Results

Total Results: 2,150 records

Showing results for "happened".

201. 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

202. 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 .

203. 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…

204. 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?

205. 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

206. 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…

207. 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.

208. 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

209. 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…

210. 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

211. 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?

212. 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
     August 03, 2016 - “Could we have changed the outcome so whatever happened might not have happened?”

213. 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…

214. 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…

215. 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.

216. 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.

217. 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?

218. 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

219. 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?

220. 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.