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Showing results for "happened".

101. When mistakes happen. | PSNet
     psnet.ahrq.gov/issue/when-mistakes-happen
     May 13, 2020 - Newspaper/Magazine Article When mistakes happen. Citation Text: When mistakes happen. Beck DL. ASH Clinical News. December 1, 2018. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin C…

102. Communication Assessment Guide: Appendix 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/ap2.html
     August 01, 2022 - Most of the content in conventional messages consists of a description of what happened and what the … 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 … 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

103. Coaching Clinical Teams Module | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-slides.html
     May 01, 2017 - Displays genuine curiosity and interest in what happened. … Can you help me understand what happened?" … Can you help me understand what happened?" … I am curious, what do you think happened?" … What happened during the case?

104. Disclosure Checklist | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
     August 01, 2022 - 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?   … 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

105. Disclosure Checklist | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
     August 01, 2022 - 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?   … 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

106. The Santa Barbara County Care Data Exchange: What Happened? | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/health-information-exchange-hie/santa-barbara
     January 01, 2007 - The Santa Barbara County Care Data Exchange: What Happened? …   5 Page Number:  w568-580 Epub 2007 Aug 1 Link:  The Santa Barbara County Care Data Exchange: What Happened

107. PowerPoint Presentation: Learn From Defects Through Sensemaking
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
     December 01, 2017 - What happened that prevented the defect? What happened that resulted in the defect? … What happened that had a bad outcome? What Happened? … Explain what happened. Make it visual. … Have participants explain what happened and why it happened. … Review what happened, why it happened, and what interventions were put in place.

108. Defects (doc file)
     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?

109. Defects (doc file)
     ce.effectivehealthcare.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?

110. Defects (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/defects.docx
     May 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?

111. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853240/psn-pdf
     September 06, 2023 - Debriefing after significant clinical events helps affected staff develop a shared mental model of what happened … , why it happened, and how it can be prevented in the future.

112. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
     February 01, 2017 - Slide 12: What Happened? Say: Select a defect to explore. … Explore both the reasoning and the emotions behind what happened. … Slide 13: What Happened? … Say: Next, move on to why the defect happened. … If your team created a process map or a drawing to illustrate what happened, use it to map out what happened

113. 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/learn-from-defects-facguide.docx
     January 01, 2017 - Slide 11 What Happened? SAY: Select a defect to explore. … Explore both the reasoning and the emotions behind what happened. … Slide 12 What Happened? … SAY: Next, move on to why the defect happened. … If your team created a process map or a drawing to illustrate what happened, use it to map out what happened

114. CAHPS Child Hospital Survey-Using Data and New Narrative Items - The Child HCAHPS Narrative Item Set (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-martino.pdf
     January 01, 2023 - Please explain what happened, how it happened, and how it felt. 2. … Please explain what happened, how it happened, and how it felt. 3.

115. HCBS CAHPS Survey Database: What You Need to Know - GINSBERG (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-ginsberg.pdf
     June 21, 2023 - experiences with their health care ► Patient experience vs patient satisfaction – whether something happened … or how often it happened vs how patient felt about a care encounter 8 CAHPS Program Activities

116. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - GINSBERG (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-ahrq.pdf
     January 01, 2021 - experiences with their health care ► Patient experience vs patient satisfaction – whether something happened … or how often it happened vs how patient felt about a care encounter 9 CAHPS Program Activities

117. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
     December 01, 2017 - What happened that prevented the defect? What happened that resulted in the defect? … Slide 13 What Happened? … Explain what happened. Make it visual. … Have participants explain what happened and why it happened. … Review what happened, why it happened, and what interventions were put in place.

118. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     December 01, 2017 - What happened that prevented the defect? What happened that resulted in the defect? … Slide 14: What Happened? … Explain what happened. Make it visual. … Have participants explain what happened and why it happened. … Review what happened, why it happened, and what interventions were put in place.

119. Implementation Guide Appendix J Coaching Tool Instructions and Observation Tool With Coaching Section (pdf file)
     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

120. Implementation Guide Appendix J Coaching Tool Instructions and Observation Tool With Coaching Section (pdf file)
     www.healthcare411.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