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Showing results for "happened".

21. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Too few perioperative teams take the opportunity to learn how the defect happened at a systems level, … What happened? Provide a clear, thorough, and objective explanation of what happened. … What happened? Reconstruct the timeline and explain what happened. … Provide a clear, thorough, and objective explanation of what happened. Why did it happen? … What happened? Reconstruct the timeline and explain what happened.

22. Presentation: Program Overview
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
    January 01, 2017 - staff Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 11 What Happened … Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 13 What Happened … What happened that had a good outcome? … Reconstruct the timeline and explain what happened Consider recreating to make defect real Visualization … ” of a defect—including the values, attitudes, and beliefs—in order to create a lasting change What Happened

23. Learn From Defects Tool Worksheet: Catheter-Associated Urinary Tract Infection (CAUTI) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.pdf
    April 01, 2022 - This worksheet will help your team learn what happened, identify the factors that may have contributed … _______________________ Medical Record Number: ____________ Date of Birth: _______________ What Happened … The following questions will ask more details about what happened with the patient with documented … Summarize what happened to cause the defect by answering the following questions.

24. Disclosure Checklist | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
    August 01, 2022 - patient/family that the organization will conduct an Event Investigation and Analysis to understand what happened … LISTEN AND EMPATHIZE THROUGHOUT   Assess the patient's/family's understanding of what happened … EXPLAIN THE FACTS   What happened?   … Explain what happened in a way that is easy to understand.   … IF THE EVENT WAS PREVENTABLE (DUE TO ERROR)   Tell the patient/family what should have happened

25. Understanding CAHPS Surveys: A Primer for New Users - CAHPS 101 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/fry-administering.pdf
    January 27, 2023 - Patient experience refers to what happened in a health care setting. … Patient Satisfaction Experience • Whether something happened, or how often it happened • Frequency

26. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
    February 01, 2017 - Slide 12: What Happened? Say: Select a defect to explore. … Explore both the reasoning and the emotions behind what happened. … Slide 13: What Happened? … Say: Next, move on to why the defect happened. … If your team created a process map or a drawing to illustrate what happened, use it to map out what happened

27. Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0/3.1: Narrative Comments | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey30-adult.html
    August 01, 2021 - Please explain what happened, how it happened, and how it felt to you. After C-PN2 C-PN4.   … If so, please explain what happened, how it happened, and how it felt to you.

28. PowerPoint Presentation: Learn From Defects Through Sensemaking
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
    December 01, 2017 - What happened that prevented the defect? What happened that resulted in the defect? … What happened that had a bad outcome? What Happened? … Explain what happened. Make it visual. … Have participants explain what happened and why it happened. … Review what happened, why it happened, and what interventions were put in place.

29. Appendix J. Coaching Tool Instructions and Observation Tool With Coaching Section - Implementation Guide | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-j.html
    May 01, 2017 - I am curious, what do you think happened? How did that make you feel? … I wonder what you think happened? … I am curious, what do you think happened? How did that make you feel? … I am curious, what do you think happened? How did that make you feel? … I am curious, what do you think happened? How did that make you feel?

30. CAHPS Child Hospital Survey-Using Data and New Narrative Items - The Child HCAHPS Narrative Item Set (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-martino.pdf
    January 01, 2023 - Please explain what happened, how it happened, and how it felt. 2. … Please explain what happened, how it happened, and how it felt. 3.

31. HCBS CAHPS Survey Database: What You Need to Know - GINSBERG (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-ginsberg.pdf
    June 21, 2023 - experiences with their health care ► Patient experience vs patient satisfaction – whether something happened … or how often it happened vs how patient felt about a care encounter 8 CAHPS Program Activities

32. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - GINSBERG (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-ahrq.pdf
    January 01, 2021 - experiences with their health care ► Patient experience vs patient satisfaction – whether something happened … or how often it happened vs how patient felt about a care encounter 9 CAHPS Program Activities

33. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - What happened that prevented the defect? What happened that resulted in the defect? … Slide 13 What Happened? … Explain what happened. Make it visual. … Have participants explain what happened and why it happened. … Review what happened, why it happened, and what interventions were put in place.

34. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
    February 01, 2017 - Image: Semi-circle shows the four questions that comprise the learning from defects process: What happened … Slide 12: What Happened? Select a defect to learn from. … Slide 13: What Happened? Image: Chart depicting questions to ask to determine What Happened? … Slide 14: What Happened? Reconstruct the timeline and explain what happened. … Refer back to any drawings your team used to illustrate what happened.

35. Supplemental Items for the CAHPS Clinician & Group Child Survey 3.0/3.1: Narrative Comments | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey30-child.html
    August 01, 2021 - Please explain what happened, how it happened, and how it felt to you. After C-PN2 C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.

36. Improving Communication and Teamwork in the Surgical Environment
    ce.effectivehealthcare.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 - “I am curious, what do you think happened?” “How did that make you feel?” … Can you help me understand what happened?” … Can you help me understand what happened?” … I am curious, what do you think happened?” … What happened during the case?

37. CAHPS 101 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-03-fry.pdf
    February 25, 2019 - Patient Satisfaction 14 Experience • Whether something happened, or how often it happened • Frequency

38. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - What happened that prevented the defect? What happened that resulted in the defect? … Slide 14: What Happened? … Explain what happened. Make it visual. … Have participants explain what happened and why it happened. … Review what happened, why it happened, and what interventions were put in place.

39. Plan-Do-Study-Act Worksheet (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/pdsa-worksheet.pdf
    August 20, 2018 - Today’s Date: ________________________ DO What actually happened? … When: Team: Patients: Who will collect the evaluation data: Todays Date_2: What actually happened

40. About the CAHPS Patient Narratives Elicitation Protocol (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/administering_cg_narrative_items.pdf
    June 01, 2021 - Please explain what happened, how it happened, and how it felt to you Q4. … If so, 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 Q4. … If so, please explain what happened, how it happened, and how it felt to you. … four questions tend to focus primarily (though not exclusively) on events – that is, things that “happened