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Showing results for "happened".

61. 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

62. 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

63. 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?”

64. 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?

65. 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?”

66. 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?

67. Chapter 1. Background | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
    August 01, 2022 - What happened? Was the problem reported? To whom? … What happened when the problem was reported? What caused the patient safety event to happen?

68. 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?

69. 023-Ss-Cusp-Learning-From-Defects-Fg (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
    April 01, 2025 - What happened? 2. Why did it happen? 3. … Slide 7 Question One—What Happened? … Slide 8 Learning From Defects 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 systemwide: · What happened?

70. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
    June 01, 2021 - Decision Making 11 Changing the System 11 Problems Are Opportunities To Improve 12 What happened … Learning From Antibiotic-Associated Adverse Events Form Changing the System 12 What Happened? … Explain what happened. Put yourself in the place of those involved. Try to understand.

71. Administering the CAHPS Child Hospital Narrative Item Set (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/administering-child-hcahps-narrative-items.pdf
    November 01, 2023 - s hospital stay can be an intense experience; please take as much time as you need to tell us what happened … Please explain what happened, how it happened, and how it felt. H-PN2. … Please explain what happened, how it happened, and how it felt. H-PN3.

72. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/090-decolonization-implementation.pptx
    April 01, 2025 - Surgical Services Decolonization Implementation 10 Case Example: Learning From Defects Tool What happened … MRSA Prevention | Surgical Services Decolonization Implementation 12 Cardiac Case Example—1 What Happened … Prevention | Surgical Services Decolonization Implementation 15 Neuro-Spine Surgery Case Example—1 What Happened … Prevention | Surgical Services Decolonization Implementation 18 Orthopedic Surgery Case Example—1 What Happened

73. Learning-From-Antibiotic-Adverse (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
    June 01, 2021 - (What happened?) Step 2. … (What happened?) 2.

74. How CAHPS Surveys Measure Patient Experience | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/news-and-events/podcasts/measure-patient-experience-podcast.html
    March 01, 2017 - Measuring patient satisfaction tells you how patients feel about their care, but not what actually happened … care setting—something such as clear communication with a provider—actually did happen or how often it happened … Because CAHPS survey questions focus on whether or not something specific happened in a health care setting

75. CAHPS Elicitation Protocol Webcast (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-schlesinger.pdf
    January 01, 2017 - Please explain what happened, how it happened, and how it felt to you. 4. … Please explain what happened, how it happened, and how it felt to you. 5.

76. Learning From Defects
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
    April 01, 2025 - Four Questions The following four questions help teams address and prevent defects systemwide: What happened … Safety Program for MRSA Prevention | Surgical Services Learning From Defects 7 Question One What Happened … for MRSA Prevention | Surgical Services Learning From Defects Learning From Defects Process: What Happened … The following four questions help teams analyze and prevent defects: What happened?

77. AHRQ Safety Program for MRSA Prevention
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/002-cusp-learning-defects.pptx
    October 01, 2024 - Questions The following four questions help teams address and prevent defects system-wide: What happened … AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Learning From Defects 7 Question 1 What Happened … AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Learning From Defects LFD Process: What Happened … The following four questions help teams analyze and prevent defects: What happened?

78. Approach to Residents With Reported Penicillin Allergy (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
    June 01, 2021 - _________________ o What year was it or how old was the resident when the reaction happened? … taking when he or she had the reaction: What year was it or how old was the resident when the reaction happened

79. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
    August 01, 2022 - What happened during the handoff? … Was there anything that happened during the handoff that may have contributed to the event?  

80. AHRQ’s Primary-Care Related Data Resources | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/data-resources/index.html
    September 01, 2024 - CAHPS surveys measure what actually happened, or how often something happened to the patient in a healthcare