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Showing results for "happen".

61. SOPS Medical Office Survey (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english-2023.docx
    January 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 1 2 3 4 5 9 3. … Mistakes happen more than they should in this office 1 2 3 4 5 9 4. … This office is good at changing office processes to make sure the same problems don’t happen again

62. AHRQ Safety Program for MRSA Prevention
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/002-cusp-learning-defects.pptx
    October 01, 2024 - Defects: Clinical or operational events or situations that you do not want to happen again Examples of … Why did it happen?  … Safety Program for MRSA Prevention | ICU & Non-ICU Learning From Defects 11 Question 2 Why Did It Happen … AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Learning From Defects LFD Process: Why Did It Happen … Why did it happen? How will you reduce the likelihood of this defect happening again?

63. Defects (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/defects.docx
    May 01, 2017 - the types of systems that contributed to the defect (an event or situation that you do not want to happen … Why did it happen?

64. Defects (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.docx
    March 01, 2017 - the types of systems that contributed to the defect (an event or situation that you do not want to happen … Why did it happen?

65. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
    December 01, 2017 - Anything you do not want to happen again. … (From view of person involved) Why did it happen? … Slide 15: Why Did It Happen? … Slide 16: Why Did It Happen? … Slide 22: Why Did It Happen?

66. Survey on Patient Safety (facility version) (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
    June 02, 2025 - It is just by chance that more serious mistakes don’t happen around here (1 (2 (3 (4 (5 11. … My supervisor/manager overlooks patient safety problems that happen over and over (1 (2 (3 (4 ( … 5 SECTION C: Communications How often do the following things happen in your work area/unit? … We are informed about errors that happen in this unit (1 (2 (3 (4 (5 4. … (5 SECTION D: Frequency of Events Reported In your work area/unit, when the following mistakes happen

67. Survey on Patient Safety (facility version) (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
    June 02, 2025 - It is just by chance that more serious mistakes don’t happen around here .......................... … My supervisor/manager overlooks patient safety problems that happen over and over .................. … 1 2 3 4 5 3 SECTION C: Communications How often do the following things happen … We are informed about errors that happen in this unit .............................. 1 2 3 4 5 … SECTION D: Frequency of Events Reported In your work area/unit, when the following mistakes happen

68. AHRQ_Brand_NameOnly (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustainability-assesment-tool.xlsx
    March 01, 2017 - Who will make this happen? How do I know to move to next step? … [Be specific and include important steps to make the idea/activity happen.] … I need to make this happen? … Who will make this happen? [Be specific for each task.] When will this happen? … What other information do I need to make this happen?

69. Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. | PSNet
    psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and
    December 13, 2013 - Review Ethics in the pediatric emergency department: when mistakes happen: an approach … Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Evaluation … Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Evaluation

70. Hospital Survey on Patient Safety (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
    June 02, 2025 - It is just by chance that more serious mistakes don’t happen around here (1 (2 (3 (4 (5 11. … My supervisor/manager overlooks patient safety problems that happen over and over (1 (2 (3 (4 ( … 5 SECTION C: Communications How often do the following things happen in your work area/unit? … We are informed about errors that happen in this unit (1 (2 (3 (4 (5 4. … SECTION D: Frequency of Events Reported In your hospital work area/unit, when the following mistakes happen

71. Hospital Survey on Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
    June 02, 2025 - It is just by chance that more serious mistakes don’t happen around here ......................... … My supervisor/manager overlooks patient safety problems that happen over and over ................. … 1 2 3 4 5 3 SECTION C: Communications How often do the following things happen in your … We are informed about errors that happen in this unit .............................. … SECTION D: Frequency of Events Reported In your hospital work area/unit, when the following mistakes happen

72. Hospital Survey on Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
    June 02, 2025 - It is just by chance that more serious mistakes don’t happen around here ......................... … My supervisor/manager overlooks patient safety problems that happen over and over ................. … 1 2 3 4 5 3 SECTION C: Communications How often do the following things happen in your … We are informed about errors that happen in this unit .............................. … SECTION D: Frequency of Events Reported In your hospital work area/unit, when the following mistakes happen

73. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
    February 01, 2017 - Why did it happen? How will you reduce the risk of it happening again? … Slide 15: Why Did It Happen? … Slide 20: Why Did It Happen? Try to go deeper as you identify contributing factors. … Slide 21: Why Did It Happen? … Slide 22: Why Did It Happen? What about the people side of the defect?

74. Presentation: Program Overview
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
    January 01, 2017 - A defect is any clinical or operational event or situation that you would not want to happen again. … From the view of the person involved Why did it happen? … Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 14 Why Did It Happen … Why Did It Happen? … Why Did It Happen?

75. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/090-decolonization-implementation.pptx
    April 01, 2025 - for MRSA Prevention | Surgical Services Decolonization Implementation 6 Where Does Decolonization Happen … Why did it happen? How to reduce the likelihood of this defect from happening again? … Increase in SSIs in the cardiac surgery population, with most being MRSA infections Why Did It Happen … Mupirocin compliance at 90% Why Did It Happen? … month revealed that not all patients were being asked about compliance with CHG bathing Why Did It Happen

76. Transcript: How To Have Difficult Conversations With Colleagues Around Infection Prevention Practices (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
    April 01, 2022 - preventing patient errors, the first step is really about setting expectations that communications will happen … Like in the nursing world, it's in nursing practice council, where they can role-play situations that happen … The unit has to set the tone, or it has to be an expectation in the unit that conversations will happen … When those conversations happen and someone comes and complains that the conversation happens, you have … to listen and support that this conversation needed to happen.

77. The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? | PSNet
    psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
    March 27, 2005 - Meeting/Conference Proceedings The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Citation Text: The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop…

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

79. Learning From Defects | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/learning-from-defects.html
    October 01, 2024 - CUSP and MRSA Prevention A defect is broadly defined as "Anything you do not want to have happen … Why did it happen? How will you reduce the likelihood of this defect from happening again?

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