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Total Results: 4,079 records

Showing results for "happened".

121. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33674/psn-pdf
     February 01, 2009 - That was appropriate when the adverse events just happened and they cost institutions more money to … So if the hospital is going to be tagged with an adverse event that happened at another place, that's … advance directives and other elements of complex care that take time, where the metric of whether it happened … Under the old payment system, when the adverse event happened, the hospital would get paid an extra … And I think that's happened.

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33627/psn-pdf
     February 01, 2006 - Here are two possible answers—look around to see if anyone else saw what happened, then rub the scrape … common reason patients sue is they felt it was the only way they could get information about what happened … .(5) The patient who later learns about what happened and suspects a "cover-up" is likely to become … We recommend a simple, four-step approach: (i) tell the patient what happened, using plain language;

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

124. AHRQ’s Primary-Care Related Data Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/data-resources/index.html
     September 01, 2024 - CAHPS surveys measure what actually happened, or how often something happened to the patient in a healthcare

125. Designing Digital Healthcare Technology to Support Cognitive Team Work in Pediatric Trauma Settings | Digital Healthcare Research
     digital.ahrq.gov/program-overview/research-stories/designing-digital-healthcare-technology-support-cognitive-team
     January 01, 2023 - Each needs to know what has happened: the initial incident, the current clinical condition including … has already arrived to the trauma bay and busy taking care of the child and asking them about what happened

126. 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

127. Learndefects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
     June 02, 2025 - Provide a clear, thorough, and objective explanation of what happened. II. … What happened? Reconstruct the timeline and explain what happened.

128. 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 - 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 … I am very sorry that this happened. 4 1:30 min MD-2 RN-0 MD: And I want to let you know that I am … ...it's sort of a system error, but we both feel personally very sorry for what happened. 8 3:18 min

129. 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.

130. 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.

131. 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?

132. 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?

133. Why Did It Happen? | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/videos/05h-why-did-happen/index.html
     June 01, 2018 - Why Did It Happen? CUSP Toolkit The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. Apply CUSP To Find Out W…

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33716/psn-pdf
     September 01, 2011 - you wouldn't want to do the whole aviation style, let's get the black box and find out exactly what happened … Because otherwise, you'll never really find out what happened and any resulting root cause analysis … We know that it's very difficult to track down what's happened if weeks to months have gone by. … and if you can identify them 6 months later, they're probably not going to remember a lot of what happened … They just want to let somebody know that something important happened, and if somebody in a position

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863766/psn-pdf
     March 06, 2024 - psnet.ahrq.gov/issue/racism-and-health https://psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn

136. 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.)

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49624/psn-pdf
     May 01, 2011 - with a patient or family when the error occurred elsewhere, and when there is uncertainty about what happened … , in which both the referring and accepting physicians talked together with the parents about what happened … Listen and empathize throughout • Assess the patient's understanding of what happened • Identify the … Explain the facts What happened? … • Identify the adverse event early in the disclosure • Explain what happened in a way that is easy to

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33710/psn-pdf
     May 01, 2011 - involved in the incident who feels in some way responsible and is emotionally traumatized by what happened … to provide clinical input at a time when the physician or nurse really needs help interpreting what happened … I think understanding what happened and what could have been done, or the lessons that might be learned … something of this nature, and several of them said that the person helped them to understand what happened … Rick Kidwell, our former hospital counsel, used to advise us to tell the patient what happened, be honest

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73498/psn-pdf
     July 14, 2021 - //psnet.ahrq.gov/issue/drug-error-eskenazi-hospital-killed-prominent-cancer-researcher-heres-how-it-happened

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860386/psn-pdf
     January 10, 2024 - Descriptions include knowing what has happened; learning from the factual; learning from experience;