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Total Results: 1,482 records

Showing results for "happened".

221. Hospital Survey on Patient Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
     June 02, 2025 - Hospital Survey on Patient Safety SOPSTM Hospital Survey Version: 1.0 Language: English Note · For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based survey, and preparing and analyzing data, and producing re…

222. Acute Care Learning From Defects
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
     November 01, 2019 - event: Patient develops acute kidney injury Learning from antibiotic-associated adverse events: What happened

223. Session 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess2.html
     October 01, 2014 - for Nursing Assistants In the case of nursing assistants, the important information is: what just happened

224. 124-Cusp-Science-Safety-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
     April 01, 2025 - In many cases, the error would have happened again, regardless of the individual provider.

225. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
     December 01, 2017 - 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

226. 105-What-Are-The-4-Es-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
     April 01, 2025 - Determine as a team “why” this happened. … Ideally, individuals with personal knowledge of what happened should participate in the analysis, as

227. 103-How-To-Integrate-Cusp-Approach-Periop-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/103-how-to-integrate-cusp-approach-periop-fg.docx
     April 01, 2025 - What happened, why did it happen using system lenses, what could you do to reduce the risk of it happening

228. Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
     January 01, 2024 - Patients wanted disclosure of all harmful errors and sought information about what happened, why the … error happened, how the error’s consequences will be mitigated, and how recurrences will be prevented … two cases of harmful errors by 1) discussing the event, responsibility, and blame; why the error happened

229. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - Providers should communicate the facts of what happened and assure the patient and family that they will … An explanation of what happened. A meaningful discussion of projected outcomes. … prepared to address the concerns and, if committed to transparency, offer an apology that the incident happened

230. Appendix A. Recommendations for Ideal Consumer Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdf
     June 02, 2025 - safety event occurred; what contributed to the event; whether or to whom the event was reported; what happened

231. Antibiotic-Patient-Safety-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
     June 01, 2021 - As a group, when a problem related to antibiotic prescribing occurs, ask— What happened? … That is what happened for this resident.

232. Module 3: Conversations Around Device Necessity | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3.html
     February 01, 2023 - Ask yourself: Could this have happened in my ICU?

233. Chapter 4. Results and Key Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
     August 01, 2022 - What happened? Was the problem reported? To whom? … What happened when the problem was reported? What caused the patient safety event to happen? … safety event occurred; what contributed to the event; whether or to whom an event was reported; what happened

234. Appendix 2-A. Suggested Slides for Module 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap2a.html
     October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Appendix 2-A. Suggested Slides for Module 2 Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating Change in …

235. Hospital Survey on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
     June 02, 2025 - Hospital Survey on Patient Safety SOPS TM Hospital Survey Version: 1.0 Language: English Note • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based survey, and preparing and analyzing data, and prod…

236. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/international/hospital/translators.html
     October 01, 2014 - Hospital SOPS Translation Information Background and Information for Translators This document provides information about the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (SOPS ® ) to help translation team members develop a translation that conveys the same meani…

237. Two More “Es” and How To Spread (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
     April 01, 2013 - One of our teams in a previous project reported to me that they just happened to notice one day that … sort of offer my point of view on this at this meeting when I can’t be there or at least tell me what happened … So get a buzz going where people are sharing what happened in the meeting with those people who couldn

238. Action-Plan-Template (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/action-plan-template.docx
     April 01, 2022 - Unit Action Plan The Comprehensive Unit-based Safety Program (CUSP) or healthcare-associated infection (HAI) leader is responsible for leading the CUSP team in completing an Action Plan in order to drive work related to lowering bloodstream infections (CLABSI) and/or catheter-associated urinary tract infections (CAUTI)…

239. Using Mass Media To Spread Messages About a Quality Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/distribute/promote/multiple/using-media.html
     September 01, 2019 - Using Mass Media To Spread Messages About a Quality Report The mass media are not in business to help you. Their business is to sell advertising to companies who want to reach the people who read newspapers and magazine, watch television shows, and listen to radio programs. The “business model” of the media i…

240. Hospital Survey Version 2.0: Background and Information for Translators | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/international/hospital/translators-version-2.html
     October 01, 2024 - Hospital Survey Version 2.0: Background and Information for Translators Prepared by:  Westat, under contract number GS-00F-009DA/75Q80123F80005 for the Agency for Healthcare Research and Quality Contents Purpose and Use of This Document Background on the Survey More Information About the Items Pur…