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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-II-508.pdf
January 01, 2021 - Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2021 User Database Report Part II
Surveys on Patient Safety CultureTM (SOPS®)
Hospital 2.0 Survey:
2021 User Database Report
Part II: Appendix A—Results by Hospital Characteristics
Appendix B—Results by Respondent Characteristics
Prepared for:
Ag…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-implementation-guide.pdf
June 02, 2025 - 1
Implementation Guide - Module 3
Understanding your Workflow Processes to Prepare for Systems Change
Module Purpose
This module continues the discussion of the steps necessary for systems change to support the
implementation of automatic referral with effective care coordination. Topics include the “w…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
January 01, 2004 - coverage in these cases address factors other than an
insured’s truthful and honest disclosure of what happened … No case illustrates that a
truthful disclosure of what happened, in and by itself and especially as … allegedly
saying she made a mistake, her expression of sorrow, and her remarking that it
had never happened
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
June 01, 2021 - Another doctor said: “… I just happened to have had some patients recently of whom I thought in retrospect … Maria’s daughter says that the last time this happened, her mother was diagnosed with a urinary tract
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-items.pdf
January 01, 2015 - Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items
SOPS
TM
Ambulatory Surgery Center Survey
Items and Composites
Version: 1.0
Language: English
Note
• For more information on getting started, selecting a sample, determining data collection methods,
establish…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-test-partii.pdf
September 01, 2019 - 2019 Hospital Survey Pilot Test Results Part II
Pilot Test Results From the 2019 AHRQ
Surveys on Patient Safety CultureTM (SOPSTM)
Hospital Survey Version 2.0
Part II
Appendix A – Overall Results by Respondent
Characteristics
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Healt…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/021-optimizing-evc-webinar-slides_revised.pptx
October 01, 2024 - CUSP (Comprehensive Unit-based Safety Program) team in problem-solving and defect identification:
What happened … Program for MRSA Prevention | ICU & Non-ICU
Optimizing Environmental Cleaning
37
Case Example: What Happened
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www.ahrq.gov/talkingquality/translate/labels/measures.html
July 01, 2016 - Label Health Care Quality Measures in Plain English
The public does not speak the same language as health professionals. To reach the public, you will have to translate many terms that are common in the health world into the language of lay people. This includes not only medical terms but also those that po…
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www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
October 01, 2015 - questions and documenting the answers to help ensure resolution and support future learning:
What happened … This way of looking at safety encourages staff to learn what happened and why, and how to take action
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety
SOPS® Nursing Home 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 prod…
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www.ahrq.gov/patient-safety/reports/hotline/eval4.html
May 01, 2016 - This may not be the time when a mistake has happened (or a patient realizes that a mistake has happened … a concern anonymously should be provided with a submission ID number so they can check on what has happened … done (or not done) by a health care provider that would be considered incorrect at the time that it happened
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-phone-interview.pdf
June 02, 2025 - 17. 0=NO (GO TO 21)
1=YES
8 = DON’T KNOW
9 = REFUSED
A written visit summary
sums up what happened … 1=YES
8 = DON’T KNOW
9 = REFUSED
A written hospital stay
summary sums up all that
happened
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
October 01, 2014 - Module 3: Falls Prevention and Management
Conclusion
Previous Page Next Page
Table of Contents
Module 3: Falls Prevention and Management
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Appendix. Additional Tools and Resources
In Summary
Falls prevention…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module3-transcript.pdf
June 01, 2017 - We sometimes
have written word that we are sharing—”Here's what happened to Mrs. Smith.”
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
January 12, 2021 - Six Building Blocks How-To-Implement Toolkit: Fast Track Approach Guide
A Team-Based Approach to Improving
Opioid Management in Primary Care
Table of Contents
Introduction ......................................................................................................................................1
W…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
June 02, 2025 - Standardize
Eliminate steps if possible
Create independent checks
Learn when things go wrong
What happened
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
April 01, 2016 - Stress that the purpose of the interview is to learn more about what happened and how to make the system … Can you tell me about your understanding of what happened?” … 2) “I would like to learn more about what happened. … What happened during the handoff? … Was
there anything that happened during the
handoff that may have contributed to the
event?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-component-kit.docx
May 01, 2017 - Each column represents one observation; use a check mark to indicate if the item happened.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-facnotes.docx
May 01, 2017 - Use a check mark to indicate if the item happened.
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod2.html
February 01, 2023 - Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Module 2: Urinary Catheter Maintenance
Previous Page Next Page
Table of Contents
Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Introduction
Module 1: Overview
Module 2: Urinary Catheter Maintenance
Module 3: Conversations Ar…