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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
September 01, 2009 - Hospital Survey on Patient Safety Culture: Background and Information for Translators
Agency for Healthcare Research and Quality (AHRQ)
Hospital Survey on Patient Safety Culture
Background and Information for Translators
September 2009
Purpose and Use of This Document
In this document, w…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/102-how-to-integrate-cusp-approach-periop.pptx
April 01, 2025 - improvement efforts
Select a specific defect and use Learning From Defects (LFD) Tool to explore:
What happened
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www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.html
February 01, 2017 - Slide 9: Steps of CUSP
Learn from defects:
What happened?
Why did it happen?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
June 02, 2025 - Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items
SOPSTM Hospital Survey
Items and Composite Measures
Version: 2.0
Language: English
Notes
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, co…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
April 01, 2013 - Three questions: What happened overnight that I need to know about? Where should I begin rounds? … So what happened overnight? A little bit more detail on slide eight. … really like to walk through the adverse events as quickly as possible so that we can really see what happened … If nothing happened overnight, which is awfully rare in an ICU, that means we're going to have a good … to the resident, he gave it, so he gave a full dose instead of a diluted dose and what do you think happened
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/025-assessing-evc-webinar-notes.docx
October 01, 2024 - What happened?
2. Why did it happen?
3. … Slide 38
Case Example: What Happened?
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www.ahrq.gov/talkingquality/plan/environment.html
June 01, 2016 - What happened to it?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-inthe_ED_transcript.docx
June 02, 2015 - You don't really know what happened to the patient. … You really have no way of knowing what happened to them.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-transcript.html
December 01, 2017 - You don't really know what happened to the patient. … You really have no way of knowing what happened to them.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-practices-ed-transcript.html
December 01, 2017 - You don't really know what happened to the patient. … You really have no way of knowing what happened to them.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/empowerment.html
April 01, 2013 - the learn from defect process is to first talk about what was the defect, a brief description of what happened … And you’re going to look with a system lens at why things happened. … So that happened relatively quickly.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english-2023.docx
January 01, 2023 - SOPS Medical Office Survey
SOPS® Medical Office Survey
Version: 1.0
Language: English
· 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 reports…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0
Agency for Healthcare Research and Quality (AHRQ)
Surveys on Patient Safety Culture™ (SOPS®)
Hospital Survey Version 2.0
Background and Information for Translators
August 2023
Purpose and Use of This…
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www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
February 01, 2017 - Ask, "What happened and why did it happen?"
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
January 01, 2014 - called Jerri's story about a person who came into the hospital for a simple hip replacement and what happened … I think it really gives you the [inaudible 00:11:17] what really happened and can continue to happen … You can use to learn from the defect tool, root cause analysis, many tools to again learn why it happened
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www.ahrq.gov/patient-safety/reports/hotline/appa.html
May 01, 2016 - safety event occurred; what contributed to the event; whether or to whom the event was reported; what happened
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt4.html
October 01, 2015 - of CAUTI is identified, the staff are more likely to take note and become interested in knowing what happened
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context.pdf
June 01, 2013 - implementation, outcomes and generalizability of
these projects to allow others to make sense of what happened
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
October 01, 2024 - In many cases, the defect would have happened eventually, regardless of the individual provider—and not
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Communication and Optimal Resolution (CANDOR) Toolkit
What is the Communication and Optimal Resolution Process?
The Communication and Optimal Resolution (CANDOR) process is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpecte…