-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
June 01, 2021 - 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. … Please explain what happened, how it happened,
and how it felt to you. … 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.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-schlesinger.pdf
December 14, 2021 - Please explain what happened, how it
happened, and how it felt.
Q3. What could be better? … Please explain what happened, how it happened, and how it felt.
Q4. What was surprising? … Please explain what happened, how it happened, and
how it felt.
Q3: What went poorly? … Please explain what happened, how it happened,
and how it felt.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-j.pdf
April 13, 2017 - I am curious, what do you think happened?
How did that make you feel? … I wonder what you think happened? … I am curious, what do you think happened?
How did that make you feel? … I am curious, what do you think happened?
How did that make you feel? … I am curious, what do you think happened?
How did that make you feel?
Coaching Tool
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
April 01, 2016 - patient/family that the organization will conduct an Event Investigation and Analysis to
understand what happened … Listen and Empathize Throughout
■ Assess the patient’s/family’s understanding of what happened. … Explain the Facts
What happened?
■ Identify the adverse event early in the disclosure. … ■ Explain what happened in a way that is easy to understand. … If the Event Was Preventable (Due to Error)
■ Tell the patient/family what should have happened.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-demo-project.pdf
October 29, 2018 - Standard PG Survey
ADDITIONAL COMMENTS ABOUT THIS VISIT
Now that we have asked you to tell us about what happened … 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.
-
www.cpsi.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
-
www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-j.html
May 01, 2017 - I am curious, what do you think happened?
How did that make you feel? … I wonder what you think happened? … I am curious, what do you think happened?
How did that make you feel? … I am curious, what do you think happened?
How did that make you feel? … I am curious, what do you think happened?
How did that make you feel?
-
www.cpsi.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
-
www.cpsi.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,
-
www.cpsi.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
-
www.cpsi.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?
-
www.cpsi.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 share … Return to Top
Analysis Phase
A systematic investigation of why things happened in the scenario
-
www.cpsi.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.
-
www.cpsi.ahrq.gov/cahps/about-cahps/patient-experience/index.html
September 01, 2023 - something that should happen in a healthcare setting (such as clear communication with a provider) actually happened … or how often it happened.
-
www.cpsi.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.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/cahps-patient-narrative-elicitation-protocol-qa-03-01-2017.pdf
January 01, 2017 - 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.
-
www.cpsi.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?
-
www.cpsi.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?
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - Defects identification
CUSP asks L&D 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.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
October 01, 2018 - Because before understanding what has actually happened to a patient we need to know what it is that … We probe, please explain what happened, how it happened and how it felt to you in order to get that complete … And again please
explain what happened, how it happened and how it felt to you. … Is this something that happened once or is this
something that happens to you often? … And how did what happened get brought about?