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Showing results for "event".

41. Chartbook on Patient Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
    January 01, 2020 - TYPE, category of event (EVENT TYPE), and INITIAL REPORT DATE. … concern (CATEGORY ASSOCIATED WITH EVENT OR UNSAFE CONDITION [EVENT TYPE]) as a percentage of all EVENT … (Event Types) Report Type by Event Type Report Type by Event Type Report Type by Event Type (Data … Extent of Harm by Event Type (Data Table) Event Type by Extent of Harm Event Type by Extent of Harm … Originated Stage Event Originiated Stage Event Originated by Extent of Harm Stage Event Originiated

42. Exhibit 3. Reporting of patient safety events | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh3.html
    August 01, 2022 - Information about the event flows to system users: primary system audience of consumers; and other potential … Type of event: harm event, no harm event, near miss. … Event details: who, what, where, etc. (Use structured input in a common reporting format.) … Reporting can be at any time, during or after the event. … real-time reporting, but caution reporters that the system is not a substitute for calling 911 in the event

43. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - What Happens After a Patient Safety Event? … Medical Expenditures and Outcomes in Medicare 423 What Happens After a Patient Safety Event? … PSI refers to a patient safety event occurring. … , with $288 in extra outpatient payments attributable to the event (P < 0.05). … PSI refers to a patient safety event occurring.

44. Chapter 5 | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
    August 01, 2022 - Second, the system hub will interact with the health care facility where an event took place. … The event itself: the type of event; where (in the process of care) and when it occurred; who was involved … Narrative of event, including contributory factors. … These prompts will be designed to capture the type of event (e.g., harm event, no harm event, close call … Individuals will be able to submit reports at any time during or after the event.

45. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
    January 01, 2019 - Event-specific Reports The Common Formats include event-specific modules pertaining to nine patient … (EVENT ID); and the REPORT TYPE, category of event (EVENT TYPE), and INITIAL REPORT DATE. … of different EVENT TYPES. … concern (CATEGORY ASSOCIATED WITH EVENT OR UNSAFE CONDITION [EVENT TYPE]) as a percentage of all EVENT … Types) Report Type by Event Type Extent of Harm by Event Type Event Type by Extent of Harm Extent

46. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
    January 01, 2021 - TYPE, category of event (EVENT TYPE), and INITIAL REPORT DATE. … concern (CATEGORY ASSOCIATED WITH EVENT OR UNSAFE CONDITION [EVENT TYPE]) as a percentage of all EVENT … (Event Types) Report Type by Event Type Report Type by Event Type Report Type by Event Type (Data … Extent of Harm by Event Type (Data Table) Event Type by Extent of Harm Event Type by Extent of Harm … Originated Stage Event Originiated Stage Event Originated by Extent of Harm Stage Event Originiated

47. CommonSpirit Health Expands CANDOR Toolkit Across Entire Health System | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/202104.html
    October 01, 2021 - or potential adverse event, and officials estimate 85 patients were spared the additional harm of not … “It’s all about how to communicate an adverse event or a potential adverse event promptly and candidly … "Our goal is to notify the patient and family within 60 minutes of an event," Pelletreau explained. … When an unexpected event occurs, those situations are tracked by a core management team consisting of … “CANDOR is absolutely the right approach for all involved in an adverse event,” Pelletreau said.

48. Chapter 3. Description of Methods | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
    August 01, 2022 - , and communication or coordination issues that contributed to the event. … from the time the event occurred ("real time") to well after the event, once they have had time to heal … A total of 74 patient safety event reporting systems were identified. … had a family member who had experienced a patient safety event. … the event.

49. Module 1: Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
    May 19, 2016 - Unsafe Condition Near Miss No Harm Event CANDOR Event Actual harm to patient Potential patient harm … A CANDOR event is an event that involves unexpected patient harm. … cause of a harm event. … the event. … of a CANDOR Event.

50. Final progress Report: Anticholinergics and Cognitive Decline in the Elderly with Depression (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
    January 01, 2024 - date Cases Controls Controls chosen at event date Event date for cases Anticholinergic use … were captured 30 days before the event date using Medicare Part D data. … days before the event date using Medicare Part D data. … As before, the earlier date of occurrence was considered the event date. … A fall is a major event in the life of an older person.

51. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
    May 01, 2011 - (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 … Responding to multiple “whys” about the event. Interacting with many different event responders. … the post-event period.

52. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
    May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians 353 Physician Event Reporting … and unsafe situations remains extremely low, despite the increased access to and use of electronic event … We implemented an electronic, Web-based event reporting system at five University of California medical … Our experience validates that of others; specifically, physician event reporting is a largely elusive … Change how event reporting systems are used Traditionally, event reporting was a way to warn institutional

53. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
    August 21, 2015 - and of the impact of the event on their care. … Within 60 minutes after the CANDOR event is identified. … What are the implications of the event for the patient’s health? Why did the event happen? … the system” for the event. … Can I see a copy of the event analysis?

54. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - event, etc.). … Descriptive Text About the Event Referencing COVID-19 Fall Event COVID-19 precautions cause a delay … Other Event Too many things do. … Details of Event or Unsafe Condition, and Contributing Factor(s) for Event were analyzed during a pilot … Number of Records by the Category(s) Associated with the Event or Unsafe Condition Category of Event

55. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
    January 01, 2004 - the event form to match the type of event being reported. … the event? … An electronic event management system can accommodate all parties who need to be aware of an event … Common understanding of event definitions. 1 2 3 4 2. … Consideration #5—Open Event Reporting NR U R VR 1.

56. C1 Prioritization Worksheet (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
    June 29, 2016 - Anticipated average cost for one case with this event The total annual cost of this event to … Anticipated average cost for one case with this event The total annual cost of this event to … Anticipated average cost for one case with this event The total annual cost of this event to … Anticipated average cost for one case with this event The total annual cost of this event to … Anticipated average cost for one case with this event The total annual cost of this event to

57. Mod5-Disclosure-Checklist (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
    April 01, 2016 - ■ Identify the adverse event early in the disclosure. … ■ Explain what is known about why the adverse event occurred; do not speculate. … ■ Tell the patient whether the adverse event was preventable, if known. … event. … ■ Consider ways to involve patients in post-event learning.

58. Learning-Antibiotic-Adverse-Events-Form (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx
    November 01, 2019 - Use Learning From Antibiotic-Associated Adverse Events An antibiotic-related adverse event … is any event or situation involving the prescription or administration of antibiotics that you would … Identify the antibiotic-associated adverse event. 2. … Identify the negative and positive factors associated with the adverse event. … Adverse Event Negative Factor Positive Factor Patient Factors (related to clinical or emotional

59. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/identify/notes.html
    December 01, 2012 - into a near-miss event. … of "why's" to reach the root causes of the event. … the event from reaching the patient. … Harm that did not happen—No harm event. Event did not reach the patient—Near-miss event. … The tree is an interpretation of the event.

60. Chapter 4. Results and Key Findings | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
    August 01, 2022 - What caused the patient safety event to happen? Where did the patient safety event happen? … What impact did the patient safety event have? … What were the consequences of the patient safety event? … to the event; whether or to whom an event was reported; what happened when an event was reported; and … the impacts or consequences of the event.