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Showing results for "event".

101. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
     November 03, 2022 - • Common Format for Event Reporting – Diagnostic Safety o AHRQ released the Common Formats for Event … The Event Description, Users’ Guide and Glossary, and Form are all available here. … IHS • Enhanced Adverse Event Reporting Capabilities o IHS Safety Tracking and Response (I-STAR) is deployed … improvement project to better identify and facilitate the reporting of diagnostic errors through voluntary event

102. Overview of TAKEheart Training Curriculum & Resources | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/takeheart/training/index.html
     February 01, 2023 - Select to view a recording of the webinar, the slides, and an event summary .  … Select to view a recording of the webinar, the slides, and an event summary . … Select to access a recording of the webinar, slides, and the event summary of the materials . … Select to access a recording of the webinar, slides, and the event summary of the materials . … Select to access a recording of the webinar, slides, and the event summary of the materials .

103. Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
     June 01, 2023 - The Challenge: Most studies eliciting patient experience with medical errors focus on the adverse event … The focus of questions is on the immediate antecedents and outcomes of the adverse event. … is that the ways patients and clinicians interact in the aftermath of that event go unreported. … Exacerbated harms associated with the adverse event. … But only 14 percent more reported such an event from 2 to 5 years before the survey (less than half of

104. I. Introduction | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/intro1.html
     May 01, 2016 - Importantly, none of these events were documented in the hospital’s adverse event reporting systems. … Similarly, Weingart and colleagues, studying adverse event reports from ambulatory oncology patients, … reporting systems, measures must be taken to ensure that event reporting is acceptable to patients. … At Dana-Farber Cancer Institute, for example, a proposal to collect patient event reports was initially … Appendix C is the Operations Manual, which contains the consumer event reporting forms, surveys, Web

105. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
     May 01, 2011 - to the event; whether or to whom an event was reported; what happened when an event was reported; and …  What caused the patient safety event to happen?  Where did the patient safety event happen? … report the event. … to the event; whether or to whom an event was reported; what happened when an event was reported; and … These prompts will be designed to capture the type of event (e.g., harm event, no harm event, close

106. Best Practices for Administering SOPS® Surveys Users (Webcast): Introduction (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-intro.pdf
     January 24, 2024 - PM ET Webcast Technical Info • Audio issues • Poor Connection • Use Q&A to submit questions • Event … events.westat.com/sops ► Download presentation slides and view the agenda and speaker bios on our event … site • Event recording and slides will also be available soon at https://www.ahrq.gov/sops/events/

107. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
     January 01, 2004 - To be this inclusive, each event may be assigned multiple codes within each axis. … of an event characteristic as defined by the construct groupings. … event type Axis 3.2 Event location(s) Axis 3.3 Intent of event Axis 3.4 Activities leading … up to event Axis 3.5 Event cause(s) Domain 4: Participants Axis 4.2 Involved participant(s … Organization of event reporting data for sense making and system improvement.

108. Data Submission Dashboard (xls file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2023.xlsx
     January 01, 2023 - tables include distributions of events and unsafe conditions reported by PSOs using Common Formats for Event … Common Formats Version DS_3 Percentage of Total Reports by Report Type DS_4 Percentage of Event … DS_5 DS_5: Percentage of Event Type by Common Formats Version Event Type Version Frequency Percentage

109. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
     April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems 135 Lessons Learned … from the Evolution of Mandatory Adverse Event Reporting Systems Ellen Flink, C. … NYPORTS is in compliance with JCAHO’s sentinel event reporting system. … Using administrative data to improve compliance with mandatory State event reporting. … Sentinel event statistics.

110. Taxonomic Guidance for Remedial Actions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
     December 23, 2004 - to the actions that led to the event. … The first box that fits the event establishes the classification for that event. … This new taxonomy does not assume that an event under study begins with an initiating event, but rather … Most often, removing any one of the factors might prevent the event. … The first tier looks for the origin of the event.

111. Facilitator's Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/simulation/traininggd.html
     July 01, 2016 - 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 … Each event set should include only one trigger event to avoid introducing too many variables and making … Explain that each slide can be chunked into two event sets, with one trigger for each event set. … Event set with trigger and distracters.

