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Showing results for "happened".

41. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
    February 01, 2017 - Slide 12: What Happened? Say: Select a defect to explore. … Explore both the reasoning and the emotions behind what happened. … Slide 13: What Happened? … Say: Next, move on to why the defect happened. … If your team created a process map or a drawing to illustrate what happened, use it to map out what happened

42. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
    January 01, 2017 - Slide 11 What Happened? SAY: Select a defect to explore. … Explore both the reasoning and the emotions behind what happened. … Slide 12 What Happened? … SAY: Next, move on to why the defect happened. … If your team created a process map or a drawing to illustrate what happened, use it to map out what happened

43. CAHPS Child Hospital Survey-Using Data and New Narrative Items - The Child HCAHPS Narrative Item Set (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-martino.pdf
    January 01, 2023 - Please explain what happened, how it happened, and how it felt. 2. … Please explain what happened, how it happened, and how it felt. 3.

44. HCBS CAHPS Survey Database: What You Need to Know - GINSBERG (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-ginsberg.pdf
    June 21, 2023 - experiences with their health care ► Patient experience vs patient satisfaction – whether something happened … or how often it happened vs how patient felt about a care encounter 8 CAHPS Program Activities

45. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - GINSBERG (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-ahrq.pdf
    January 01, 2021 - experiences with their health care ► Patient experience vs patient satisfaction – whether something happened … or how often it happened vs how patient felt about a care encounter 9 CAHPS Program Activities

46. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - What happened that prevented the defect? What happened that resulted in the defect? … Slide 13 What Happened? … Explain what happened. Make it visual. … Have participants explain what happened and why it happened. … Review what happened, why it happened, and what interventions were put in place.

47. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - What happened that prevented the defect? What happened that resulted in the defect? … Slide 14: What Happened? … Explain what happened. Make it visual. … Have participants explain what happened and why it happened. … Review what happened, why it happened, and what interventions were put in place.

48. Improving Communication and Teamwork in the Surgical Environment
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-slideset.pptx
    May 01, 2017 - “I am curious, what do you think happened?” “How did that make you feel?” … Can you help me understand what happened?” … Can you help me understand what happened?” … I am curious, what do you think happened?” … What happened during the case?

49. CAHPS 101 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-03-fry.pdf
    February 25, 2019 - Patient Satisfaction 14 Experience • Whether something happened, or how often it happened • Frequency

50. Plan-Do-Study-Act Worksheet (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/pdsa-worksheet.pdf
    August 20, 2018 - Today’s Date: ________________________ DO What actually happened? … When: Team: Patients: Who will collect the evaluation data: Todays Date_2: What actually happened

51. Appendix B: Using a Comparison Group to Account for What Would Have Happened Without the Intervention | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/tools/pcmh/implement/appendix-b.html
    September 01, 2021 - Interventions: Some Practical Advice Appendix B: Using a Comparison Group to Account for What Would Have Happened … Detecting Meaningful Effects Appendix B: Using a Comparison Group to Account for What Would Have Happened … intervention or control group. b  The control group will then provide a good proxy of what would have happened

52. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Too few perioperative teams take the opportunity to learn how the defect happened at a systems level, … What happened? Provide a clear, thorough, and objective explanation of what happened. … What happened? Reconstruct the timeline and explain what happened. … Provide a clear, thorough, and objective explanation of what happened. Why did it happen? … What happened? Reconstruct the timeline and explain what happened.

53. About the CAHPS Patient Narratives Elicitation Protocol (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/administering_cg_narrative_items.pdf
    June 01, 2021 - Please explain what happened, how it happened, and how it felt to you Q4. … If so, please explain what happened, how it happened, and how it felt to you. … Please explain what happened, how it happened, and how it felt to you Q4. … If so, please explain what happened, how it happened, and how it felt to you. … four questions tend to focus primarily (though not exclusively) on events – that is, things that “happened

54. Understanding CAHPS® Surveys: A Primer for New Users - Fry (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/webinar-012220-fry.pdf
    February 06, 2020 - Patient Satisfaction Experience Satisfaction • Whether something happened, or how often it happened

55. PowerPoint Presentation: Learn From Defects for Sustainability
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
    December 01, 2017 - First question, what happened? … What Happened? … What Happened? … What happened that had a good outcome? … SAY: Armed with knowledge about what happened and why it happened, it’s time to build your interventions

56. 155-Performing-Premortem-Project-Assessment (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/155-performing-premortem-project-assessment.docx
    October 01, 2024 - They review what happened and say, “If we had only known that this was the reason that this project failed … They found that if you can look at an upcoming event as though it has already happened, it makes it easier … Ask your team: What could have happened? What could have gone wrong? … What could have happened? What can we do to keep it from happening?

57. Silence A Commentary | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/liability/silence.html
    August 01, 2017 - However, what compounds the pain is when you are not told the truth about what has happened to your loved … There are four things patients and families want after medical harm has occurred: tell us what happened … are going to fix the problem, take responsibility, and apologize. 1 First, when we say "Tell us what happened … Second, we need to know that what happened to our loved one is not going to happen to anyone else. … No one should ever have to wait that long to find out answers about what happened to their loved one,

58. Silence A Commentary | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/liability/silence.html
    August 01, 2017 - However, what compounds the pain is when you are not told the truth about what has happened to your loved … There are four things patients and families want after medical harm has occurred: tell us what happened … are going to fix the problem, take responsibility, and apologize. 1 First, when we say "Tell us what happened … Second, we need to know that what happened to our loved one is not going to happen to anyone else. … No one should ever have to wait that long to find out answers about what happened to their loved one,

59. Coaching Clinical Teams Module: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-fac-notes.html
    October 01, 2020 - Ideally, team members do this by reflecting on what has happened. … The question should express genuine curiosity about what happened. … "I am curious, what do you think happened?" "How did that make you feel?" … Can you help me understand what happened?" … I’m curious, what do you think happened?”

60. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Slide 11 Say: The Disclosure Checklist includes: What happened–identify the adverse … event early in the disclosure, explain what happened in a way that is easy to understand, explain what … is known about why the adverse event occurred, but DO NOT guess or assume anything about what happened … Tell the patient what should have happened. … This question is often a stand-in for "How could this have happened?"