-
pcmh.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?
-
pcmh.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?
-
pcmh.ahrq.gov/sites/default/files/attachments/ContextualFactors.pdf
June 01, 2013 - Paying attention involves examining factors that affect interpretation of what happened during the
study … and
narratives15,16, 48-50, 54-56 that describe the contextual factors needed to understand what happened … and why
it happened in this particular project, as well as providing contextual information that others … contextual factors that typically are not
reported, but that are vital to both understanding what happened … Reporting relevant contextual factors can help others to make sense of what happened during
the study
-
pcmh.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.
-
pcmh.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?
-
pcmh.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?
-
pcmh.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
-
pcmh.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?
-
pcmh.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
October 01, 2021 - People tend to remember things that happened recently.
-
pcmh.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.
-
pcmh.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?
-
pcmh.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
-
pcmh.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
-
pcmh.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 …
-
pcmh.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.
-
pcmh.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
-
pcmh.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.
-
pcmh.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…
-
pcmh.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…
-
pcmh.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - SHARE:
More topics in this section
SOPS®
About SOPS
SOPS Surveys
SOPS Databases
SOPS Additional Resources
SOPS Webcasts
SOPS Announcements
International Users
Hospital SOPS Translation Information
Hospital SOPS V…