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Showing results for "happen".

81. Facility Action Plan Template | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/implement/action-plan.html
    March 01, 2017 - Steps How will this happen? … Who will make this happen? [Be specific for each task.] … What other information do I need to make this happen? … Steps How will this happen? … What other information do I need to make this happen?

82. 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?

83. Proposed Order of Sections in Survey (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/mosurvey-form.doc
    June 09, 2016 - 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

84. Medical Office Survey on Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/mosurvey-form.pdf
    June 06, 2018 - 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

85. Survey on Patient Safety (facility version) (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
    November 15, 2019 - 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

86. 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

87. Survey on Patient Safety (facility version) (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
    November 18, 2019 - 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

88. SOPS Medical Office Items and Composite Measures (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/MO_Items-Composite_Measures.pdf
    October 04, 2023 - Sometimes, Most of the time, Always, Does Not Apply or Don’t Know) How often do the following things happen … 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. … They overlook patient care mistakes that happen over and over. (negatively worded) E3. … In your best estimate, how often did the following things happen in your medical office OVER THE PAST

89. SOPS Medical Office Items and Composite Measures (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/MO_Items-Composite_Measures.pdf
    October 04, 2023 - Sometimes, Most of the time, Always, Does Not Apply or Don’t Know) How often do the following things happen … 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. … They overlook patient care mistakes that happen over and over. (negatively worded) E3. … In your best estimate, how often did the following things happen in your medical office OVER THE PAST

90. SOPS Medical Office Items and Composite Measures (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/MO_Items-Composite_Measures.pdf
    October 04, 2023 - Sometimes, Most of the time, Always, Does Not Apply or Don’t Know) How often do the following things happen … 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. … They overlook patient care mistakes that happen over and over. (negatively worded) E3. … In your best estimate, how often did the following things happen in your medical office OVER THE PAST

91. SOPS Medical Office Items and Composite Measures (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/MO_Items-Composite_Measures.pdf
    October 04, 2023 - Sometimes, Most of the time, Always, Does Not Apply or Don’t Know) How often do the following things happen … 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. … They overlook patient care mistakes that happen over and over. (negatively worded) E3. … In your best estimate, how often did the following things happen in your medical office OVER THE PAST

92. 023-Ss-Cusp-Learning-From-Defects-Fg (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
    April 01, 2025 - Another way to describe a defect is Anything that you do not want to happen again. … Why did it happen? 3. How will you reduce the likelihood of this defect happening again? 4. … Slide 11 Question Two—Why Did It Happen? … Slide 12 Learning From Defects Process: Why Did It Happen? … · Why did it happen? · How will you reduce the likelihood of this defect happening again?

93. 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?

94. 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?

95. 004-Cusp-Learning-From-Defects (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
    October 01, 2024 - Why did it happen? 3. How will you reduce the likelihood of this defect happening again? 4. … Slide 11 Why Did It Happen? … Slide 12 LFD Process: Why Did It Happen? … Defects are clinical or operational events that you do not want to happen again. … · Why did it happen? · How will you reduce the likelihood of this defect happening again?

96. 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?

97. 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.

98. CLABSI Learning From Defects Tool (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
    April 01, 2022 - ) Hemodialysis Other: _____________________ Why did the CLABSI happen

99. What We Planned, What Happened, and What We Learned | Agency for Healthcare Research and Quality
    www.ahrq.gov/takeheart/assessing/slide-presentation/index.html
    August 01, 2023 - What We Planned, What Happened, and What We Learned TAKEheart: AHRQ's Initiative to Increase Patient Participation in Cardiac Rehabilitation This PowerPoint Presentation explores what the AHRQ TAKEheart team planned from this project, what happened, and what was learned. It was presented by Michael Harrison…

100. Premortem Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/surgery/premortem-assessment.html
     April 01, 2025 - What if there was a magic telescope that could look into the future and let you see what is going to happen