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Total Results: 1,482 records

Showing results for "happened".

41. 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

42. 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 02, 2025 - 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

43. 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.

44. 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

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. CAHPS 101 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-03-fry.pdf
    June 02, 2025 - Patient Satisfaction 14 Experience • Whether something happened, or how often it happened • Frequency

47. 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.

48. 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

49. 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
    June 02, 2025 - Patient Satisfaction Experience Satisfaction • Whether something happened, or how often it happened

50. 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?”

51. 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?

52. 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?"

53. 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,

54. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
    December 01, 2017 - The first question is, what happened? … Slide 9 What Happened? ASK: What happened? SAY: We recommend walking the process. … Slide 10 What Happened? ASK: Who was involved? What were the actions? … What happened that actually may have helped ameliorate the situation? … SAY: Armed with knowledge about what happened and why it happened, it’s time to build your interventions

55. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
    December 01, 2017 - The first question is, what happened? … Slide 10: What Happened? Ask: What happened? Say: We recommend walking the process. … Slide 11: What Happened? Ask: Who was involved? What were the actions?  … What happened that actually may have helped ameliorate the situation? … Say: Armed with knowledge about what happened and why it happened, it’s time to build your interventions

56. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
    August 21, 2015 - What happened exactly? What are the implications for the patient’s health? Why did it happen? … Module 5 12 The Disclosure Checklist includes: What happened–identify the adverse event early in the … 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?”

57. Coaching-Facnotes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-facnotes.docx
    May 01, 2017 - 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?”

58. 109-Performing-Premortem-Project-Assessment-Fg (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/109-performing-premortem-project-assessment-fg.docx
    April 01, 2025 - 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?

59. Morning Briefing and Shadowing (Slide Presentation) | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing-slides/slides.html
    October 01, 2014 - What Happened Overnight That I Need to Know? Slide 9. Where Should Rounds Begin? Slide 10. … Morning Briefing Process   Three simple questions What happened overnight that I need to know … What Happened Overnight That I Need to Know About?

60. 004-Cusp-Learning-From-Defects (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
    October 01, 2024 - What happened? 2. Why did it happen? 3. … Slide 7 What Happened? … Slide 8 LFD Process: What Happened? … SAY: To fully understand what happened, everyone involved should be considered and interviewed. … The following four questions help teams address and prevent defects system-wide: · What happened?