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Total Results: 347 records

Showing results for "happened".

21. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
    pbrn.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?    

22. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
    pbrn.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?

23. Questions & Answers: The CAHPS Patient Narrative Elicitation Protocol (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/cahps-patient-narrative-elicitation-protocol-qa-03-01-2017.pdf
    January 01, 2017 - Please explain what happened, how it happened, and how it felt to you. PN-4. … Please explain what happened, how it happened, and how it felt to you. PN-5.

24. Morningbriefing (doc file)
    pbrn.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?

25. Improving Patient Safety Culture to Provide Safer Care
    pbrn.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?

26. Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care (pdf file)
    pbrn.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?

27. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
    pbrn.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

28. Scisafetynotes (doc file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
    September 04, 2012 - 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 … SAY: Apply these four Learning From Defects questions to this example. · What happened?

29. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
    October 01, 2021 - People tend to remember things that happened recently.

30. TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dx-journey-presenter-notes.pdf
    March 01, 2022 - We are still trying to make sense of everything that happened… Slide 5 Background – Joe Kane … This had happened a few times before as well and usually he would go to see Dr. … he had missed a few dialysis appointments, which resulted in the excess fluid, and that this had happened … that he had missed a few dialysis appointments, which resulted in the excess fluid, and that this had happened

31. Strategy 6Q: Standards for Customer Service | Agency for Healthcare Research and Quality
    pbrn.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.

32. Scoring Different Kinds of Health Care Quality Measures | Agency for Healthcare Research and Quality
    pbrn.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?

33. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    pbrn.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

34. AHRQ Data Underscore Uneven Impact of COVID-19 | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/blog/ahrqviews/uneven-impact-covid19.html
    December 01, 2021 - committed to compiling a fuller data picture and conducting the needed analysis to understand what happened

35. Implementation Guide for the CANDOR Process: Appendix D | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
    February 01, 2017 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

36. Grand Rounds Presentation | Agency for Healthcare Research and Quality
    pbrn.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.

37. The CAHPS Program | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/cahps/about-cahps/cahps-program/index.html
    April 01, 2023 - sponsor, often changed from year to year, and did not provide actionable information on what actually happened

38. Patient and Family Engagement | Agency for Healthcare Research and Quality
    pbrn.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.

39. Using Mass Media To Spread Messages About a Quality Report | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/talkingquality/distribute/promote/multiple/using-media.html
    September 01, 2019 - SHARE: More topics in this section Talking Quality Plan Your Reporting Project Select Measures To Report Translate Data Into Information Explain and Motivate Use Distribute Your Quality Report Promote Your Quality Report Why…

40. Survey on Patient Safety (facility version) (doc file)
    pbrn.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…