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Showing results for "happened".

61. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
    February 01, 2017 - Slide 12: What Happened? Say: Select a defect to explore. … Explore both the reasoning and the emotions behind what happened. … Slide 13: What Happened? … Say: Next, move on to why the defect happened. … If your team created a process map or a drawing to illustrate what happened, use it to map out what happened

62. Plan-Do-Study-Act Worksheet (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/pdsa-worksheet.pdf
    June 02, 2025 - Today’s Date: ________________________ DO What actually happened? … When: Team: Patients: Who will collect the evaluation data: Todays Date_2: What actually happened

63. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - What happened that prevented the defect? What happened that resulted in the defect? … Slide 14: What Happened? … Explain what happened. Make it visual. … Have participants explain what happened and why it happened. … Review what happened, why it happened, and what interventions were put in place.

64. CAHPS Child Hospital Survey-Using Data and New Narrative Items - The Child HCAHPS Narrative Item Set (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-martino.pdf
    January 01, 2023 - Please explain what happened, how it happened, and how it felt. 2. … Please explain what happened, how it happened, and how it felt. 3.

65. HCBS CAHPS Survey Database: What You Need to Know - GINSBERG (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-ginsberg.pdf
    June 02, 2025 - experiences with their health care ► Patient experience vs patient satisfaction – whether something happened … or how often it happened vs how patient felt about a care encounter 8 CAHPS Program Activities

66. Improving Communication and Teamwork in the Surgical Environment
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-slideset.pptx
    May 01, 2017 - “I am curious, what do you think happened?” “How did that make you feel?” … Can you help me understand what happened?” … Can you help me understand what happened?” … I am curious, what do you think happened?” … What happened during the case?

67. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
    January 01, 2017 - Slide 11 What Happened? SAY: Select a defect to explore. … Explore both the reasoning and the emotions behind what happened. … Slide 12 What Happened? … SAY: Next, move on to why the defect happened. … If your team created a process map or a drawing to illustrate what happened, use it to map out what happened

68. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - GINSBERG (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-ahrq.pdf
    January 01, 2021 - experiences with their health care ► Patient experience vs patient satisfaction – whether something happened … or how often it happened vs how patient felt about a care encounter 9 CAHPS Program Activities

69. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/853240/psn-pdf
    September 06, 2023 - Debriefing after significant clinical events helps affected staff develop a shared mental model of what happened … , why it happened, and how it can be prevented in the future.

70. CAHPS 101 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-03-fry.pdf
    June 02, 2025 - Patient Satisfaction 14 Experience • Whether something happened, or how often it happened • Frequency

71. How could this happen? | PSNet
    psnet.ahrq.gov/issue/how-could-happen
    September 19, 2007 - Newspaper/Magazine Article How could this happen? Citation Text: How could this happen? Westfall SS; Mascia K. People. October 5, 2009. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin…

72. When incidents happen. | PSNet
    psnet.ahrq.gov/issue/when-incidents-happen
    January 14, 2011 - Commentary When incidents happen. Citation Text: Newfield JS. When Incidents Happen. Home Health Care Manag Pract. 2006;18(5). doi:10.1177/1084822306287998. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33678/psn-pdf
    January 01, 2009 - You just went and told the patient what happened. … They protect the words, "I'm sorry," but they don't protect the statement about what happened. … Here's what we know about what happened, and what we've done to mitigate its impact on you. … I think an expression of regret about what happened at that point is also appropriate. … But that follow-up conversation usually is an opportunity to again explain what happened.

74. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - What happened that prevented the defect? What happened that resulted in the defect? … Slide 13 What Happened? … Explain what happened. Make it visual. … Have participants explain what happened and why it happened. … Review what happened, why it happened, and what interventions were put in place.

75. About the CAHPS Patient Narratives Elicitation Protocol (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/administering_cg_narrative_items.pdf
    June 01, 2021 - Please explain what happened, how it happened, and how it felt to you Q4. … If so, please explain what happened, how it happened, and how it felt to you. … Please explain what happened, how it happened, and how it felt to you Q4. … If so, please explain what happened, how it happened, and how it felt to you. … four questions tend to focus primarily (though not exclusively) on events – that is, things that “happened

76. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Too few perioperative teams take the opportunity to learn how the defect happened at a systems level, … What happened? Provide a clear, thorough, and objective explanation of what happened. … What happened? Reconstruct the timeline and explain what happened. … Provide a clear, thorough, and objective explanation of what happened. Why did it happen? … What happened? Reconstruct the timeline and explain what happened.

77. PowerPoint Presentation: Learn From Defects for Sustainability
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
    December 01, 2017 - First question, what happened? … What Happened? … What Happened? … What happened that had a good outcome? … SAY: Armed with knowledge about what happened and why it happened, it’s time to build your interventions

78. Understanding CAHPS® Surveys: A Primer for New Users - Fry (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/webinar-012220-fry.pdf
    June 02, 2025 - Patient Satisfaction Experience Satisfaction • Whether something happened, or how often it happened

79. Psn-Pdf (pdf file)
    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.

80. Coaching Clinical Teams Module: Facilitator Notes | Agency for Healthcare Research and Quality
    www.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?”