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Showing results for "event".

41. C1 Prioritization Worksheet (xls file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
    July 01, 2016 - disagree/low) Barrier Assessment (indicate Yes or No) Volume of Cases at Risk Cost of Single Event … G H I J K L M N O P Q R List of PSIs/IQIs/PDIs Own Rate National Comparator Annual volume of this event … Anticipated average cost for one case with this event The total annual cost of this event to our organization … Anticipated cost to investigate/ implement new process is less than annual cost of event Anticipated … with established organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event

42. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
    August 01, 2022 - Define a CANDOR event. Develop a measurement strategy. … Event Reporting, Investigation, and Analysis Team—responsible for reviewing the organization’s current … Slide 6 Say: A CANDOR event is defined as an event that involves unexpected harm (physical, … As the culture begins to change, the organization can start to expand the definition of a CANDOR event … and Event Investigation and Analysis.

43. Event Investigation and Analysis Guide: Appendix G | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apg.html
    August 01, 2022 - Patient Safety Resources by Setting Hospital Hospital Resources CANDOR Event … Patient Safety News and Events Education & Training Resources Event … Page last reviewed August 2022 Page originally created April 2016 Internet Citation: Event

44. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 01, 2022 - Overall, the QSRS will generate adverse event rates and trend performance over time. … The QSRS also: Offers an expanded array of adverse event measures, including ones related to opioid … standardized definitions and algorithms, consistent with those used by the AHRQ Common Formats for Event … This approach ensures that an event identified at one institution is the same as one identified elsewhere

45. St. Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/news/newsroom/case-studies/cquips1402.html
    January 01, 2014 - methods to improve communication about events, including new summaries from the hospital's voluntary event … The hospital also compiles quarterly summaries of entered event reports, which are discussed at a variety … Jude also modified its customized electronic event reporting system to improve its patient safety culture … of the patient care delivery system that contributed to the event. … Jude also streamlined the interface with a goal of making the time to enter an event report of 2 minutes

46. Event Investigation and Analysis Guide: Appendix A | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
    August 01, 2022 - Patient Safety Resources by Setting Hospital Hospital Resources CANDOR Event … Patient Safety News and Events Education & Training Resources Event … Event Summary:   The wrong concentration of potassium (K+) was used in the compounding of TPN. … Page last reviewed August 2022 Page originally created April 2016 Internet Citation: Event

47. Nursing Home Workplace Safety Resource List (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
    January 01, 2023 - /resources/patient-safety-topics/sentinel-event/sentinel- event-alert-newsletters/sentinel-event-alert … /sentinel-event-alert-newsletters/sentinel-event-alert-59-physical-and-verbal-violence-against-health-care-workers … https://www.jointcommission.org/resources/patient-safety-topics/sentinel-event/sentinel- event-alert-newsletters … /sentinel-event-alert-60-developing-a-reporting-culture-learning-from- close-calls-and-hazardous-condi … /sentinel-event-alert-newsletters/sentinel-event-alert-60-developing-a-reporting-culture-learning-from-close-calls-and-hazardous-condi

48. Training Guide: Using Simulation in TeamSTEPPS Training (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/traininggd-update.pdf
    February 01, 2011 - The Simulation Module for Assessment of Resident Targeted Event Responses (SMARTER) approach is an event-based … All event sets consist of a trigger—the condition under which the event becomes fully activated or the … (2) Each event set should include only one trigger event to avoid introducing too many variables and … Explain that each slide can be chunked into two event sets, with one trigger for each event set. … “Event-based approach to training (EBAT).”

49. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
    cahps.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - range of errors attributable to a wide range of root causes and resulting from a wide range of event … Ameliorating an event after an initial error requires an opportunity to catch the error by systems, … A final sample of 119 patient calls regarding a clinical concern was used to abstract event data for … We were able to code 88 event narratives that met our usual criteria for a reportable event using the … From these 88 events, we found that 62% involved a clinical event.

