-
healthcare411.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?
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
August 07, 2012 - What happened overnight that I need to know about?
-
healthcare411.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?
-
healthcare411.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?
-
healthcare411.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?
-
healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
August 01, 2022 - 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 … inquisition by identifying key individuals involved in the event, developing an understanding of what happened … Having time to integrate what has happened, especially in high-acuity areas such as emergency departments
-
healthcare411.ahrq.gov/hai/cusp/videos/index.html
September 01, 2019 - Identifying and Ranking Defects What Happened? Why Did It Happen?
-
healthcare411.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
-
healthcare411.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.
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
November 15, 2019 - Survey on Patient Safety (facility version)
Survey on Patient Safety
Instructions
This survey asks for your opinions about patient safety issues, medical error, and event reporting in your facility and will take about 10 to 15 minutes to complete.
If you do not wish to answer a question, or if a question does not app…
-
healthcare411.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
October 01, 2021 - People tend to remember things that happened recently.
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - What happened and the implications it has on their health. … Why it happened:
This might be hard to answer at the time; but again, this is to stress that as the investigation … Explain what happened (facts as known).
Describe implications for patient, treatment plan. … Explain what happened, and reveal the facts known at the time.
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 09, 2016 - Hospital Survey on Patient Safety
SOPSTM Hospital Survey
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 survey, and preparing and analyzing data, and producing re…
-
healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - What happened and the implications it has on their health. … Why it happened:
This might be hard to answer at the time; but again, this is to stress that as … Explain what happened, and reveal the facts known at the time.
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/shadowing.doc
August 08, 2012 - What happened during the shadowing exercise that involved multiple practice domains?
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
December 22, 2017 - Hospital Survey on Patient Safety
SOPS
TM
Hospital Survey
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 survey, and preparing and
analyzing data, and prod…
-
healthcare411.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - Providers communicate the facts of what happened and assure the patient and family that they will receive … communicated to the patient and family:
An apology for any unreasonable care
An explanation of what happened … A hospital committed to transparency offers an apology that the incident happened.
-
healthcare411.ahrq.gov/talkingquality/translate/scores/scoring.html
June 01, 2016 - Do you want to tell people how often this event happened or how often it did not happen?
-
healthcare411.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - Skip to main content
An official website of the Department of Health and Human Services
Careers
Contact Us
Español
FAQs
Search all AHRQ sites
Search small
Search
Menu
…
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
August 01, 2019 - Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items
SOPSTM Hospital Survey
Items and Composite Measures
Version: 2.0
Language: English
Notes
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, co…