26, 2023
Gillispie-Bell V. USA Today. April 14, 2023.
https://psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn
Structural racism and implicit biases can lead to poor quality of care …
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www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey30-adult.html
August 01, 2021 - Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0/3.1: Narrative Comments
Population version: Adult
Learn about the CAHPS Patient Narrative Item Sets .
Placing the items in the survey:
Insert these supplemental items before the "About You" section of the survey.
Introducing the it…
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - “Why did it happen?” “What are we doing to keep it from happening again?” … direct causes of an adverse event and the systemic weaknesses that may have allowed the event to happen
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - direct causes of an adverse event and the systemic weaknesses that may have allowed the event to happen … “Why did it happen?” “What are we doing to keep it from happening again?”
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/appa.html
October 01, 2015 - What do you want to happen by when?
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psnet.ahrq.gov/node/33670/psn-pdf
July 01, 2008 - What then needs to happen is the institutions need to track what the
solutions are, and they need to … serious incidents, called sentinel events, and any
hospital board would like to see these things never happen … Wrong site surgeries are a pretty good example of this—they happen to every big
institution a few times
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digital.ahrq.gov/sites/default/files/docs/resource/PCC_Chrischilles_Q3_Consent_Older_adults_carevgivers_03APR08.pdf
March 16, 2009 - WHAT WILL HAPPEN DURING THIS STUDY? … It is a written explanation of what will happen
during the study if you decide to participate. … WHAT WILL HAPPEN DURING THIS STUDY?
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - 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 … DRG-like system where we will pay for a given diagnosis, I think it is inevitable that when adverse events happen
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - create a safe environment in an operating room, and that turns out to be difficult and doesn't just happen … Why can't you just make it happen? … They've learned over the last 10 years how to get this to happen. … Even though we haven't found the magic bullet to make it happen or pulled the right lever, I'm hopeful … Finally, I think the culture change we seek will happen faster than we expect.
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psnet.ahrq.gov/node/47944/psn-pdf
April 17, 2019 - how-deliver-safer-and-effective-patient-care-tips-team-leaders-and-educators
https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people
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psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care-providers
March 18, 2020 - Commentary
Medication mix-up: what happened at Vanderbilt and how it impacts health care providers.
Citation Text:
Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71
Copy Citation
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide70.html
October 01, 2014 - Concerns and benefits of quitting (e.g., "What might happen if you quit?").
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-3-slides.pptx
September 01, 2015 - ‹#›
AHRQ Safety Program for Reducing CAUTI in Hospitals
4
5
What Do You Think Will Happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-slideset.pptx
May 01, 2017 - “Can you help me understand why that didn’t happen?
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-demo-project.pdf
June 02, 2025 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care
The NYP Patient Narrative
Demonstration Project
Tara Servati, M.P.H.
Patient Experience Specialist for the Ambulatory Care
Network, New York-Presbyterian
New York, NY
NYP Demonstration Project Overview
Overall Aim:
– Asses…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.docx
June 02, 2025 - We look at staff actions and the way we do things to understand why mistakes happen in this pharmacy
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
June 02, 2025 - We look at staff actions and the way we do things to understand why mistakes happen in this
pharmacy
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-fac-notes.html
October 01, 2020 - Can you help me understand why that didn’t happen? … If something harmful to the patient can be avoided, the coach should say something and not let it happen
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psnet.ahrq.gov/node/47061/psn-pdf
July 25, 2018 - measuring-preventable-harm-helping-science-keep-pace-policy
https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people