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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
April 01, 2016 - CANDOR Event Checklist
Communication and Optimal Resolution Toolkit
CANDOR Process Steps
Event Report … Receipt of Report
How report was received:
■ Hotline: Enter event report via the institution’s event … ■ Advise care providers on appropriate medical record documentation post event. … Event Review
■ Schedule in-person interviews of key staff. … ■ Enter all information in the hospital event reporting system.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - of the event are imperative. … information on the event. … all the steps involved in event reporting, including;
How the event was reported. … After initial reporting of the event, the CANDOR Response Team responds to the location of the event … Providing guidance on how to report an event, including requested patient information, where the event
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdf
July 02, 2020 - Operational Adjustments while Resuming In-Person Cardiac
Rehabilitation Programs
July 2, 2020
Event … curtailed due to the pandemic
• Format: A moderated panel discussion with five peers and the 120 event … LPN, CCCC Comanche County Memorial Health in Lawton, OK
Slides and a recording of the event … Overall Event Themes:
• Capacity Reduction: In general, cardiac rehabilitation programs have reduced … Patient Reflections (from Event Chat)
Consider forming or using your patient advisory board to get
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting.docx
April 01, 2022 - CAUTI Event Reporting Tool
CLABSI Event Report Tool: Data for Event Analysis
This event report template … In addition, the data gathered from multiple CLABSI event investigations can and should be aggregated … Lastly, do not wait too far out to complete the event report tool as it may be difficult to fill in the … AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
CLABSI Event Report
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting.docx
April 01, 2022 - CLABSI Event Reporting Tool
CAUTI Event Report Tool: Data for Event Analysis
This event report tool … In addition, the data gathered from multiple CAUTI event investigations can and should be aggregated … Lastly, do not wait too far out to complete the event report tool as it may be difficult to fill in the … Preventing CLABSI and CAUTI
AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI
CAUTI Event
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/innovations-improve-cr-event-summary.pdf
May 20, 2021 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS … Format • A moderated panel discussion with four panelists, with additional input
from the 131 event … EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 2
OVERALL EVENT THEMES … Additional Details
Event slides and a recording of the event provide additional details that complement … The event slides and recording are available online at: TAKEheart.ahrq.gov
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
April 01, 2016 - The sole objective of the event
investigation and analysis of an adverse
event or near miss is the … Principles of an Event Review
In other safety critical industries, event reviews are highly routinized … event Occurs at:
■ 30 days
■ 60 days
■ 90 days
6 – System-Focused Event Investigation and Analysis … that led up to the event.
6. … Culture ■ Was this event placed in the patient safety
event reporting system?
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Principles of an Event Review
In other safety critical industries, event reviews are highly routinized … The most effective event investigation and analyses are conducted as quickly as possible after the event … that led up to the event. … stakeholders to understand the event. … No reinvestigation of the event.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
August 01, 2022 - Enter event report via the institution's event reporting system. … Assess event for potential harm based on report/cursory electronic medical record review. … Advise care providers on appropriate medical record documentation post event. … Event Review
Schedule in-person interviews of key staff. … Enter all information in the hospital event reporting system.
