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Total Results: 1,428 records

Showing results for "happened".

121. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
     January 22, 2008 - the patients on the wards during the night shift meet with other members of the team to review what happened … Resident physicians indicated that something happened while they were on call for which they were not … baseline assessment, the residents indicated that in 40 of the 49 (82 percent) instances that something happened … During the baseline assessment and after the intervention, sign-outs for nights when something happened … on nearly one-third of the nights they were on call, resident physicians indicated that something happened

122. AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
     May 01, 2017 - response. 17 AHRQ Safety Program for Perinatal Care In Situ Simulations 17 Debriefing: Describe What Happened … 18 AHRQ Safety Program for Perinatal Care In Situ Simulations 18 Debriefing: Describe What Happened … What To Measure1 Processes (Measures of Performance) Explain how and why certain outcomes may have happened

123. Engage Patients and Families for Perinatal Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
     May 01, 2017 - Providers communicate the facts of what happened and assure the patient and family that they will receive … A hospital committed to transparency offers an apology that the incident happened. … communicated to the patient and family: • An apology for any unreasonable care • An explanation of what happened

124. Understand the Science of Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
     July 01, 2018 - When learning from defects, unit teams identify: What happened? Why did it happen? … Analyzing what happened and why it happened helps the team understand the contributing factors and processes … What happened? Why did it happen? How will you reduce the risk of recurrence?

125. Establishing a Program of In Situ Simulations: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-slides.html
     July 01, 2023 - Slide 18: Debriefing: Describe What Happened First, each participant states their name, role, and … Slide 19: Debriefing: Describe What Happened It is important for the participants to realize it is … Measure 1 Processes (Measures of Performance): Explain how and why certain outcomes may have happened

126. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
     July 01, 2023 - Providers communicate the facts of what happened and assure the patient and family that they will receive … A hospital committed to transparency offers an apology that the incident happened. … An explanation of what happened. A meaningful discussion of projected outcomes.

127. Topic (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guideapa.pdf
     January 01, 2009 - Topic A Model for Sustaining and Spreading Safety Interventions Appendix A. Action Plan Tool for Project Sustainability The Purpose of This Tool This tool is intended to support sustainability efforts for your catheter-associated urinary tract infections (CAUTI) prevention project team. This worksheet will help…

128. Useful Online Tools for CAHPS Survey Users - HAYS (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-tools-webcast-2022-hays.pdf
     January 01, 2022 - Please explain w hat happened. h ow it happened . and how it fe lt to you . … If so, p lease explain w hat happened, h ow it happen ed. and how it fel t to you .

129. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
     July 01, 2023 - The discovery event addresses what happened. … Arrows pointing downward lead from one question to the next: Question 1: What happened?

130. AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simtool_guidance.docx
     May 01, 2017 - team members gain insight into one another's perspective, helps the team to reach consensus on what happened … factors that enabled or impeded the team's success. · Push the team to go beyond just describing what happened

131. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/identify/index.html
     July 01, 2018 - Video Segments What Happened? (43 sec.) Why Did It Happen? (34 sec.)

132. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
     August 01, 2022 - To strengthen system accountability, we want to learn what happened, why it happened, what normally happens

133. II. Hotline Design and Development | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/design2.html
     May 01, 2016 - were included at the beginning of the reporting form to allow patients and caregivers to tell what happened … open-ended questions are followed by a series of questions with structured response elements about what happened … Then we will ask some specific questions to make sure we understand what happened. … What happened? [text box] Where do you believe it happened? [text box] When did it happen? … [text box] Why do you think this happened?

134. Module 2: Example (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/example-pdsa-form.docx
     May 01, 2017 - Module 2: Example AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 2: Daily Huddles Sample “Plan-Do-Study-Act”[footnoteRef:1] Form [1: “Plan-Do-Study-Act” refers to a method for testing changes in clinical practice. In the “plan” step, you lay out the specifications of you…

135. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T5-Minimum_Criteria_for_3_Infections_Training_Slides-final.pptx
     October 01, 2016 - Has anything happened recently at the nursing home? … B – Background: Pertinent and brief information related to the situation (what has happened). … What happened? … Discuss what happened.

136. Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety Measures Prioritized by Medicare (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
     August 03, 2016 - “Could we have changed the outcome so whatever happened might not have happened?”

137. Module 2: Example (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-pdsa-form.docx
     May 01, 2017 - Module 2: Example AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 5: Visual Management Sample “Plan-Do-Study-Act”[footnoteRef:1] Form [1: “Plan-Do-Study-Act” refers to a method for testing changes in clinical practice. In the “plan” step, lay out the specifications of your…

138. 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 - SOPS Medical Office Items and Composite Measures SOPS® Medical Office Survey Items and Composite Measures Version: 1.0 Language: English Note • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based sur…

139. Strategy 6Q: Standards for Customer Service | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6q-custservice-standards.html
     March 01, 2020 - "It's the doctor's fault and I can't believe that happened." "I'm sorry that happened.

140. Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It Work? (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/reporting-patients-comments-transcript.pdf
     June 01, 2014 - Please explain what happened, how it happened, and how it felt to you.” … Please explain what happened, how it happened, and how it felt to you.” … or how much detail is conveyed, or the completeness of the story, how much do you kind of know what happened … experiences that you wish had gone differently over the past 12 months, and to explain to us what happened … , how it happened, and how it felt to you.