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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
January 01, 2013 - For those
patients who had a
readmission or a post-
discharge ED visit, the time
interval to this event
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
April 01, 2019 - of Overuse
Primary headache experienced by a child, especially when recurrent, can be a stressful event … In addition, lumbar puncture was a rare event (documented in 1 percent of claims among
children meeting
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/mod6-care-for-caregiver-guide.pdf
April 01, 2016 - that these tiers of support are provided to caregivers after they have in been involved in an adverse event
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supln-slides.pdf
January 24, 2024 - lower left-hand corner.
4
Technical Assistance
If you have technical questions during the
event
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-technicalspecs.pdf
May 01, 2016 - Event/Diagnosis CT imaging studies of the head (Table IMG1) for the evaluation of atraumatic
headache
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-slides.pdf
December 31, 2022 - content of their
presentation with the exception of:
Amy Miller, MD, PhD, faculty for this educational event … using the EMR
experts will respond to questions
submitted in advance by persons
registering for the event … Please answer the survey questions as you leave the event today
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
May 30, 2008 - performance-shaping factors and child-specific risk factors by
2
applying different accident category/event … The fail points are categorized
according to the type of event, using the categories, performance-shaping … care processes in both hospital-based and ambulatory medical
care.5
Step 3.1: Accident categories/event … Accident categories/event types
1. … Anatomy of a
patient safety event. A taxonomy for pediatric patient
safety.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/introducing-cahps-child-hospital-survey-transcript.pdf
January 01, 2015 - Zema (opening), Slide 12
There are also a number of event materials that are available and you can click … like to thank our speakers and the CAHPS User Network, and I welcome you to join us at a future CAHPS
event
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
January 01, 2003 - public attention on the issue of patient safety and highlighted the need for
better data on adverse event … information collected for other purposes tend to provide a more
complete description of the adverse event … Not surprisingly, most of these systems have produced
adverse event reports at rates substantially lower … In the event of a question, the physicians
reviewed the entire medical record for the patient admission … due to
operations or
procedures
48.0% 50.3% 44.9% 40.3%
% of Adverse
event or medical
injury
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
January 01, 2024 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/ncepcr/tools/confid-report/three-strategies.html
February 01, 2016 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/welcome-guides/preprofessional-students.html
June 01, 2023 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3-2.html
October 01, 2013 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
January 01, 2017 - Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Ventilator-Associated Event … Surveillance
SAY:
This module will focus on ventilator-associated event surveillance and how it can … Type text] [Type text]
AHRQ Safety Program for
Mechanically Ventilated Patients
Ventilator-Associated Event … Surveillance results can give providers a way to monitor and improve this care by connecting the dots from the event … unit staff can spend time focusing on what went wrong and how to fix it rather than debate whether the event
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-transcript.doc
October 08, 2013 - So, you can see then that this graph obviously shows you that event reporting is clearly a strength for … improve reporting is that the frontline worker feels as if they get feedback about what happens to event … if you do not give people feedback about what happens with event reports, and if you do not engage them … in the process of understanding those event reports. … So, if we take an example, when an event is reported, it feels like the person is being written up, not
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module4/igleadership.pdf
March 10, 2014 - DISCUSSION:
• What event necessitated the need for the huddle? … Debriefs include:
• Accurate recounting and documentation of key events;
• Analysis of why the event … Debriefs can be a brief (about 3 minutes or less) team event,
typically initiated and facilitated by … preprocedure briefing checklist
– Included the patient in the “timeout”
– Held debrief to recap event … Use of these tools leads to gaining a shared model
or understanding of a situation or event (i.e., shared
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
January 01, 2003 - To make matters worse, in
the case of an unexpected and potentially life-threatening event, the cognitive … on fast pattern
recognition processes or on slow, cognitively demanding problem analysis.
3
o Event … An expanded event horizon is available, and the subjective time
pressure is less than at the lower levels … Data/event integration
• Marking events as an explanation
for changes in vital signs. … Information, such as event markers and
trend data, often is either not available or not easily accessible
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
March 05, 2008 - • Cumbersome event reporting system for physicians (a user-friendly format already existed
for nurses … throughout
the hospital—is an increase in the number of staff who know how to report a near miss or actual
event … rounds,
members of Team Safety noticed that few staff members knew how to report a near miss or
actual event … Is there anything that could be done to prevent
the next adverse event or to address your safety concern
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
March 25, 2008 - Reviewer recognizes each documented event during review.
Error is attributed correctly. … Observer correctly attributes event as error. … , “improvements” intended to decrease
the risk of patient harm might only prevent the same adverse event … then the patient
might be discharged without accurate documentation and coding to reflect the harm event … ratios
are used in epidemiology and medical literature to represent the likelihood of a disease or event
-
ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.html
March 01, 2017 - while having an indwelling urinary catheter in place or removed within the 2 calendar days prior to the event … References:
Adapted from Centers for Disease Control and Prevention (CDC), Urinary Tract Infection (UTI) Event