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Total Results: 4,075 records

Showing results for "happen".

341. Improving Communication and Teamwork in the Surgical Environment
     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?

342. Coaching Clinical Teams Module: Facilitator Notes | Agency for Healthcare Research and Quality
     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

343. Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care (pdf file)
     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…

344. AHRQ Slide Template-Regular
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/assessing/takeheart-summary-presentation.pptx
     April 26, 2023 - AHRQ Slide Template-Regular TAKEheart: AHRQ’s Initiative to Increase Patient Participation in Cardiac Rehabilitation What We Planned, What Happened, and What We Learned Michael Harrison and Dina Moss April 26, 2023 (Edited 5-25-23) Dina was COR and implementation lead; Michael was co-COR and evaluation/disseminati…

345. In Conversation With… Lucian Leape, MD | PSNet
     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.

346. Decolonization Strategies
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/012-ss-decolonization-strategies.pptx
     April 01, 2025 - Why did it happen? How to reduce the likelihood of this defect from happening again? … Inconsistent use of mupirocin nasal decolonization Inconsistent screening of patients for MRSA Why did it happen

347. INFORMED CONSENT DOCUMENT (pdf file)
     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?

348. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
     September 01, 2019 - and Communication About Error 68% 65% 3% Major wording change We are informed about errors that happen … (C1) We are informed about errors that happen in this unit. … ------------------------------------- My supervisor/manager overlooks patient safety problems that happen … (C1) We are informed about errors that happen in this unit. … (C3) 66% 66% 0% +/- 3% [-3% to 3%] No change When errors happen in this unit, we discuss ways

349. Coaching-Facnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-facnotes.docx
     May 01, 2017 - 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

350. 1d2 Workflow Assessment Guide (doc file)
     digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WorkflowInterviewGuide.doc
     December 18, 2021 - 1d2 Workflow Assessment Guide 1d2 Workflow Assessment Guide CFMC Staff Use Only (this box) Individuals interviewed: Workflow Assessors: Workflow Assessment date: Number/type of providers observed: General Information Clinic Name: Total number of exam rooms: Number of patients typica…

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847060/psn-pdf
     January 01, 2001 - The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? January 1, 2001 Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop on Human Error, Safety and Systems Development. Linköping Sweden: Linköping University; 2001. https://psnet.ahrq.gov/issu…

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44327/psn-pdf
     August 26, 2015 - Safely Home: What Happens When People Leave Hospital Care Settings? August 26, 2015 London, UK: Healthwatch England; July 2015. https://psnet.ahrq.gov/issue/safely-home-what-happens-when-people-leave-hospital-care-settings Discharges are vulnerable periods for patients, often due to miscommunication, delays, and l…

353. 70. For the Patient Unwilling To Quit | Agency for Healthcare Research and Quality
     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?").

354. PowerPoint Presentation
     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

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866622/psn-pdf
     August 28, 2024 - Safety-I uses a traditional, reactive, and failure-focused approach to managing safety events when they happen … The assumption here is that the system is not complex, is inherently safe, and that bad things only happen … We should not ignore those instances when they happen, but we should also really be mindful that the

356. Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. | PSNet
     psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
     September 09, 2015 - Book/Report Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Citation Text: Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236. Copy Citation Save …

357. Supplemental Items for the CAHPS Clinician & Group Child Survey 3.0/3.1: Narrative Comments | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey30-child.html
     August 01, 2021 - Supplemental Items for the CAHPS Clinician & Group Child Survey 3.0/3.1: Narrative Comments Population version: Child Learn about the CAHPS Patient Narrative Item Sets . Placing the items in the survey: Insert these supplemental items before the "About Your Child and You" section of the survey. Int…

358. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
     psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
     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

359. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
     January 01, 2017 - How can execute our plan and make this happen? … early mobility at our hospital, change the culture, and provide the necessary resources to make it happen … A defect is anything you do not want to happen again. Ask, “What happened and why did it happen?”

360. Ambulatory Procedure/Surgery Center Survey on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.pdf
     June 02, 2025 - Staff are told about patient safety problems that happen in this facility ......................... … We are good at changing processes to make sure the same patient safety problems don’t happen again.