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Total Results: 2,566 records

Showing results for "event".

181. Patient Safety Awareness Week 2020 | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
     December 01, 2023 - As the Nation's patient safety agency, AHRQ supports this event to increase awareness about patient safety

182. AHRQ National Advisory Council to Meet Virtually on July 14 | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsroom/press-releases/national-advisory-meeting-july-14.html
     July 01, 2021 - Closed captioning will be provided during this event.

183. Rapid Response for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
     July 01, 2023 - responding and expectations for the response, uniform expectations for documentation of the rapid response event … An event that requires a team response. … The L&D unit can decide its approach to learning from defects based on seriousness of event, expertise

184. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
     May 01, 2017 - risk of hemorrhage, or patient preferences that may limit the use of blood and blood products in the event … · Unit can decide its approach to debriefing events based on seriousness of event, expertise available … · Informal debriefings by clinical team immediately following event should use an approach that does

185. Resource List - AHRQ Nursing Home Survey (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - Staff can use this decision tree when analyzing an error or adverse event in an organization to help … identify how human factors and systems issues contributed to the event. … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management http://www.ihi.org/ … Culture Just In Time Toolkits: Recipes for Staffing Transformation Leadership Response to a Sentinel Event … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management 4.

186. Patient and Family Engagement | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
     July 01, 2018 - How to communicate an adverse event to patients and family members.

187. AHRQ National Advisory Council to Meet Virtually on July 12 with 5 New Members | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsroom/press-releases/nac-meeting-july12.html
     July 01, 2023 - Closed captioning will be provided during this event.

188. TeamSTEPPS Implementation Guide | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/teamstepps/instructor/essentials/implguide.html
     November 01, 2018 - the need for a TeamSTEPPS Intervention could originate from a variety of sources, including adverse event … Available organizational data, (e.g., adverse event and near miss reports, AHRQ Patient Safety Culture … Action Plan required by the Joint Commission when the Action Plan is generated in response to a sentinel event

189. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/lepguide/lepguide.pdf
     September 01, 2012 - A legal financial settlement was negotiated shortly after the event. … Adverse event*: Any injury caused by medical care. … Identifying something as an adverse event does not imply “error,” “negligence,” or poor quality care … Never event**: The term “never event” refers to a particularly shocking medical error (such as wrong-site … Sentinal event data: root causes by type.

190. AHRQ National Advisory Council to Meet Virtually on July 21 with 7 New Members | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsroom/press-releases/nac-meeting-members.html
     July 01, 2022 - Closed captioning will be provided during this event.

191. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Calls And Hazardous Conditions https://psnet.ahrq.gov/resources/resource/32494 This new sentinel event … Staff can use this decision tree when analyzing an error or adverse event in an organization to help … identify how human factors and systemic issues contributed to the event. … news-and-multimedia/fact-sheets/facts-about-do- not-use-list/ In 2001, The Joint Commission issued a Sentinel Event

192. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
     cahps.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
     January 01, 2024 - The event-based data obtained from the Noldus Observer XT12 was transformed into time-based data that … alternatives while also informing multiple data analysis strategies, such as spaghetti diagrams and discrete-event … The 2-day, intensive event explored how different aspects of surgery center design impact patient safety … The event involved around 100 attendees, including advisory committee members, industry experts, designers … The goal of the event was to provide industry leaders with in-depth knowledge of surgical center design

193. Adverse Drug Events Occurring in U.S. Hospitals | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/data/infographics/adverse-drug-events.html
     August 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

194. Team Self-Correction to Enhance Performance
     cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-jan2015.pptx
     January 01, 2015 - TeamSTEPPS® Team Dimensional Training Slide ‹#› Developmental Active self-learning Tied to performance event … Page ‹#› TeamSTEPPS® Team Dimensional Training Slide ‹#› 35 Team member: “Half-way through the event

195. Ohio’s Fairfield Medical Center Uses AHRQ Resources to Promote Patient Safety | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsroom/case-studies/201529.html
     October 01, 2015 - The survey assesses staff perspectives on patient safety issues, medical errors, and event reporting.

196. Practice-Based Research Networks (PBRNs) | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
     September 01, 2018 - Effective approaches for facilitating patient self-management during a pandemic influenza event.

197. Limit Technical Information and Caveats in Quality Data Displays | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/talkingquality/translate/labels/limit-info.html
     November 01, 2018 - rule of not presenting caveats within a data display: when the measure is of a very rare but serious event

198. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
     August 01, 2022 - management of patient safety events by implementing processes that facilitate full disclosure of an adverse event

199. Agency for Healthcare Research and Quality | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/cpi/about/mission/ahrq-fy2015-conf-spending.html
     January 01, 2016 - knowledge, resources and research outcomes to the health services research community that attended the event

200. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
     January 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …