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Showing results for "happened".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866254/psn-pdf
    July 10, 2024 - consequences-whistle-blowing-integrative-review https://psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center

  2. CUSP Videos | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/videos/index.html
    September 01, 2019 - Identifying and Ranking Defects What Happened? Why Did It Happen?

  3. Exhibit 3. Reporting of patient safety events | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh3.html
    August 01, 2022 - In your own words, please describe what happened. ___________________________ (Collect open-ended narrative

  4. In Conversation with…John Banja, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
    February 01, 2006 - way to rationalize or excuse the error to avoid its disclosure), and second, if he does discuss what happened … Would you like me to tell you about what happened?" And let's assume she said yes. … Here are two possible answers—look around to see if anyone else saw what happened, then rub the scrape … .( 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;

  5. Log | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/log
    January 01, 2023 - recording information such as time, location, and personnel, and then a main column for recording what happened

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853247/psn-pdf
    September 06, 2023 - bearing-burden-black-mothers-america https://psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn

  7. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/identify/identify.html
    December 01, 2012 - What Happened? Slide 23. Why Did It Happen? Slide 24. … From Defects Return to Contents   Slide 21: Learning From Defects: Four Questions What happened … Return to Contents   Slide 22: What Happened?

  8. Duty to Disclose Someone Else's Error? | PSNet

    psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
    June 01, 2004 - with a patient or family when the error occurred elsewhere, and when there is uncertainty about what happened … place, the physicians at the initial hospital would take the lead on talking with parents about what happened … Listen and empathize throughout • Assess the patient's understanding of what happened • Identify … Explain the facts What happened? … • Identify the adverse event early in the disclosure • Explain what happened in a way that is easy

  9. The Power of Patient Stories for Improving the Patient Experience webcast - Ginsberg (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/patient-narratives-webinar-ahrq.pdf
    June 02, 2025 - tools and products. 7 CAHPS surveys of patient experience of care Standardized surveys: What happened

  10. In Conversation with...Diane Rydrych, MA | PSNet

    psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
    February 26, 2025 - We publish an annual report that shows the number of events that happened in each facility, the types … Once it happened and once the first report came out, I think everyone realized that it wasn't going to … there's a concern that the local paper is going to focus on you or target you because of something that happened … been less positive or targeted facilities a bit more, but even so, those worst-case scenarios haven't happened … I get calls sometimes from patients or family members when something really sad has happened to them

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864863/psn-pdf
    March 20, 2024 - girl-who-cried-pain-bias-against-women-treatment-pain https://psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37024/psn-pdf
    January 02, 2017 - describe the implementation of a nonpunitive reporting system at their hospital and the improvements that happened

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44917/psn-pdf
    November 30, 2016 - gather insights from staff, patients, and family members regarding what caused the failure and why it happened

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865595/psn-pdf
    January 01, 2024 - psnet.ahrq.gov/primer/maternal-safety https://psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43739/psn-pdf
    December 03, 2014 - The father's quest to understand what happened led to a comprehensive inquiry that revealed regulatory

  16. Understand the Science of Safety for Perinatal Safety (pdf file)

    www.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?

  17. Questions & Answers: The CAHPS Patient Narrative Elicitation Protocol (pdf file)

    www.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.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48129/psn-pdf
    August 14, 2019 - the author argues that the clinician and organization still have the responsibility to document what happened

  19. Sensemakingnotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
    June 02, 2025 - Defects identification CUSP asks 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. … · What happened to the patient? Slide 22 DO: Play the video. … ASK: · According to the nurse, what happened?

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44108/psn-pdf
    November 06, 2015 - highlights how insufficient transparency can prevent patients and their families from learning about what happened
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