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ce.effectivehealthcare.ahrq.gov/talkingquality/resources/design/testing.html
September 01, 2019 - Then ask them how they happened to choose those particular ones; sometimes people get the "right" answer
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdf
May 11, 2016 - safety event occurred; what contributed to the event; whether or to whom
the event was reported; what happened
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
December 01, 2017 - This was an event that happened in a major medical center. … I waited a little bit and I waited until it happened in the back of the room that someone else raised … And you can imagine, if you spoke up in a situation – and maybe this has happened to some of you – if
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ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
July 01, 2018 - about a recent safety issue in your unit and answer the four Learning from Defects questions:
What happened
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
December 10, 2013 - This was an event that happened in a major medical center. … I waited a little bit and I waited until it happened in the back of the room that someone else raised … And you can imagine, if you spoke up in a situation – and maybe this has happened to some of you – if
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Teamwork_in_QI_2012_02_01_Transcript.pdf
January 01, 2012 - In many of the care
organizations that we have developed, and it’s reasonable to see why this has happened
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-inthe_ED_transcript.docx
June 02, 2015 - You don't really know what happened to the patient. … You really have no way of knowing what happened to them.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T4-Concise_Antibiogram_Toolkit_How_to_Enter_Data_Manually_into_an_Antibiogram_Template.doc
May 01, 2014 - of the E. coli isolates tested were susceptible to ceftazidime, imagine all 22 of those not tested happened
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/incident-reports.html
January 01, 2013 - witnessed
Make a clear distinction between what was seen or heard and the patient's account of what happened
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-mailed-survey.pdf
March 09, 2018 - A written visit summary sums up what happened during your child’s visit to a health care
provider. … A written hospital stay summary sums up all that happened during your child’s hospital
stay. … A written visit summary sums up what happened during your child’s visit to a health care
provider. … A written hospital stay summary sums up all that happened during your child’s hospital
stay.
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ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/empowerment.html
April 01, 2013 - the learn from defect process is to first talk about what was the defect, a brief description of what happened … And you’re going to look with a system lens at why things happened. … So that happened relatively quickly.
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ce.effectivehealthcare.ahrq.gov/sops/international/nursing-home/translators.html
October 01, 2014 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
April 01, 2013 - Three questions: What happened overnight that I need to know about? Where should I begin rounds? … So what happened overnight? A little bit more detail on slide eight. … really like to walk through the adverse events as quickly as possible so that we can really see what happened … If nothing happened overnight, which is awfully rare in an ICU, that means we're going to have a good … to the resident, he gave it, so he gave a full dose instead of a diluted dose and what do you think happened
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - What happened?
Why did it happen?
How can you reduce the risk for next time?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
January 01, 2014 - called Jerri's story about a person who came into the hospital for a simple hip replacement and what happened … I think it really gives you the [inaudible 00:11:17] what really happened and can continue to happen … You can use to learn from the defect tool, root cause analysis, many tools to again learn why it happened
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading_facnotes.docx
December 01, 2017 - What happened?
2. Why did it happen?
3. How will you reduce the risk of the defect happening again?
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - Providers should communicate the facts of what happened and assure the patient and family that they will … An explanation of what happened.
A meaningful discussion of projected outcomes. … prepared to address the concerns and, if committed to transparency, offer an apology that the incident happened
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
December 01, 2017 - called Jerri's story about a person who came into the hospital for a simple hip replacement and what happened … I think it really gives you the [inaudible 00:11:17] what really happened and can continue to happen … You can use to learn from the defect tool, root cause analysis, many tools to again learn why it happened
-
ce.effectivehealthcare.ahrq.gov/funding/policies/informedconsent/icform1.html
September 01, 2009 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes
Transitioning to the SOPS™ Hospital Survey
Version 2.0: What’s Different and What To Expect
Part II: Appendixes
Appendix A – Differences in Scores Between HSOPS 2.0 and
HSOPS 1.0
Appendix B – How T…