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Total Results: 1,482 records

Showing results for "happened".

141. Facilitation Instructions for Conducting In Situ Simulations | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/sim-tool-guidance.html
     July 01, 2023 - team members gain insight into one another's perspective, helps the team to reach consensus on what happened … Push the team to go beyond just describing what happened.

142. Improving Guidelines for Nursing Home-Associated Viral Respiratory Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-vogelmeier.html
     December 01, 2023 - the story and that’s where these 24 nursing homes provide an in-depth understanding of what really happened

143. Recognizing and Celebrating Success: Transcript - Sustainability Module | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/success-transcript.html
     June 01, 2017 - use the checklist and ask about it, we decided to put up a bulletin board in the break room, which happened

144. Improving Patient Safety in Long-Term Care Facilities, Module 2 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
     June 01, 2012 - staff – benefits from an environment that supports discussion and learning from unwanted events that happened … or nearly happened. … for Nursing Assistants In the case of nursing assistants, the important information is: what just happened

145. 162-Example-Completed-Learning-Defects-Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.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.

146. Medical Office Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/infotransMOSOPS.pdf
     January 01, 2010 - (NOTE: This question asks about things that happened in the past – should use past tense, not present … accurate, complete, and timely information with: (NOTE: This question also asks about things that happened

147. Medical Office SOPS Translation Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/international/medical-office/translators.html
     January 01, 2010 - ( Note: This question asks about things that happened in the past—should use past tense, not present … accurate, complete, and timely information with: ( Note: This question also asks about things that happened

148. 019-Ss-Periop-Infection-Prevention-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
     April 01, 2025 - The Learning From Defects process is structured around four basic questions: · What happened? … First, what happened? Slide 31 Case Example: What Happened? … The most straightforward approach was to simply watch the SSI rates and see what happened over time.

149. 019-Perioperative-Infection-Prevention-Strategies-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
     April 01, 2025 - The Learning From Defects process is structured around four basic questions: · What happened? … First, what happened? Slide 31 Case Example: What Happened? … The most straightforward approach was to simply watch the SSI rates and see what happened over time.

150. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
     January 22, 2008 - the patients on the wards during the night shift meet with other members of the team to review what happened … Resident physicians indicated that something happened while they were on call for which they were not … baseline assessment, the residents indicated that in 40 of the 49 (82 percent) instances that something happened … During the baseline assessment and after the intervention, sign-outs for nights when something happened … on nearly one-third of the nights they were on call, resident physicians indicated that something happened

151. AHRQ Safety Program for Perinatal Care: Establishing a Program of In Situ Simulations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.pdf
     May 01, 2017 - SAY: The debrief process usually involves four steps: introducing the process, describing what happened … Program of In Situ Simulations 11 SAY: The next step in the debrief process is to describe what happened … In discussing why things happened in the scenario as they did, the team should focus on critical aspects … They can explain how and why certain outcomes may have happened “Was the decision made right (correctly

152. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
     July 01, 2018 - 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 … What happened? Why did it happen? How will you reduce the risk of recurrence?

153. Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
     June 01, 2023 - their safety concerns did so through a sequence of open-ended questions 18 : Please tell us what happened … Considering only respondents for whom the diagnostic problem happened 3 or more years in the past, 28 … clinicians, scaffolding questions asked about these encounters and encouraged respondents to “explain what happened … , how it happened, and how it felt to you.”

154. Strategy 6Q: Standards for Customer Service | Agency for Healthcare Research and Quality
     www.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.

155. Summary of Survey Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-summary.html
     August 01, 2024 - and the second related to whether the office was informed when a missed, wrong, or delayed diagnosis happened

156. Engage Patients and Families for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
     May 01, 2017 - 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. … communicated to the patient and family: • An apology for any unreasonable care • An explanation of what happened

157. AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
     May 01, 2017 - response. 17 AHRQ Safety Program for Perinatal Care In Situ Simulations 17 Debriefing: Describe What Happened … 18 AHRQ Safety Program for Perinatal Care In Situ Simulations 18 Debriefing: Describe What Happened … What To Measure1 Processes (Measures of Performance) Explain how and why certain outcomes may have happened

158. Recognizing-Success-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/recognizing-success-transcript.docx
     May 01, 2017 - use the checklist and ask about it, we decided to put up a bulletin board in the break room, which happened

159. Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety Measures Prioritized by Medicare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
     June 02, 2025 - “Could we have changed the outcome so whatever happened might not have happened?”

160. Useful Online Tools for CAHPS Survey Users - HAYS (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-tools-webcast-2022-hays.pdf
     January 01, 2022 - Please explain w hat happened. h ow it happened . and how it fe lt to you . … If so, p lease explain w hat happened, h ow it happen ed. and how it fel t to you .