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Showing results for "happened".

381. 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

382. 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

383. Facilitator's Notes (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/simulation/traininggd1.html
     July 01, 2016 - They are the results of an individual's or team's performance and answer the questions “What happened … four steps, which you will cover in depth: (1) Introducing the debrief process, (2) Describing what happened … To describe what happened during the simulation, you can show a videotape, provide a description, or … Explain that this phase entails a systematic investigation of why things happened in the scenario. … Push the team to go beyond just describing what happened.

384. Coaching Clinical Teams Module: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-fac-notes.html
     October 01, 2020 - Ideally, team members do this by reflecting on what has happened. … The question should express genuine curiosity about what happened. … "I am curious, what do you think happened?" "How did that make you feel?" … Can you help me understand what happened?" … I’m curious, what do you think happened?”

385. Using Simulation in TeamSTEPPS Training: Classroom Slides | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
     June 01, 2019 -   Decide What to Measure Outcomes tend to be more quantifiable and answer the question "What happened … Explain how and why certain outcomes may have happened ("Was the decision made right?" … Describe what happened. Conduct an analysis of performance. Identify lessons learned. … Return to Top   Description Phase Recap of what happened in the scenario Team members … Return to Top   Analysis Phase A systematic investigation of why things happened in the

386. 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

387. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
     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?

388. 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?

389. 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

390. 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

391. 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

392. 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

393. 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

394. 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

395. 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?

396. 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.

397. Learning-From-Antibiotic-Adverse (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
     June 01, 2021 - (What happened?) Step 2. … (What happened?) 2.

398. Learning-From-Antibiotic-Adverse (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
     June 01, 2021 - (What happened?) Step 2. … (What happened?) 2.

399. 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

400. 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