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Total Results: 2,150 records

Showing results for "happened".

141. AMA Uses AHRQ Report on Literacy and Health Outcomes in Training Curriculum | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/coe0805.html
     October 01, 2014 - "I don't think this would have happened without the AHRQ report.

142. 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.

143. 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?

144. New Mexico IMPaCT: Catalyzing Community Health Transformation in Kansas (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-ks-success-story.pdf
     April 01, 2015 - “We were motivated by collaborations that had happened between the University of New Mexico and New … cooperative extension folks at Kansas State to develop collaborations, which is not something that had happened

145. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/088-or-traffic.pptx
     April 01, 2025 - Prevention | Surgical Services OR Traffic 12 Case Example: Using the Learning From Defects Tool What happened … Services AHRQ Safety Program for MRSA Prevention | Surgical Services OR Traffic Case Example: What Happened

146. Establishing a Program of In Situ Simulations: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-slides.html
     July 01, 2023 - Slide 18: Debriefing: Describe What Happened First, each participant states their name, role, and … Slide 19: Debriefing: Describe What Happened It is important for the participants to realize it … Measure 1 Processes (Measures of Performance): Explain how and why certain outcomes may have happened

147. Module 4 Appendix | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/pf-handbook/mod4-appendix.html
     March 01, 2022 - carried out Measures to determine if prediction succeeds     Do      Describe what actually happened

148. Job Aid: “Last 10 Patients” Chart Audit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-last10-patients-audit.pdf
     May 18, 2021 - ago, care may not reflect current processes, and clinicians and staff may not be able to recall what happened

149. What is Patient Experience and How Does CAHPS Measure It? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/primer-patient-experience.pdf
     January 31, 2022 - Patient experience refers to what happened in a health care setting.

150. Scisafetynotes (doc file)
     www.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?

151. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
     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.

152. Transcript: How To Have Difficult Conversations With Colleagues Around Infection Prevention Practices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
     April 01, 2022 - needs to be experts on this because they're the ones that can see where the conversations should have happened … Maybe there's improvement in how it happened, but the essence of the conversation was important.

153. Tool 5A: Information To Include in Incident Reports | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/incident-reports.html
     January 01, 2013 - witnessed Make a clear distinction between what was seen or heard and the patient's account of what happened

154. Session 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess1.html
     October 01, 2014 - staff—benefits from an environment that supports discussion and learning from unwanted events that happened … or nearly happened.

155. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
     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. … An explanation of what happened. A meaningful discussion of projected outcomes.

156. Pf-Engagement-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
     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. Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-psychological-safety-3.html
     September 01, 2023 - The conclusion that an error happened at all might depend on the reviewer’s perspective; in fact, consensus

158. Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-3.html
     September 01, 2023 - The conclusion that an error happened at all might depend on the reviewer’s perspective; in fact, consensus

159. Appendix C: Using Solid Analytical Methods to Estimate Program Impacts | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/pcmh/implement/appendix-c.html
     September 01, 2021 - Detecting Meaningful Effects Appendix B: Using a Comparison Group to Account for What Would Have Happened

160. CommonSpirit Health Expands CANDOR Toolkit Across Entire Health System | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/202104.html
     October 01, 2021 - adverse event, and officials estimate 85 patients were spared the additional harm of not knowing what happened