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www.qualitymeasures.ahrq.gov/takeheart/assessing/slide-presentation/index.html
August 01, 2023 - Slide Presentation
Beyond TAKEheart
What We Planned, What Happened … This PowerPoint Presentation explores what the AHRQ TAKEheart team planned from this project, what happened … AHRQ's Initiative To Increase Patient Participation in Cardiac Rehabilitation
What We Planned, What Happened … August 2023
Page originally created August 2023
Internet Citation: What We Planned, What Happened
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www.qualitymeasures.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.
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www.qualitymeasures.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.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects.docx
April 01, 2022 - This worksheet will help your team learn what happened, identify the factors that may have contributed … Record Number: ____________
Date of Birth: _______________
What Happened … In a brief description, document what happened from at least two different staff members. … control and nursing staff are recommended, but others on the team who can give clear descriptions of what happened … Summarize what happened to cause the defect by answering the following questions.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.docx
March 01, 2017 - What happened? (brief description)
2. Why did it happen? … negative factors
What happened to cause the defect?
3. What did we do to manage it?
4. … Has it happened again?
With whom will we share our learning?
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www.qualitymeasures.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
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects.pdf
April 01, 2022 - This worksheet will help your team learn what happened, identify
the factors that may have contributed … _______________________ Medical Record Number: ____________
Date of Birth: _______________
What Happened … In a brief description, document what happened from at least two different staff
members. … and nursing staff are recommended, but others on the team who can give
clear descriptions of what happened … Summarize what happened to cause the defect by
answering the following questions.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.docx
April 01, 2022 - This worksheet will help your team learn what happened, identify the factors that may have contributed … Record Number: ____________
Date of Birth: _______________
What Happened … The following questions will ask more details about what happened with the patient with documented CAUTI … Summarize what happened to cause the defect by answering the following questions.
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www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/item-sets/ch/suppl-narrative-items-child-hospital-survey.html
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. … Please explain what happened, how it happened, and how it felt.
After H-PN1
H-PN3.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/assessing/takeheart-summary-presentation.pptx
April 26, 2023 - AHRQ’s Initiative to Increase Patient Participation in Cardiac Rehabilitation
What We Planned, What Happened … evaluation/dissemination lead.
1
Overview
Part 1: Background
Part 2: Project Design
Part 3: What Happened … Part 4: Key Takeaways
Part 5: What’s Next
2
What happened includes:
What did and did not go as planned … go to there for project materials since we provided those to them directly by email
13
13
What Happened … :
Trainings/Support
15
Two months into the trainings, COVID happened.
15
COVID Forced a Pause
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-grob-narrative-elicitation-protocol.pdf
October 29, 2018 - 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.
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www.qualitymeasures.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.
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www.qualitymeasures.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.
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www.qualitymeasures.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.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.pdf
April 01, 2022 - This worksheet will help your team learn what happened, identify
the factors that may have contributed … _______________________ Medical Record Number: ____________
Date of Birth: _______________
What Happened … The following questions will ask more details about what happened with the patient
with documented … Summarize what happened to cause the defect
by answering the following questions.
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www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey30-adult.html
August 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.
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www.qualitymeasures.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?
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www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey30-child.html
August 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.
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www.qualitymeasures.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
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.html
March 01, 2017 - What happened? (brief description)
2. Why did it happen? … negative factors
What happened to cause the defect?
3. … Has it happened again?
With whom will we share our learning?