-
www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Too few perioperative teams take the opportunity to learn how the defect happened at a systems level, … What happened? Provide a clear, thorough, and objective explanation of what happened. … What happened?
Reconstruct the timeline and explain what happened. … Provide a clear, thorough, and objective explanation of what happened.
Why did it happen? … What happened?
Reconstruct the timeline and explain what happened.
-
www.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
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/webinar-012220-fry.pdf
February 06, 2020 - Patient Satisfaction
Experience Satisfaction
• Whether something
happened, or how often it
happened
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
December 01, 2017 - First question, what happened? … What Happened? … What Happened? … What happened that had a good outcome? … SAY:
Armed with knowledge about what happened and why it happened, it’s time to build your interventions
-
ce.effectivehealthcare.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.
-
www.innovations.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.
-
www.cahps.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.
-
www.cpsi.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.
-
www.monahrq.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.
-
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.
-
www.healthcare411.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.
-
www.talkingquality.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.
-
healthcare411.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.
-
cahps.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.
-
monahrq.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.
-
pbrn.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.
-
pcmh.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.
-
patientregistry.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.
-
ahrqpubs.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.
-
talkingquality.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.