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Total Results: 2,150 records

Showing results for "happened".

81. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
    July 01, 2023 - 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?

82. TeamSTEPPS 2.0 Course Management Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/teamstepps/instructor/essentials/coursemgmtappd.html
    June 01, 2019 - Incorporate only vignettes and examples from events that actually happened. … What has happened up to this point? What do you think about what happened?

83. Establishing a Program of In Situ Simulations: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
    July 01, 2023 - Slide 18: Debriefing: Describe What Happened Say: The next step in the debrief process is to describe … what happened. … Slide 19: Debriefing: Describe What Happened Say: It is important for the facilitator to empathize … In discussing why things happened in the scenario as they did, the team should focus on critical aspects … They can explain how and why certain outcomes may have happened "Was the decision made right (correctly

84. 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.)

85. Engage the Team and Applying CUSP in the ICU Setting Slides (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
    April 01, 2022 - It requires ground truth of what actually happened and not presumptions about what might have happened … Remember to ask these four basic questions when considering a defect: · What happened? … guide through the initial investigation for a defects analysis where the primary goal is to learn what happened … If your team created a process map, fishbone chart, or a drawing to illustrate what happened, use it … to map out what happened and include the "why" under each defect.

86. Slide 1 (ppt file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
    January 30, 2006 - 05.2 Page * Page * Simulation Outcomes tend to be more quantifiable and answer the question “What happened … Sometimes referred to as measures of performance (MOPs) Explain how and why certain outcomes may have happened … 05.2 Page * Page * Simulation Phase 3 Debriefing Introduce the debrief process Describe what happened … learned TEAMSTEPPS 05.2 Mod 1 05.2 Page * Page * Simulation Description Phase Recap of what happened … 05.2 Mod 1 05.2 Page * Page * Simulation Analysis Phase A systematic investigation of why things happened

87. Public Reporting of Patients' Comments with Quality Measures: How Can We Make It Work? (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/3_rachel_grob.pdf
    June 25, 2014 - (past 12 months) Positive experiences: 1 Question with narrative guide (what happened, how did it … (past 12 months) Positive experiences: 1 Question with narrative guide (what happened, how did it happen

88. Mod5-Comm-Assessment (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
    April 01, 2016 - ■ Information is glossed over; minimal information is provided about what happened. … We will be looking into all of our documentation from this care to determine exactly what happened so … We need to carefully look at each step to see what happened exactly, so I do not want to give you false … I will make sure that as we find out what happened you are both made aware. … We also don’t know right now if she has suffered any injury from what happened, but we will check her

89. Facilitator's Notes (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/teamstepps/simulation/traininggd1.html
    July 01, 2016 - They are the results of an individual's or team's performance and answer the questions “What happened … four steps, which you will cover in depth: (1) Introducing the debrief process, (2) Describing what happened … To describe what happened during the simulation, you can show a videotape, provide a description, or … Explain that this phase entails a systematic investigation of why things happened in the scenario. … Push the team to go beyond just describing what happened.

90. Learn from Defects Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
    December 01, 2012 - Provide a clear, thorough, and objective explanation of what happened. … Investigation process What happened? Reconstruct the timeline and explain what happened.

91. Using Simulation in TeamSTEPPS Training: Classroom Slides | Agency for Healthcare Research and Quality
    www.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
    June 01, 2019 -   Decide What to Measure Outcomes tend to be more quantifiable and answer the question "What happened … Explain how and why certain outcomes may have happened ("Was the decision made right?" … Describe what happened. Conduct an analysis of performance. Identify lessons learned. … Return to Top   Description Phase Recap of what happened in the scenario Team members … Return to Top   Analysis Phase A systematic investigation of why things happened in the

92. 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

93. 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?

94. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
    January 01, 2024 - another, address issues of blame and responsibility, reconcile conflicting perspectives about what happened … Sharing the team’s emotional situation, such as “we just feel terrible about what happened to you.” … Saying we’re sorry Expression of regret, remorse, or sympathy (“We’re sorry this happened to you”; “I … The choices were, “Volunteer that I was sorry,” “I am sorry about what happened,” or “I am sorry you … ...it's sort of a system error, but we both feel personally very sorry for what happened. 8 3:18 min

95. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
    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?

96. 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?

97. 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?

98. 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.

99. 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
    May 23, 2022 - tools and products. 7 CAHPS surveys of patient experience of care Standardized surveys: What happened

100. Learndefects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
     August 08, 2012 - Provide a clear, thorough, and objective explanation of what happened. II. … What happened? Reconstruct the timeline and explain what happened.