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ce.effectivehealthcare.ahrq.gov/sops/events/webinars/unc-improvement-stories/index.html
February 01, 2024 - Español
FAQs
Home
SOPS®
SOPS Webcasts
Event … Webcasts
SOPS Announcements
International Users
Contact SOPS
Event … Transcript
Summary
On Wednesday, December 18, 2019, AHRQ hosted a webcast that highlighted an event … Building on this initial success, UNCMC embarked on a journey to improve the event reporting system and … YouTube embedded video: https://www.youtube-nocookie.com/embed/CJeMuRmkZoE
Implementation of an Event
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ce.effectivehealthcare.ahrq.gov/nursing-home/resources/vaccine-adverse-event-reporting.html
August 01, 2022 - Nursing Home COVID-19 Action Network
Resources Catalog
Vaccine Adverse Event … Resources Catalog
News
Best Practice Summaries
Vaccine Adverse Event … Reporting System Reporting Form
Resource: Vaccine Adverse Event Reporting System Reporting … August 2022
Page originally created August 2022
Internet Citation: Vaccine Adverse Event … https://www.ahrq.gov/nursing-home/resources/vaccine-adverse-event-reporting.html
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-leveraging-data-enhance-cr-program.pdf
November 12, 2020 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS … Format • A moderated panel discussion with two panelists, with additional input from
the 120 event … EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 2
ASSESSING THE CURRENT … PROGRAM
OPERATION
STATUS AT-A-GLANCE
Current State Level of Uncertainty
Participants in this event … OVERALL EVENT THEMES
• Data access:
In order to maximize CR enrollment and successful completion,
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-details-maximizing-physician-buy-in.pdf
June 16, 2022 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS … Format • A moderated panel discussion with three panelists, with additional input
from over 70 event … System Director, Cardiac
Rehabilitation, Lee Health
Resource Link Slides and a recording of the event … EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 2
OVERALL EVENT THEMES … EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 3
DISCUSSION HIGHLIGHTS
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ce.effectivehealthcare.ahrq.gov/npsd/data/dashboard/info.html
June 01, 2019 - Reporting – Hospital Version (CFER-H) definitions of Adverse Events, i.e., the Common Formats Event … The event-specific modules provide additional and more detailed information about the following nine … The text of the NPSD Dashboards has been formatted to assist readers to better understand event types … Near miss: An event that did not reach a patient. … Unsafe condition: Any circumstance that increases the probability of a patient safety event; includes
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
August 01, 2022 - (s) involved in the event. … The reliving of the event is also known as a "tripping" or "triggering" event and can occur when the … The event might produce feelings of internal inadequacy, either because the event occurred or because … the post-event period. … , not just the details of the event.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
January 01, 2007 - Voluntary Adverse Event Reporting in Rural Hospitals
Voluntary Adverse Event Reporting in Rural Hospitals … The final list of event categories with definitions resulted from combination of similar
event types … Event categories with <2 percent frequency are not
shown. … Event Rates in Participating Hospitals
Figure 1. … was not proportional to the risk of an event.
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ce.effectivehealthcare.ahrq.gov/nursing-home/resources/nhsn-lab-id-event.html
April 01, 2022 - Resources Catalog
National Healthcare Safety Network (NHSN) Laboratory-Identified Event … (LabID Event): Surveillance for C. difficile Infection (CDI) and Drug-Resistant Organisms (MDROs) … Resource: National Healthcare Safety Network (NHSN) Laboratory-identified Event (LabID Event): … 2022
Internet Citation: National Healthcare Safety Network (NHSN) Laboratory-Identified Event … (LabID Event): Surveillance for C. difficile Infection (CDI) and Drug-Resistant Organisms (MDROs).
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/videos/notification.html
August 01, 2022 - Setting
Hospital
Hospital Resources
CANDOR
Notification of Adverse Event … and Events
Education & Training
Resources
Notification of Adverse Event … This video demonstrates an example of caregivers notifying the CANDOR team of an adverse event. … 2022
Page originally created April 2016
Internet Citation: Notification of Adverse Event
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ce.effectivehealthcare.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - reports and event-specific dashboards that describe in greater depth specific safety events such as … The dashboard charts detail event type, report type by event type, extent of harm by event type, event … originated, and stage of process where event originated by residual harm to the patient.
… originated, and stage of process where event originated by residual harm to the patient.
… or Other Substance events, including description of substance event, stage event originated, and type
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - A CANDOR event is an event that involves unexpected patient harm. … cause of a harm event. … the event. … Say:
More information on Event Identification and Reporting of a CANDOR event will be discussed in … Resolution of the event can only occur after Event Investigation and Analysis has been completed.