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Total Results: 1,482 records

Showing results for "happened".

161. 130-Ss-Swiss-Cheese-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
     April 01, 2025 - In most cases, the event would have eventually happened regardless of who the provider was.

162. Session 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
     October 01, 2014 - Most of the falls have happened at night after his private duty caregiver has gone home. … But even if you think a mistake may have happened, you must report the change.

163. AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simtool_guidance.docx
     May 01, 2017 - team members gain insight into one another's perspective, helps the team to reach consensus on what happened … factors that enabled or impeded the team's success. · Push the team to go beyond just describing what happened

164. Scoring Different Kinds of Health Care Quality Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/translate/scores/scoring.html
     June 01, 2016 - Do you want to tell people how often this event happened or how often it did not happen?

165. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
     August 01, 2022 - To strengthen system accountability, we want to learn what happened, why it happened, what normally happens

166. Module 4: Teamwork and Communication: Material Use Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/guide.html
     March 01, 2017 - Ask staff about the best way to transparently inform the resident's family about what happened.

167. Testing the Design of a Quality Report By Getting User Feedback | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/resources/design/testing.html
     September 01, 2019 - Then ask them how they happened to choose those particular ones; sometimes people get the "right" answer

168. II. Hotline Design and Development | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/design2.html
     May 01, 2016 - were included at the beginning of the reporting form to allow patients and caregivers to tell what happened … open-ended questions are followed by a series of questions with structured response elements about what happened … Then we will ask some specific questions to make sure we understand what happened. … What happened? [text box] Where do you believe it happened? [text box] When did it happen? … [text box] Why do you think this happened?

169. A4A Combo Psi Casestudy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
     June 02, 2025 - “Could we have changed the outcome so whatever happened might not have happened?”

170. Decolonization Strategies
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/012-ss-decolonization-strategies.pptx
     April 01, 2025 - Surgical Services Decolonization Implementation 24 Case Example: Learning From Defects Tool What happened … Decolonization Implementation   25 Case Example: Inconsistencies in Targeted Decolonization What happened

171. Video-Transcript-Spanish (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/video-transcript-spanish.docx
     June 02, 2025 - My friend Julie works at Averly Point, or did, until the same thing happened to her. … Sharon, can you please walk us through what actually happened with Mr. Friedricks?

172. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.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 … When learning from defects, teams identify: What happened? Why did it happen? … 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.

173. Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It Work? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/reporting-patients-comments-transcript.pdf
     June 01, 2014 - Please explain what happened, how it happened, and how it felt to you.” … Please explain what happened, how it happened, and how it felt to you.” … or how much detail is conveyed, or the completeness of the story, how much do you kind of know what happened … experiences that you wish had gone differently over the past 12 months, and to explain to us what happened … , how it happened, and how it felt to you.

174. Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/guide.docx
     March 01, 2017 - Ask staff about the best way to transparently inform the resident’s family about what happened.

175. The CAHPS Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/about-cahps/cahps-program/index.html
     April 01, 2023 - sponsor, often changed from year to year, and did not provide actionable information on what actually happened

176. Facility Action Plan Template | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/implement/action-plan.html
     March 01, 2017 - Facility Action Plan Template AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplish the work. In order to implement activities identified, goals and obj…

177. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
     January 01, 2018 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Facility Action Plan Template The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplis…

178. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
     January 01, 2003 - What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare 423 What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare William E. Encinosa, Fred J. Hellinger Abstract Objective: To estimate the impact of potentially preventable adverse event…

179. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T5-Minimum_Criteria_for_3_Infections_Training_Slides-final.pptx
     October 01, 2016 - Has anything happened recently at the nursing home? … B – Background: Pertinent and brief information related to the situation (what has happened). … What happened? … Discuss what happened.

180. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
     January 01, 2014 - What happened and the implications it has on their health. … Why it happened: This might be hard to answer at the time; but again, this is to stress that as the investigation … Explain what happened (facts as known). Describe implications for patient, treatment plan. … Explain what happened, and reveal the facts known at the time.