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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - They happened behind closed doors, and we did not talk about them much. … They saw that a group of people got together to discuss what
happened, but then frontline staff would … not know what happened after that. … There are three basic
questions we use all the time: “What happened?” “Why did it happen?” … In RCA2,
we use the Five Whys to ask why this event happened and create causal chains.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/155-performing-premortem-project-assessment.docx
October 01, 2024 - They review what happened and say, “If we had only known that this was the reason that this project failed … They found that if you can look at an upcoming event as though it has already happened, it makes it easier … Ask your team: What could have happened? What could have gone wrong? … What could have happened? What can we do to keep it from happening?
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www.ahrq.gov/patient-safety/resources/liability/silence.html
August 01, 2017 - However, what compounds the pain is when you are not told the truth about what has happened to your loved … There are four things patients and families want after medical harm has occurred: tell us what happened … are going to fix the problem, take responsibility, and apologize. 1 First, when we say "Tell us what happened … Second, we need to know that what happened to our loved one is not going to happen to anyone else. … No one should ever have to wait that long to find out answers about what happened to their loved one,
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www.ahrq.gov/patient-safety/reports/liability/silence.html
August 01, 2017 - However, what compounds the pain is when you are not told the truth about what has happened to your loved … There are four things patients and families want after medical harm has occurred: tell us what happened … are going to fix the problem, take responsibility, and apologize. 1 First, when we say "Tell us what happened … Second, we need to know that what happened to our loved one is not going to happen to anyone else. … No one should ever have to wait that long to find out answers about what happened to their loved one,
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/patient-narratives-webinar-quality.pdf
May 23, 2022 - Please explain what happened, how it
happened, and how it felt to you.
4. … Please explain what happened, how it
happened, and how it felt to you.
5.
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cahps.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
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healthcare411.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
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monahrq.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
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talkingquality.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
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patientregistry.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
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teamstepps.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
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ahrqpubs.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
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www.cpsi.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
-
www.cahps.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
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www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
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www.innovations.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
-
www.monahrq.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
-
www.healthcare411.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
-
www.talkingquality.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.
-
ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-narrative-items-cg-survey40-adult.html
July 01, 2021 - Please explain what happened, how it happened, and how it felt to you.
After C-PN2
C-PN4. … If so, please explain what happened, how it happened, and how it felt to you.