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Showing results for "happened".

  1. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
    July 01, 2023 - 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. … An explanation of what happened. A meaningful discussion of projected outcomes.

  2. New Mexico IMPaCT: Catalyzing Community Health Transformation in Kansas | Agency for Healthcare Research and Quality

    www.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

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49425/psn-pdf
    November 01, 2003 - manufacturer and presented in similar packaging, it may be slightly easier to understand how the error happened … medication, found that patients wanted disclosure of all harmful errors and sought information about what happened … physicians disclosed the adverse event, they often avoided stating that an error had occurred, why it happened

  4. DESC Technique for Conflict With Residents and Families (pdf file)

    www.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

  5. Misread Label | PSNet

    psnet.ahrq.gov/web-mm/misread-label
    August 28, 2024 - manufacturer and presented in similar packaging, it may be slightly easier to understand how the error happened … medication, found that patients wanted disclosure of all harmful errors and sought information about what happened … physicians disclosed the adverse event, they often avoided stating that an error had occurred, why it happened

  6. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
    May 01, 2011 - I started to doubt myself… I thought maybe if I’d have done something another way, it wouldn’t have happened … anonymous second-victim: “Every single day for months, I’d walk in and think, ‘Everyone knows what happened … Develop understanding of what happened. Support individual(s) involved in event. … High-acuity areas have little time to integrate what has happened. Intense fear of the unknown. … Having time to integrate what has happened, especially in high-acuity areas such as emergency departments

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840174/psn-pdf
    August 28, 2024 - He confirmed that she understood what happened, including the miscommunication among operating room … patient’s death, she may have wondered about the facts of his care, possibly misinterpreting what happened … should also be reassured that a root cause analysis (RCA) will be carried out to determine exactly what happened … that is a good time to ask the widow to tell the attendees about her husband as they likely know what happened … conversation.html The latter explanation is particularly important, as most families want to know that what happened

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41993/psn-pdf
    April 21, 2015 - available, and 97% of participants reported that they would want the checklist used if one of these crises happened

  9. Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care (pdf file)

    www.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?

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73145/psn-pdf
    April 28, 2021 - If there has been an infection, they will use that visit to go back and work out what happened, as the … When you go back and say, “well, what happened here,” it acts as another safeguard and allows us to … When a PD patient gets peritonitis, nearly every time you can trace back and figure out what happened … That is some of the troubleshooting and evaluation we do to try to figure out what could have happened … What has happened, as I referenced before, is that the advent of Bluetooth technology has lessened the

  11. Missed CANDOR Implementation Opportunities. | PSNet

    psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
    November 11, 2020 - He confirmed that she understood what happened, including the miscommunication among operating room team … the patient’s death, she may have wondered about the facts of his care, possibly misinterpreting what happened … also be reassured that a root cause analysis (RCA) will be carried out to determine exactly what happened … that is a good time to ask the widow to tell the attendees about her husband as they likely know what happened … The latter explanation is particularly important, as most families want to know that what happened to

  12. 110-Ss-Lfd-Sample (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
    April 01, 2025 - Provide a clear, thorough, and objective explanation of what happened. II. … What Happened? Reconstruct the timeline and explain what happened.

  13. Learning From Defects | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/learning-from-defects.html
    October 01, 2024 - There are four key questions in the CUSP Learning From Defects process: What happened?

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44626/psn-pdf
    November 04, 2015 - The process begins with a preliminary investigation into what happened and who was involved, followed

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36836/psn-pdf
    January 29, 2015 - Their objectives included understanding what happened in Bristol, assessing the quality of care and

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33857/psn-pdf
    July 01, 2012 - Had that not happened, what do you think the history of that intellectual and policy argument would have … DB: I don't think anything would have happened for many years thereafter. … RW: Some have made the argument that it might have happened a bit more slowly, but it would have happened … because of the value pressures and it might have happened more organically, for better or worse. … The wide use of patient portals would never have happened without Meaningful Use requirements because

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49858/psn-pdf
    April 01, 2019 - What Happened on Telemetry? April 1, 2019 Sandau KE, Funk M. What Happened on Telemetry? … https://psnet.ahrq.gov/web-mm/what-happened-telemetry Case Objectives Describe current hospital practices … https://psnet.ahrq.gov/web-mm/what-happened-telemetry Continuous monitoring of a patient's electrocardiographic … The nurse manager for the unit led a root cause analysis to determine what had happened.

  18. Conducting a Morning Briefing | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
    December 01, 2012 - Briefing process What happened overnight that I need to know about?

  19. In Conversation With… David Blumenthal, MD, MPP | PSNet

    psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
    March 27, 2024 - Had that not happened, what do you think the history of that intellectual and policy argument would have … DB : I don't think anything would have happened for many years thereafter. … RW : Some have made the argument that it might have happened a bit more slowly, but it would have happened … because of the value pressures and it might have happened more organically, for better or worse. … The wide use of patient portals would never have happened without Meaningful Use requirements because

  20. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)

    www.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.
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