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Showing results for "happened".

  1. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality

    healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Slide 11 Say: The Disclosure Checklist includes: What happened–identify the adverse … event early in the disclosure, explain what happened in a way that is easy to understand, explain what … is known about why the adverse event occurred, but DO NOT guess or assume anything about what happened … Tell the patient what should have happened. … This question is often a stand-in for "How could this have happened?"

  2. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality

    cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Slide 11 Say: The Disclosure Checklist includes: What happened–identify the adverse … event early in the disclosure, explain what happened in a way that is easy to understand, explain what … is known about why the adverse event occurred, but DO NOT guess or assume anything about what happened … Tell the patient what should have happened. … This question is often a stand-in for "How could this have happened?"

  3. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality

    monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Slide 11 Say: The Disclosure Checklist includes: What happened–identify the adverse … event early in the disclosure, explain what happened in a way that is easy to understand, explain what … is known about why the adverse event occurred, but DO NOT guess or assume anything about what happened … Tell the patient what should have happened. … This question is often a stand-in for "How could this have happened?"

  4. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality

    patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Slide 11 Say: The Disclosure Checklist includes: What happened–identify the adverse … event early in the disclosure, explain what happened in a way that is easy to understand, explain what … is known about why the adverse event occurred, but DO NOT guess or assume anything about what happened … Tell the patient what should have happened. … This question is often a stand-in for "How could this have happened?"

  5. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality

    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Slide 11 Say: The Disclosure Checklist includes: What happened–identify the adverse … event early in the disclosure, explain what happened in a way that is easy to understand, explain what … is known about why the adverse event occurred, but DO NOT guess or assume anything about what happened … Tell the patient what should have happened. … This question is often a stand-in for "How could this have happened?"

  6. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality

    talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Slide 11 Say: The Disclosure Checklist includes: What happened–identify the adverse … event early in the disclosure, explain what happened in a way that is easy to understand, explain what … is known about why the adverse event occurred, but DO NOT guess or assume anything about what happened … Tell the patient what should have happened. … This question is often a stand-in for "How could this have happened?"

  7. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality

    preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Slide 11 Say: The Disclosure Checklist includes: What happened–identify the adverse … event early in the disclosure, explain what happened in a way that is easy to understand, explain what … is known about why the adverse event occurred, but DO NOT guess or assume anything about what happened … Tell the patient what should have happened. … This question is often a stand-in for "How could this have happened?"

  8. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality

    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - Slide 11 Say: The Disclosure Checklist includes: What happened–identify the adverse … event early in the disclosure, explain what happened in a way that is easy to understand, explain what … is known about why the adverse event occurred, but DO NOT guess or assume anything about what happened … Tell the patient what should have happened. … This question is often a stand-in for "How could this have happened?"

  9. 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;

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866730/psn-pdf
    September 18, 2024 - Following adverse events, many patients and families welcome disclosure from their providers about what happened

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842779/psn-pdf
    January 12, 2011 - respond to disruptions, monitor their environment, anticipate future impacts, and learn from what happened

  12. 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

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854262/psn-pdf
    October 04, 2023 - towards-conceptualizing-patients-partners-health-systems-systematic-review-and-descriptive https://psnet.ahrq.gov/issue/what-happened-patient-safety

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851200/psn-pdf
    July 05, 2023 - Claims that the facility purposely sought to hide information that the suicide happened were unsubstantiated

  15. 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

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47159/psn-pdf
    August 01, 2018 - frequently referred to as Safety-I, involved responding to adverse events and near misses after they happened

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34677/psn-pdf
    February 09, 2011 - Patients wanted disclosure of all harmful errors, why the errors happened, and how recurrences would

  18. Using Simulation in TeamSTEPPS Training: Classroom Slides | Agency for Healthcare Research and Quality

    pcmh.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 share … Return to Top   Analysis Phase A systematic investigation of why things happened in the scenario

  19. Using Simulation in TeamSTEPPS Training: Classroom Slides | Agency for Healthcare Research and Quality

    pbrn.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 share … Return to Top   Analysis Phase A systematic investigation of why things happened in the scenario

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33651/psn-pdf
    June 01, 2007 - 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 … 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
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