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1. Mod4-Event-Checklist (pdf file)
   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.

2. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
   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

3. Operational-Adjustments-Event-Summary (pdf file)
   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

4. CAUTI Event Reporting Tool (doc file)
   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

5. CLABSI Event Reporting Tool (doc file)
   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

6. Innovations-Improve-Cr-Event-Summary (pdf file)
   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

7. Mod4-System-Focused-Event-Guide (pdf file)
   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?

8. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
   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.

9. CANDOR Event Checklist | Agency for Healthcare Research and Quality
   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.

10. Event Reporting and Learning System Leads to Improvements in Patient Safety Culture (Webcast) | Agency for Healthcare Research and Quality
    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

11. Vaccine Adverse Event Reporting System Reporting Form | Agency for Healthcare Research and Quality
    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  

12. Event-Summary-Leveraging-Data-Enhance-Cr-Program (pdf file)
    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,

13. Event-Summary-Details-Maximizing-Physician-Buy-In (pdf file)
    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

14. Dashboard Information | Agency for Healthcare Research and Quality
    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

15. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
    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.

16. Voluntary Adverse Event Reporting in Rural Hospitals (pdf file)
    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.

17. National Healthcare Safety Network (NHSN) Laboratory-Identified Event (LabID Event): Surveillance for C. difficile Infection (CDI) and Drug-Resistant Organisms (MDROs) | Agency for Healthcare Research and Quality
    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).

18. Notification of Adverse Event: Video | Agency for Healthcare Research and Quality
    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

19. NPSD Dashboards | Agency for Healthcare Research and Quality
    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

20. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
    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.