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www.ahrq.gov/hai/cusp/cusp-success/stories.html
September 01, 2012 - It teaches staff to figure out for each identified defect: What happened?
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www.ahrq.gov/news/newsroom/case-studies/cp30905.html
October 01, 2014 - for evidence that men had been screened for osteoporosis, and found that, by and large, this had not happened
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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?
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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…
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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
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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
April 21, 2014 - 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?
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www.ahrq.gov/ncepcr/tools/pcmh/implement/notes-references.html
September 01, 2021 - Detecting Meaningful Effects
Appendix B: Using a Comparison Group to Account for What Would Have Happened
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
July 06, 2016 - “Could we have
changed the outcome so whatever happened might not have happened?”
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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
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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.
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/example-pdsa-form.docx
May 01, 2017 - Module 2: Example
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 2: Daily Huddles
Sample “Plan-Do-Study-Act”[footnoteRef:1] Form [1: “Plan-Do-Study-Act” refers to a method for testing changes in clinical practice. In the “plan” step, you lay out the specifications of you…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/pdsa-form.html
June 01, 2017 - Sample “Plan-Do-Study-Act” Form
Use this form to help you plan your introduction of visual management. It includes sections to help you plan and manage all the tasks necessary to introduce a visual management board. You can also use it to gauge the success of your initial attempt at introducing vi…
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-pdsa-form.docx
May 01, 2017 - Module 2: Example
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 5: Visual Management
Sample “Plan-Do-Study-Act”[footnoteRef:1] Form [1: “Plan-Do-Study-Act” refers to a method for testing changes in clinical practice. In the “plan” step, lay out the specifications of your…
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www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/professional-tool.html
May 01, 2017 - What happened during the shadowing exercise that involved multiple practice domains?
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module9/ts2-0ltc_module9_coaching_scenarios.pdf
April 24, 2017 - The charge nurse approaches the nursing
supervisor to discuss what happened.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/shadowing.doc
August 08, 2012 - What happened during the shadowing exercise that involved multiple practice domains?
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www.ahrq.gov/hai/cusp/toolkit/shadowing.html
December 01, 2012 - What happened during the shadowing exercise that involved multiple practice domains?