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Total Results: 1,482 records

Showing results for "happened".

101. Talking With Residents and Family Members About Antibiotics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
     June 01, 2021 - June 2021 Talking With Residents and Family Members About Antibiotics The last time this happened

102. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
     July 01, 2023 - 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.

103. 089-Or-Traffic-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/089-or-traffic-fg.docx
     April 01, 2025 - This included looking at what happened and why, how to reduce the likelihood of this happening again, … Slide 13 Case Example: What Happened? SAY: So, what happened?

104. Morningbriefing (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
     June 02, 2025 - What happened overnight that I need to know about?

105. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
     July 01, 2023 - The discovery event addresses what happened. … Arrows pointing downward lead from one question to the next: Question 1: What happened?

106. Learning From Defects | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/surgery/learning-from-defects.html
     April 01, 2025 - There are four key questions in the CUSP Learning From Defects process: What happened?

107. Identify Defects Module Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
     March 01, 2013 - The discovery event addresses what happened. … Tools to Learn From Defects     Slide 21 Learning From Defects: Four Questions What happened … Slide 22 What Happened?

108. Talking With Residents and Family Members About Urinary Tract Infections (UTIs) (pdf file)
     www.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.

109. Talking With Residents and Family Members About Lower Respiratory Tract Infections (pdf file)
     www.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.

110. Scisafetynotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
     June 02, 2025 - 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?

111. 091-Decolonization-Implementation-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/091-decolonization-implementation-fg.docx
     April 01, 2025 - This tool asks four important questions: what happened, why did it happen, how to reduce the likelihood … To determine what happened, the CUSP team reviewed data from the EHR and found that documentation on … Further investigating more about why this happened, the team realized that in the follow up call 2 weeks … In determining what happened, the CUSP team reviewed their audits over the last few months and found

112. Learn-From-Defects-Facilitator-Guide (doc file)
     www.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.

113. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
     July 01, 2023 - 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. … An explanation of what happened. A meaningful discussion of projected outcomes.

114. New Mexico IMPaCT: Catalyzing Community Health Transformation in Kansas | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-ks-success-story.html
     April 01, 2015 - “We were motivated by collaborations that had happened between the University of New Mexico and New Mexico … cooperative extension folks at Kansas State to develop collaborations, which is not something that had happened

115. DESC Technique for Conflict With Residents and Families (pdf file)
     www.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

116. PowerPoint Presentation
     www.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

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

118. 110-Ss-Lfd-Sample (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
     April 01, 2025 - Provide a clear, thorough, and objective explanation of what happened. II. … What Happened? Reconstruct the timeline and explain what happened.

119. Learning From Defects | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/learning-from-defects.html
     October 01, 2024 - There are four key questions in the CUSP Learning From Defects process: What happened?

120. Conducting a Morning Briefing | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
     December 01, 2012 - Briefing process What happened overnight that I need to know about?