Results

Total Results: 2,150 records

Showing results for "happened".

161. Understanding CAHPS® Surveys: A Primer for New Users (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-experience-fry-webinar.pdf
     January 01, 2014 - patient reports  Whether something that should happen actually did happen, and how often it happened

162. Simulation Facguide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.docx
     May 01, 2017 - 16 SAY: The debrief process usually involves four steps: introducing the process, describing what happened … Slide 17 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

163. Changing-System-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
     June 01, 2021 - A simple way to put this approach into action is by asking four questions: · What happened? … Slide 12 What Happened? SAY: Let’s first consider what happened to our resident.

164. Appendix C: The Health Care Safety Hotline: Operations Manual (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
     July 01, 2015 - What happened? … Where do you believe it happened? 2.1c. When did it happen? 2.1d. … Why do you think this happened? 2.2 What is the name of the patient? … What happened? … Where do you believe it happened? 2.1c. When did it happen? 2.1d.

165. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
     www.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

166. 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

167. Dignity Health Expands Use of AHRQ's CANDOR Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201620.html
     February 01, 2017 - "All we know is an event has happened; we don’t know how or why.

168. 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

169. I. Do I Need an Evaluation? | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/pcmh/implement/section-1.html
     November 01, 2021 - Detecting Meaningful Effects Appendix B: Using a Comparison Group to Account for What Would Have Happened

170. 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.

171. 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.

172. 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.

173. Journey of Mr. Kane
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dx-journey-mr-kane.pptx
     June 14, 2016 - We are still trying to make sense of everything that happened… 4 Slide Background – Joe Kane 49-year-old … This had happened a few times before as well and usually he would go to see Dr. … that he had missed a few dialysis appointments, which resulted in the excess fluid, and that this had happened … that he had missed a few dialysis appointments, which resulted in the excess fluid, and that this had happened

174. Cusp Patient Family Engagement Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
     September 13, 2013 - critical, feedback, and focus on how to prevent a problem from reoccurring rather than focusing on what happened … 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.

175. Journey of Mr. Kane
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
     June 14, 2016 - We are still trying to make sense of everything that happened… 4 Slide Background – Joe Kane 49-year-old … This had happened a few times before as well and usually he would go to see Dr. … that he had missed a few dialysis appointments, which resulted in the excess fluid, and that this had happened … that he had missed a few dialysis appointments, which resulted in the excess fluid, and that this had happened

176. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
     September 03, 2014 - When learning from defects, 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? Step 1. Reconstruct the timeline to understand what happened. Step 2. … What happened? 2. Why did it happen? 3. What will you do to reduce the risk of recurrence? 4.

177. 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

178. Engage the Team and Applying CUSP in the ICU Setting Facilitator Guide
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-slides.pptx
     April 01, 2022 - Defects13 1 2 3 4 AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI Applying CUSP ׀ 13 What happened … AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI Applying CUSP ׀ 14 Understand Why Defect Happened

179. 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

180. 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