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Total Results: 1,428 records

Showing results for "happened".

81. Talking With Residents and Family Members About Lower Respiratory Tract Infections (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-RTI.pdf
    June 01, 2021 - Last time this happened, the doctor prescribed an antibiotic and she got better.

82. Talking With Residents and Family Members About Urinary Tract Infections (UTIs) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-members-UTI.pdf
    June 01, 2021 - Last time this happened, the doctor prescribed an antibiotic and he felt better.

83. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
    February 01, 2017 - So, what happened?  It is not enough to simply understand what happened. … understand from the point of view of the people who were involved in the event—both staff and patients—what happened … By identifying how the defect happened, we get to the point where we can understand what system factors … contributed to defect occurrence and why it happened.

84. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
    May 01, 2011 - I started to doubt myself… I thought maybe if I’d have done something another way, it wouldn’t have happened … anonymous second-victim: “Every single day for months, I’d walk in and think, ‘Everyone knows what happened … Develop understanding of what happened. Support individual(s) involved in event. … High-acuity areas have little time to integrate what has happened. Intense fear of the unknown. … Having time to integrate what has happened, especially in high-acuity areas such as emergency departments

85. Sensemakingnotes (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
    August 08, 2012 - Defects identification CUSP asks unit staff to work through a defect and ask: · What happened? … The recovery side is completed when the event is a near-miss, that is, something that happened to stop … What happened? · Step 1. Reconstruct the timeline to understand what happened. · Step 2. … · What happened to the patient? Slide 22 DO: Play the video. … ASK: · According to the nurse, what happened?

86. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/identify/identify.html
    December 01, 2012 - What Happened? Slide 23. Why Did It Happen? Slide 24. … From Defects Return to Contents   Slide 21: Learning From Defects: Four Questions What happened … Return to Contents   Slide 22: What Happened?

87. Learn from Defects Tool | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/learn-defects.html
    December 01, 2012 - Provide a clear, thorough, and objective explanation of what happened. … Investigation process What happened? Reconstruct the timeline and explain what happened.

88. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
    July 01, 2023 - When learning from defects, L&D 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?

89. DESC Technique for Conflict With Residents and Families (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/DESC-technique.pdf
    June 01, 2021 - She is not acting like herself today, and the last time this happened, someone told you she had a UTI

90. Improving Patient Safety Culture to Provide Safer Care
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-august2016.pptx
    January 01, 2016 - TeamSTEPPS® Improving Patient Safety Culture Slide ‹#› CUSP Tool #3: Learning From Defects What happened … and record what happened Study: How do the results compare to your prediction?

91. Fallpxtool5A (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5a.docx
    January 29, 2013 - witnessed Make a clear distinction between what was seen or heard and the patient’s account of what happened

92. Learn-From-Defects-Facilitator-Guide (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
    May 01, 2017 - Defects identification CUSP asks L&D unit staff to work through a defect and ask— What happened? … The recovery side is completed when the event is a near miss, that is, something that happened to stop … What happened? Step 1. Reconstruct the timeline to understand what happened. Step 2.

93. Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
    October 01, 2018 - Because before understanding what has actually happened to a patient we need to know what it is that … We probe, please explain what happened, how it happened and how it felt to you in order to get that complete … And again please explain what happened, how it happened and how it felt to you. … Is this something that happened once or is this something that happens to you often? … And how did what happened get brought about?

94. Job Aid: “Last 10 Patients” Chart Audit (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-last10-patients-audit.pdf
    May 18, 2021 - ago, care may not reflect current processes, and clinicians and staff may not be able to recall what happened

95. What is Patient Experience and How Does CAHPS Measure It? (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/primer-patient-experience.pdf
    January 31, 2022 - Patient experience refers to what happened in a health care setting.

96. New Mexico IMPaCT: Catalyzing Community Health Transformation in Kansas (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-ks-success-story.pdf
    April 01, 2015 - “We were motivated by collaborations that had happened between the University of New Mexico and New … cooperative extension folks at Kansas State to develop collaborations, which is not something that had happened

97. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    May 01, 2017 - Defects identification CUSP asks L&D unit staff to work through a defect and ask— • What happened … The recovery side is completed when the event is a near miss, that is, something that happened to stop … What happened? • Step 1. Reconstruct the timeline to understand what happened. • Step 2.

98. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
    August 01, 2022 - What happened during the handoff? … Was there anything that happened during the handoff that may have contributed to the event?    

99. Transcript: How To Have Difficult Conversations With Colleagues Around Infection Prevention Practices (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
    April 01, 2022 - needs to be experts on this because they're the ones that can see where the conversations should have happened … Maybe there's improvement in how it happened, but the essence of the conversation was important.

100. Pf-Engagement-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
     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