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Showing results for "happened".

101. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
     www.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?

102. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16658-Gallagher-report.pdf
     January 01, 2009 - another, address issues of blame and responsibility, reconcile conflicting perspectives about what happened … Sharing the team’s emotional situation, such as “we just feel terrible about what happened to you.” … Saying we’re sorry Expression of regret, remorse, or sympathy (“We’re sorry this happened to you”; “I … The choices were, “Volunteer that I was sorry,” “I am sorry about what happened,” or “I am sorry you … ...it's sort of a system error, but we both feel personally very sorry for what happened. 8 3:18 min

103. Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Welcome from AHRQ (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-ginsberg.pdf
     July 03, 2023 - established by other organizations 7 CAHPS Surveys • CAHPS surveys measure experience: ► What happened

104. Questions & Answers: The CAHPS Patient Narrative Elicitation Protocol (pdf file)
     www.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.

105. Understand the Science of Safety for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
     May 01, 2017 - 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 … • What happened? • Why did it happen? • How will you reduce the risk of recurrence?

106. 114-Mrsa-Prevention-Learning-From-Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
     October 01, 2024 - Provide a clear, thorough, and objective explanation of what happened. II. … What happened? In the space below, identify the MRSA infection or other event.

107. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
     January 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.

108. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.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.

109. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/briefing-slides/Morning-Briefing-and-Shadowing-July-12-2011-508.ppt
     January 01, 2011 - that day Night charge nurse Day charge nurse Morning Briefing Process Three simple questions What happened … What Happened Overnight That I Need to Know About?

110. Why Did It Happen? | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/videos/05h-why-did-happen/index.html
     June 01, 2018 - Why Did It Happen? CUSP Toolkit The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. Apply CUSP To Find Out W…

111. 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

112. Contextual Factors: The Importance of Considering and Reporting on Context in Research on the Patient-Centered Medical Home (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/contextual-factors.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

113. 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?

114. 129-Ss-Blank-Lfd (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
     April 01, 2025 - Provide a clear, thorough, and objective explanation of what happened. II. … What Happened? Reconstruct the timeline and explain what happened.

115. Staff Safety Assessment
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
     January 01, 2006 - What happened? 2. Why did it happen? 3. What will you do to reduce the risk of recurrence? 4. … What Happened? 22 Why Did It Happen? 23 What Will You Do To Reduce the Risk of Recurrence?

116. 6 Tk1 T6-Managing Resident And Family Expectations Final (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.docx
     October 01, 2016 - Has that ever happened to you? What happened? How did you handle it?

117. 6 Tk1 T6-Managing Resident And Family Expectations Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
     October 01, 2016 - • Has that ever happened to you? • What happened? • How did you handle it?

118. V. How Can I Use the Findings? | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/pcmh/implement/section-5.html
     September 01, 2021 - Detecting Meaningful Effects Appendix B: Using a Comparison Group to Account for What Would Have Happened

119. 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.

120. 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.