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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)…
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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
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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
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
January 01, 2003 - What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare
423
What Happens After a Patient Safety Event?
Medical Expenditures and Outcomes
in Medicare
William E. Encinosa, Fred J. Hellinger
Abstract
Objective: To estimate the impact of potentially preventable adverse event…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-q.pdf
November 01, 2017 - “It’s the doctor’s fault and I can’t believe
that happened.”
“I’m sorry that happened.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/cahps-strategy-6-q.pdf
November 01, 2017 - “It’s the doctor’s fault and I can’t believe
that happened.”
“I’m sorry that happened.
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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
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/020-ss-periop-infection-prevention.pptx
April 01, 2025 - Prevention
30
Using the Learning From Defects Tool
Four central questions of Learning From Defects:
What happened … Program for MRSA Prevention| Surgical Services
Perioperative Infection Prevention
31
Case Example: What Happened
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/020-perioperative-infection-prevention-strategies-slides.pptx
April 01, 2025 - Prevention
30
Using the Learning From Defects Tool
Four central questions of Learning From Defects:
What happened … Program for MRSA Prevention| Surgical Services
Perioperative Infection Prevention
31
Case Example: What Happened
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1a.docx
January 01, 2004 - (
Background:
The Hospital Survey on Patient Safety Culture is a staff survey designed to help hospitals assess the culture of safety in their institutions. Since 2004, hundreds of hospitals have implemented the survey.
There is a growing recognition that organizational change to improve patient safety, including fall…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
March 22, 2017 - 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
analyz…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
December 22, 2017 - 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…
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3.html
February 01, 2023 - Ask yourself: Could this have happened in my ICU?
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
September 25, 2015 - 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
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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
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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…