112. Slide 1 (ppt file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
     January 30, 2006 - TEAMSTEPPS 05.2 Mod 1 05.2 Page * Page * Simulation Objectives To know and be able to apply the Event … TEAMSTEPPS 05.2 Mod 1 05.2 Page * Page * Simulation Define Event Sets Event sets are the building … sets Provides more than one opportunity to demonstrate behaviors Creates reliability Each event set … should not include more than one trigger event Event sets can be created by breaking a clinical procedure … Don’t ask too much; you won’t like what you get Rule of thumb: Have a key event every 1 to 2 minutes

113. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
     August 01, 2022 - Organizational Buy-in and Support Module 3: Preparing for Implementation: Gap Analysis Module 4: Event … Reporting, Event Investigation and Analysis Analysis Module 5: Response and Disclosure Module 6: … Generally, the CANDOR process begins with identification of an event that involves harm. … This activates initiation of coordinated post-event processes, as depicted below and described in the … Investigate and analyze an adverse event to learn from it and prevent future adverse events.

114. Sample Disaster Preparedness Letter to Families (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nursing-home/resources/letter-emergency-contact.docx
     May 12, 2022 - health, safety, and dignity of your loved one and are committed to protecting our residents in the event … we can contact during an emergency to share our plans for sheltering in place or evacuation in the event … We would discuss this option further with you while we prepare for such an event. … Please complete the information below for our records so we know how best to proceed in the event of

115. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Mazur (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-unc-webcast-mazur.pdf
     January 08, 2020 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … E A L T H C A R E S Y S T E M U N C H E A L T H C A R E Implementation of an Event … C A R E U N C H E A L T H C A R E Good Catch – Broad Definition A condition defect event … Celebrate improvement activities, rewards & recognition, • Lead by example Implementation of an Event

116. Event Investigation and Analysis Guide: Appendix B | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
     August 01, 2022 - Patient Safety Resources by Setting Hospital Hospital Resources CANDOR Event … Patient Safety News and Events Education & Training Resources Event … Investigation and Analysis Guide: Appendix B Detailed Review Timeline Event Type: Individuals … Timeline of Event: March 12, 2014 (0900) RN#1 received report from ED on patient Mrs. … Page last reviewed August 2022 Page originally created April 2016 Internet Citation: Event

117. IV. Evaluation Aims, Methods, and Results | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/eval4.html
     May 01, 2016 - report and classifies the event(s) described within it by event type, harm scale, and duration of harm … If each of these 45 visitors had completed the event reporting form, the hotline would have received … The first page of the event reporting form requires potential reporters to indicate whether they are … Patient Event Reports During the 17 months of operation from February 2014 through June 2015, only … For comparison, spontaneous reporting from hospital-based adverse event reporting systems for health

118. Hospital Survey on Patient Safety (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
     June 09, 2016 - Instructions This survey asks for your opinions about patient safety issues, medical error, and event … · An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless … When an event is reported, it feels like the person is being written up, not the problem (1 (2 (3 … No event reports ( d. 6 to 10 event reports ( b. 1 to 2 event reports ( e. 11 to 20 event reports … ( c. 3 to 5 event reports ( f. 21 event reports or more SECTION H: Background Information This

119. Hospital Survey on Patient Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
     December 22, 2017 - • An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless … When an event is reported, it feels like the person is being written up, not the problem ......... … We are given feedback about changes put into place based on event reports ......................... … No event reports  d. 6 to 10 event reports  b. 1 to 2 event reports  e. 11 to 20 event reports  … c. 3 to 5 event reports  f. 21 event reports or more SECTION H: Background Information This information

120. Hospital Survey on Patient Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
     March 22, 2017 - • An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless … When an event is reported, it feels like the person is being written up, not the problem ......... … We are given feedback about changes put into place based on event reports ......................... … No event reports  d. 6 to 10 event reports  b. 1 to 2 event reports  e. 11 to 20 event reports  … c. 3 to 5 event reports  f. 21 event reports or more SECTION H: Background Information This information