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Total Results: 1,482 records

Showing results for "happened".

81. Learndefects (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
    June 02, 2025 - Provide a clear, thorough, and objective explanation of what happened. II. … What happened? Reconstruct the timeline and explain what happened.

82. About the CAHPS Patient Narratives Elicitation Protocol (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
    April 24, 2018 - Please explain what happened, how it happened, and how it felt to you. PN-4. … Please explain what happened, how it happened, and how it felt to you. PN-5. … Please explain what happened, how it happened, and how it felt to you. PN-4. … Please explain what happened, how it happened, and how it felt to you. PN-5. … Please explain what happened, how it happened, and how it felt to you. PN-4.

83. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/modules/identify/notes.html
    December 01, 2012 - What Happened? Slide 23. Why Did It Happen? Slide 24. … What happened? Step 1. Reconstruct the timeline to understand what happened. Step 2. … Return to Contents   Slide 22: What Happened? Do: Play the video. … What happened to the patient? [ D ] Select for Text Description . … Ask: According to the nurse, what happened?

84. Understand-Facilitator-Guide (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
    May 01, 2017 - When learning from defects, L&D unit teams identify— What happened? Why did it happen? … Analyzing what happened and why it happened helps the team understand the contributing factors and processes … What happened? Why did it happen? How will you reduce the risk of recurrence?

85. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/modules/identify/index.html
    July 01, 2018 - Video Segments What Happened? (43 sec.) Why Did It Happen? (34 sec.)

86. CUSP Videos | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/videos/index.html
    September 01, 2019 - Identifying and Ranking Defects What Happened? Why Did It Happen?

87. Exhibit 3. Reporting of patient safety events | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh3.html
    August 01, 2022 - In your own words, please describe what happened. ___________________________ (Collect open-ended narrative

88. Understand the Science of Safety for Perinatal Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
    May 01, 2017 - When learning from defects, L&D unit teams identify— • What happened? • Why did it happen? … Analyzing what happened and why it happened helps the team understand the contributing factors and … • What happened? • Why did it happen? • How will you reduce the risk of recurrence?

89. The Power of Patient Stories for Improving the Patient Experience webcast - Ginsberg (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/patient-narratives-webinar-ahrq.pdf
    June 02, 2025 - tools and products. 7 CAHPS surveys of patient experience of care Standardized surveys: What happened

90. Sensemakingnotes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
    June 02, 2025 - Defects identification CUSP asks unit staff to work through a defect and ask: · What happened? … The recovery side is completed when the event is a near-miss, that is, something that happened to stop … What happened? · Step 1. Reconstruct the timeline to understand what happened. · Step 2. … · What happened to the patient? Slide 22 DO: Play the video. … ASK: · According to the nurse, what happened?

91. 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/overview-cuspmvp-facguide.docx
    January 01, 2017 - So, what happened? It is not enough to simply understand what happened. … understand from the point of view of the people who were involved in the event—both staff and patients—what happened … By identifying how the defect happened, we get to the point where we can understand what system factors … contributed to defect occurrence and why it happened.

92. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
    February 01, 2017 - So, what happened?  It is not enough to simply understand what happened. … understand from the point of view of the people who were involved in the event—both staff and patients—what happened … By identifying how the defect happened, we get to the point where we can understand what system factors … contributed to defect occurrence and why it happened.

93. 114-Mrsa-Prevention-Learning-From-Defects (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
    October 01, 2024 - Provide a clear, thorough, and objective explanation of what happened. II. … What happened? In the space below, identify the MRSA infection or other event.

94. Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Welcome from AHRQ (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-ginsberg.pdf
    June 02, 2025 - established by other organizations 7 CAHPS Surveys • CAHPS surveys measure experience: ► What happened

95. Slide 1 (ppt file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/briefing-slides/Morning-Briefing-and-Shadowing-July-12-2011-508.ppt
    January 01, 2011 - that day Night charge nurse Day charge nurse Morning Briefing Process Three simple questions What happened … What Happened Overnight That I Need to Know About?

96. 129-Ss-Blank-Lfd (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
    April 01, 2025 - Provide a clear, thorough, and objective explanation of what happened. II. … What Happened? Reconstruct the timeline and explain what happened.

97. Premortem Assessment | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mrsa-prevention/surgery/premortem-assessment.html
    April 01, 2025 - Ask your team: What could have happened? What could have gone wrong?

98. 6 Tk1 T6-Managing Resident And Family Expectations Final (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.docx
    October 01, 2016 - Has that ever happened to you? What happened? How did you handle it?

99. 6 Tk1 T6-Managing Resident And Family Expectations Final (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
    October 01, 2016 - • Has that ever happened to you? • What happened? • How did you handle it?

100. Staff Safety Assessment
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
     January 01, 2006 - What happened? 2. Why did it happen? 3. What will you do to reduce the risk of recurrence? 4. … What Happened? 22 Why Did It Happen? 23 What Will You Do To Reduce the Risk of Recurrence?