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Total Results: 1,482 records

Showing results for "happened".

181. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/154-performing-pre-mortem-project-assessment.pptx
     October 01, 2024 - What could have happened? What could have gone wrong?

182. Tool 2: Readmission Review Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool2_readm_review.docx
     June 02, 2025 - Would you mind telling me about what happened between the time you left the hospital and the time you

183. Shadowing (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/shadowing.doc
     June 02, 2025 - What happened during the shadowing exercise that involved multiple practice domains?

184. Mini Presentation: Performing a Premortem Project Assessment
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/108-performing-premortem-project-assessment.pptx
     April 01, 2025 - What could have happened? What could have gone wrong?

185. Project Report - Lean Sigma (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
     January 01, 2012 - risks and central line-associated blood steam infection rate * Step 4: Learning from Mistakes What happened … charge nurse and unit attending(s) about the unit-level plan for the day Discuss work for the day What happened

186. K Award Grantee Interview: Christopher Landrigan, M.D., M.P.H. | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/landrigan-transcript.html
     June 01, 2016 - randomized-control trial into intensive care units at Brigham and Women's Hospital, where we looked at what happened

187. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
     September 10, 2015 - To strengthen system accountability, we want to learn what happened, why it happened, what normally happens

188. Topic (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/sustainability-guideapa.pdf
     January 01, 2009 - Topic AHRQ Safety Program for Reducing CAUTI in Hospitals A Model for Sustaining and Spreading Safety Interventions Appendix A. Action Plan Tool for Project Sustainability The Purpose of This Tool This tool is intended to support sustainability efforts for your catheter-associated urinary tract infect…

189. Topic (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guideapa.pdf
     January 01, 2009 - Topic A Model for Sustaining and Spreading Safety Interventions Appendix A. Action Plan Tool for Project Sustainability The Purpose of This Tool This tool is intended to support sustainability efforts for your catheter-associated urinary tract infections (CAUTI) prevention project team. This worksheet will help…

190. Implementation Guide for the CANDOR Process: Appendix D | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
     February 01, 2017 - Implementation Guide for the CANDOR Process: Appendix D Action Plan Template Purpose: To provide leaders and staff a template Action Plan to work through project activities and tasks. Who should use this tool? Leaders (administrators, director of nursing, medical director, etc.) and any staff who are wo…

191. 015-Ss-Hand-Hygiene-Periop-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/015-ss-hand-hygiene-periop-fg.docx
     April 01, 2025 - What happened? 2. Why did it happen? 3. … Slide 24 Case Example: What Happened? SAY: What happened?

192. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
     August 01, 2022 - 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 … Explain what happened, and reveal the facts known at the time.

193. Shadowing Another Professional Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/professional-tool.html
     July 01, 2023 - What happened during the shadowing exercise that involved multiple practice domains?

194. 102-How-Integrate-Cusp-Approach-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/102-how-integrate-cusp-approach-guide.docx
     October 01, 2024 - LFD is an effective way to understand all aspects of what happened, why it happened, including a comprehensive

195. Engaging-Nurse-Physician-Patient-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
     June 02, 2025 - As far as who, the case studies, I think if you can bring in case studies that are very pertinent, happened … It talks about what happened, a brief description of a defect. Why did it happen? … We just discussed as a group what happened, what are we going to do to assist in preventing it from happening … Again, identifying what happened, why it happened, contributing factors, and how we're going to try to

196. Appendix B. Forms and Training Materials (Appendix Contents) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb.html
     December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B. Forms and Training Materials (Appendix Contents) Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction…

197. Sample “Plan-Do-Study-Act” Form | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
     June 01, 2017 - Sample “Plan-Do-Study-Act” Form Use this form to help you plan your introduction of daily huddles. It includes sections to help you plan and manage all the tasks necessary to introduce huddles. You can also use it to gauge the success of your initial attempt at introducing a huddle. Purpose:  Deve…

198. Patient and Family Engagement | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
     September 01, 2013 - 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.

199. Mod01-Grand-Rounds-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
     April 01, 2016 - What happened and the implications it has on their health. 3. … Why it happened: – This might be hard to answer at the time; but again, this is to stress that as the … ■ Explain what happened, and reveal the facts known at the time.

200. Shadowing Another Professional Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/shadowing.html
     December 01, 2012 - What happened during the shadowing exercise that involved multiple practice domains?