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Total Results: 712 records

Showing results for "happened".

41. Talking With Residents and Family Members About Lower Respiratory Tract Infections (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-RTI.pdf
    June 01, 2021 - Last time this happened, the doctor prescribed an antibiotic and she got better.

42. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.qualitymeasures.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?

43. DESC Technique for Conflict With Residents and Families (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/DESC-technique.pdf
    June 01, 2021 - She is not acting like herself today, and the last time this happened, someone told you she had a UTI

44. Improving Patient Safety Culture to Provide Safer Care
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-august2016.pptx
    January 01, 2016 - TeamSTEPPS® Improving Patient Safety Culture Slide ‹#› CUSP Tool #3: Learning From Defects What happened … and record what happened Study: How do the results compare to your prediction?

45. Fallpxtool5A (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5a.docx
    January 29, 2013 - witnessed Make a clear distinction between what was seen or heard and the patient’s account of what happened

46. Learn-From-Defects-Facilitator-Guide (doc file)
    www.qualitymeasures.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.

47. Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care (pdf file)
    www.qualitymeasures.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?

48. What is Patient Experience and How Does CAHPS Measure It? (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/primer-patient-experience.pdf
    January 31, 2022 - Patient experience refers to what happened in a health care setting.

49. Job Aid: “Last 10 Patients” Chart Audit (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-last10-patients-audit.pdf
    May 18, 2021 - ago, care may not reflect current processes, and clinicians and staff may not be able to recall what happened

50. New Mexico IMPaCT: Catalyzing Community Health Transformation in Kansas (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-ks-success-story.pdf
    April 01, 2015 - “We were motivated by collaborations that had happened between the University of New Mexico and New … cooperative extension folks at Kansas State to develop collaborations, which is not something that had happened

51. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    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.

52. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
    www.qualitymeasures.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?    

53. Pf-Engagement-Facilitator-Guide (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
    May 01, 2017 - Providers communicate the facts of what happened and assure the patient and family that they will receive … A hospital committed to transparency offers an apology that the incident happened. … communicated to the patient and family: An apology for any unreasonable care An explanation of what happened

54. Changing-System-Facilitator-Guide (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
    June 01, 2021 - A simple way to put this approach into action is by asking four questions: · What happened? … Slide 12 What Happened? SAY: Let’s first consider what happened to our resident.

55. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - 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.

56. Engage the Team and Applying CUSP in the ICU Setting Facilitator Guide
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-slides.pptx
    April 01, 2022 - Defects13 1 2 3 4 AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI Applying CUSP ׀ 13 What happened … AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI Applying CUSP ׀ 14 Understand Why Defect Happened

57. TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dx-journey-presenter-notes.pdf
    March 01, 2022 - We are still trying to make sense of everything that happened… Slide 5 Background – Joe Kane … This had happened a few times before as well and usually he would go to see Dr. … he had missed a few dialysis appointments, which resulted in the excess fluid, and that this had happened … that he had missed a few dialysis appointments, which resulted in the excess fluid, and that this had happened

58. New Mexico IMPaCT: Catalyzing Community Health Transformation in Kansas | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-ks-success-story.html
    April 01, 2015 - “We were motivated by collaborations that had happened between the University of New Mexico and New Mexico … cooperative extension folks at Kansas State to develop collaborations, which is not something that had happened

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

60. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
    January 01, 2018 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Facility Action Plan Template The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplis…