-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
June 01, 2021 - _________________
o What year was it or how old was the resident when the reaction happened? … taking when he or she had the reaction:
What year was it or how old was the resident when the reaction happened
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
June 01, 2021 - _________________
o What year was it or how old was the resident when the reaction happened? … taking when he or she had the reaction:
What year was it or how old was the resident when the reaction happened
-
psnet.ahrq.gov/node/44876/psn-pdf
February 10, 2016 - This analysis of the incident breaks down what happened
and explores how attention to mindfulness and
-
psnet.ahrq.gov/node/47335/psn-pdf
August 22, 2018 - whose daughter died from medical error and
the resistance she faced when trying to understand what happened
-
psnet.ahrq.gov/node/45455/psn-pdf
June 29, 2017 - Recommended best practices for error disclosure include being honest about what happened,
explicitly
-
psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
May 01, 2011 - jargon-free statement that an error occurred and a basic description of what the error was and why it happened … want their physician to apologize, which demonstrates that the physician genuinely cares about what happened … Patients especially value understanding how an error happened and how recurrences will be prevented, … error's cause and prevention may stimulate the physician to think more critically about why the error happened … Determining exactly how an error happened and formulating a plan for preventing recurrences can be especially
-
psnet.ahrq.gov/node/49450/psn-pdf
June 01, 2004 - jargon-free statement that an error
occurred and a basic description of what the error was and why it happened … want their physician to apologize, which demonstrates that the physician
genuinely cares about what happened … Patients especially value understanding how
an error happened and how recurrences will be prevented, … error's cause and prevention may
stimulate the physician to think more critically about why the error happened … Determining exactly how an error happened
and formulating a plan for preventing recurrences can be especially
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
April 01, 2022 - It requires ground truth of what actually happened and not presumptions about what might have happened … Remember to ask these four basic questions when considering a defect:
· What happened? … guide through the initial investigation for a defects analysis where the primary goal is to learn what happened … If your team created a process map, fishbone chart, or a drawing to illustrate what happened, use it … to map out what happened and include the "why" under each defect.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
April 01, 2022 - It requires ground truth of what actually happened and not presumptions about what might have happened … Remember to ask these four basic questions when considering a defect:
· What happened? … guide through the initial investigation for a defects analysis where the primary goal is to learn what happened … If your team created a process map, fishbone chart, or a drawing to illustrate what happened, use it … to map out what happened and include the "why" under each defect.
-
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
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
January 30, 2006 - 05.2 Page *
Page *
Simulation
Outcomes tend to be more quantifiable and answer the question “What happened … Sometimes referred to as measures of performance (MOPs)
Explain how and why certain outcomes may have happened … 05.2 Page *
Page *
Simulation
Phase 3
Debriefing
Introduce the debrief process
Describe what happened … learned
TEAMSTEPPS 05.2
Mod 1 05.2 Page *
Page *
Simulation
Description Phase
Recap of what happened … 05.2
Mod 1 05.2 Page *
Page *
Simulation
Analysis Phase
A systematic investigation of why things happened
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
January 30, 2006 - 05.2 Page *
Page *
Simulation
Outcomes tend to be more quantifiable and answer the question “What happened … Sometimes referred to as measures of performance (MOPs)
Explain how and why certain outcomes may have happened … 05.2 Page *
Page *
Simulation
Phase 3
Debriefing
Introduce the debrief process
Describe what happened … learned
TEAMSTEPPS 05.2
Mod 1 05.2 Page *
Page *
Simulation
Description Phase
Recap of what happened … 05.2
Mod 1 05.2 Page *
Page *
Simulation
Analysis Phase
A systematic investigation of why things happened
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
January 30, 2006 - 05.2 Page *
Page *
Simulation
Outcomes tend to be more quantifiable and answer the question “What happened … Sometimes referred to as measures of performance (MOPs)
Explain how and why certain outcomes may have happened … 05.2 Page *
Page *
Simulation
Phase 3
Debriefing
Introduce the debrief process
Describe what happened … learned
TEAMSTEPPS 05.2
Mod 1 05.2 Page *
Page *
Simulation
Description Phase
Recap of what happened … 05.2
Mod 1 05.2 Page *
Page *
Simulation
Analysis Phase
A systematic investigation of why things happened
-
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
January 30, 2006 - 05.2 Page *
Page *
Simulation
Outcomes tend to be more quantifiable and answer the question “What happened … Sometimes referred to as measures of performance (MOPs)
Explain how and why certain outcomes may have happened … 05.2 Page *
Page *
Simulation
Phase 3
Debriefing
Introduce the debrief process
Describe what happened … learned
TEAMSTEPPS 05.2
Mod 1 05.2 Page *
Page *
Simulation
Description Phase
Recap of what happened … 05.2
Mod 1 05.2 Page *
Page *
Simulation
Analysis Phase
A systematic investigation of why things happened
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
January 30, 2006 - 05.2 Page *
Page *
Simulation
Outcomes tend to be more quantifiable and answer the question “What happened … Sometimes referred to as measures of performance (MOPs)
Explain how and why certain outcomes may have happened … 05.2 Page *
Page *
Simulation
Phase 3
Debriefing
Introduce the debrief process
Describe what happened … learned
TEAMSTEPPS 05.2
Mod 1 05.2 Page *
Page *
Simulation
Description Phase
Recap of what happened … 05.2
Mod 1 05.2 Page *
Page *
Simulation
Analysis Phase
A systematic investigation of why things happened
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
January 30, 2006 - 05.2 Page *
Page *
Simulation
Outcomes tend to be more quantifiable and answer the question “What happened … Sometimes referred to as measures of performance (MOPs)
Explain how and why certain outcomes may have happened … 05.2 Page *
Page *
Simulation
Phase 3
Debriefing
Introduce the debrief process
Describe what happened … learned
TEAMSTEPPS 05.2
Mod 1 05.2 Page *
Page *
Simulation
Description Phase
Recap of what happened … 05.2
Mod 1 05.2 Page *
Page *
Simulation
Analysis Phase
A systematic investigation of why things happened
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/3_rachel_grob.pdf
June 25, 2014 - (past 12 months)
Positive experiences: 1 Question with
narrative guide (what happened, how did it … (past 12 months)
Positive experiences: 1 Question with narrative guide
(what happened, how did it happen
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/3_rachel_grob.pdf
June 25, 2014 - (past 12 months)
Positive experiences: 1 Question with
narrative guide (what happened, how did it … (past 12 months)
Positive experiences: 1 Question with narrative guide
(what happened, how did it happen
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/3_rachel_grob.pdf
June 25, 2014 - (past 12 months)
Positive experiences: 1 Question with
narrative guide (what happened, how did it … (past 12 months)
Positive experiences: 1 Question with narrative guide
(what happened, how did it happen
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/3_rachel_grob.pdf
June 25, 2014 - (past 12 months)
Positive experiences: 1 Question with
narrative guide (what happened, how did it … (past 12 months)
Positive experiences: 1 Question with narrative guide
(what happened, how did it happen