50. How Does the NPSD Work? | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/npsd/how-does-npsd-work/index.html
    February 01, 2024 - Patient Safety Organization Privacy Protection Center (PSOPPC) using the AHRQ Common Formats for Event … The AHRQ Common Formats for Event Reporting can be used to report patient safety concerns, a term that … Presently, data must comply with AHRQ's Common Formats for Event Reporting (CFER) in order to be accepted

51. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
    August 01, 2022 - Contents Scenario 1: Non-Clinical Situation, Group Project Scenario 2: Disclosure Immediately After Event … Scenario 3: Disclosure After Event Analysis Scenario 4: Disclosure After Event Analysis Scenario 1 … Return to Contents Scenario 2: Disclosure Immediately After Event Mary is a 39-year-old mother … Return to Contents Scenario 3: Disclosure After Event Analysis Adam, a 55 year-old male is admitted … Return to Contents Scenario 4: Disclosure After Event Analysis Alphonse, a 50 year-old CEO of a

52. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
    August 01, 2022 - that these tiers of support are provided to caregivers after they have in been involved in an adverse event … YES  NO       Adverse Event Investigation Process Is an adverse event policy in place? … Do you have an event investigation process clearly outlined? … available interventional support strategies for clinicians in the aftermath of an unanticipated clinical event … Providing supportive care following an unanticipated clinical event.

53. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
    August 01, 2022 - After the resolution of a CANDOR event, information is fed into an organization’s performance improvement … These may include a checklist to follow after an event. … Event Reporting, Investigation, and Analysis Team. Resolution Team. … Ask patients and family members to share their stories to put a human face on a harm event and engage … Think about a patient story involving a CANDOR event.

54. C1 Prioritization Matrix (xls file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
    July 01, 2016 - ) Barrier Assessment (indicate Yes or No) Q3/10-Q2/11 Volume of Cases at Risk Cost of Single Event … G H I J K L M N O P Q R List of PSIs/IQIs/PDIs Own Rate National Comparator Annual volume of this event … Anticipated average cost for one case with this event The total annual cost of this event to our organization … Anticipated cost to investigate/ implement new process is less than annual cost of event Anticipated … with established organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event

55. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
    August 01, 2022 - Does the hospital routinely use its REAL data to identify patient safety event disparities and establish … Is an attempt made to disclose within the first 24 hours following an adverse event? … Do staff have the opportunity to participate in event investigations and process improvement initiatives … Has an organized process to assess behavior related to the event been established? … Is supportive care provided to the caregiver within 24 hours of the event?

56. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
    August 01, 2022 - Does the hospital routinely use its patient REAL data to identify patient safety event disparities and … Is an attempt made to disclose within the first 24 hours following an adverse event?         … Do staff have the opportunity to participate in event investigations and process improvement initiatives … Has an organized process to assess behavior related to the event been established?         … Is supportive care provided to the caregiver within 24 hours of the event?        

57. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
    September 01, 2016 - One way to drive improved culture is to develop the norm of routine safety event reporting. … that encourage and facilitate patient safety Program Brief Network of Patient Safety Databases event … Several PSOs provide members a confidential analysis of patient safety event data, and provide forums … PSOs encourage voluntary patient safety event reporting by offering technical assistance and the … a series of calls to walk their members through procedures for efficiently and safely submitting event

58. Facilitator's Notes (continued) | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/teamstepps/simulation/traininggd1.html
    July 01, 2016 - Because the checklists are event-based and the scenarios are scripted in advance, the rater knows when … each event will occur and can direct his or her attention to the targeted responses. … A good rule is that they have a key event every 1 to 2 minutes of scenario time. (2 min.) … Remind participants that event-based methods involve more than just measurement. … Event-based methods involve good training design practices, good scenario design practices, and good

59. An Overview of the CANDOR Process
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
    August 20, 2015 - After the resolution of a CANDOR event, information is fed into an organization’s performance improvement … These may include a checklist to follow after an event.   … Communication Team Event Reporting, Investigation, and Analysis Team Resolution Team Identify CANDOR … Ask patients and family members to share their stories to put a human face on a harm event and engage … Think about a patient story involving a CANDOR event.

60. Mercy Health Uses AHRQ's Patient Safety Culture Survey and TeamSTEPPS® to Enhance Care | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/news/newsroom/case-studies/201411.html
    August 01, 2014 - In recent years, the survey findings have helped Mercy Health revamp its patient safety event reporting … system, develop event management guidelines, and decrease reportable events. … safety and quality activities at Mercy Health, including the following: Implementing SAFECARE, an event … reporting system that dramatically reduced the amount of time required to enter an event or near-miss