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Total Results: 1,180 records

Showing results for "event".

101. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
     May 01, 2017 - Safety) (continued) Key Perinatal Safety Elements Examples for documentation of the rapid response event … General activation criteria: · An emergent or potentially emergent maternity care condition · An event … · Unit can decide its approach to debriefing events based on seriousness of event, expertise available … · Informal debriefings by clinical team immediately following event using an approach that does not … It also helps everyone understand why the event occurred and how it could be prevented in the future.

102. Resource List - AHRQ Hospital Survey (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
     April 01, 2023 - of event reporting, and ways event reports can be used to improve safety. … • Investigate and analyze an adverse event to learn from it and prevent future adverse events. … Staff can use this decision tree when analyzing an error or adverse event in an organization to help … identify how human factors and systemic issues contributed to the event. … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management 3.

103. What is the NPSD’s Role in Quality and Patient Safety? | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/npsd/quality-patient-safety/index.html
     August 01, 2020 - By aggregating data submitted in AHRQ’s Common Formats for Event Reporting (a standardized reporting

104. Assess Your Health Care Quality Reporting Project | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/talkingquality/assess/index.html
     September 01, 2019 - Project Reporting comparative quality information to consumers is typically not a one-time event

105. In Pandemic’s Wake, We Must Recommit to Patient and Workforce Safety | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/blog/ahrqviews/patient-workforce-safety.html
     March 01, 2023 - The event was attended by 800 people online and 200 in person—in my view a strong signal of consensus … I was glad for AHRQ to take the lead in organizing the November 14 event.

106. Communication is the most important leadership trait (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/leadership-communication.pdf
     January 01, 2018 - Belfer shared this anecdote during a recent Advisory Roundtable event convened by athenahealth. … “You cannot over-communicate for primary care physicians,” Belfer said at the event.

107. Patient Safety Awareness Week 2019 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
     July 01, 2022 - As the Nation's patient safety agency, AHRQ supports this event to increase awareness about patient safety

108. TeamSTEPPS 2.0 Module 4: Leading Teams
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule4.pptx
     March 10, 2006 - Now briefs are a strategy for sharing the plan when leading a team, and is done in advance of an event … So this is an opportunity before an event for the entire team to get together under the leadership of … And so when something changes or there's an event, it's getting the team together for a brief discussion … What event necessitated the need for the huddle? … And you want to discuss those things that you learned from the event that will actually make the plan

109. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
     September 01, 2014 - Partnership for Patients Hospital-Acquired Conditions Source Measure Adverse Drug Event … population, rather than as a rate for the subpopulation that has the opportunity to experience the adverse event … for each of the 21 HACs for all patients for which the MPSMS data are used, we multiply the adverse event … Final HAC Data (Finalized May 2012) (continued) 6 Ideally, we would have estimated the adverse event

110. AHRQ National Advisory Council to Meet Virtually on March 14 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsroom/press-releases/ahrq-nac.html
     March 01, 2024 - Closed captioning will be provided during this event.

111. Practice Improvement Initiatives | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/practiceimprovement/initiatives.html
     September 01, 2019 - Cardiac Rehabilitation Only 20 percent of the nearly one million Americans who experience a qualifying event

112. About the Toolkit Development | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
     July 01, 2023 - the 3.9 million births in the United States each year, 2 percent are estimated to involve an adverse event

113. Diagnostic Safety Grants Awarded in FY 2022 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/diagnostic-safety/research/grants-2022.html
     March 01, 2024 - Expand on our preliminary work in ambulatory care and analyze data from two national patient safety event … Integrate the taxonomy into currently deployed event reporting systems.

114. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
     July 01, 2018 - 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 … We are given feedback about changes put into place based on event reports. C3. … Number of Events Reported (No event reports, 1 to 2 event reports, 3 to 5 event report, 6 to 10 event … reports, 11 to 20 event reports, 21 event reports or more) G1.

115. AHRQ National Advisory Council to Meet Virtually on March 6 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsroom/press-releases/nac-meeting-mar6.html
     March 01, 2023 - Closed captioning will be provided during this event.

116. Principles Underlying CAHPS Surveys | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/cahps/about-cahps/principles/index.html
     January 01, 2020 - CAHPS reporting questions provide an explicit time frame (e.g., in the past six months) or event reference

117. Selected Best Practices and Suggestions for Improvement (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
     May 20, 2016 - 3 days of discharge ∗ Death associated with drug reaction ∗ Death associated with adverse drug event … • Find ways to prevent recurrence of the event if preventable. … • Recommendations are made to prevent recurrence of a similar event. … results are reviewed regularly (quarterly or biannually) to determine if there is any recurrence of the event

118. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
     May 01, 2017 - facilitating a safe delivery by offering logic and a clear focus during what can often be a chaotic event … · A unit can decide its approach to debriefing events based on seriousness of event, expertise available … · Informal debriefings by clinical team immediately following the event using an approach that does … prolapse diagnosis, awareness and monitoring of time since diagnosis, and discussing next steps in the event

119. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module3/slcommunication.html
     July 01, 2018 - **(JC Sentinel Event Data (Root Causes by Event Type) 2004-2012).

120. AHRQ National Advisory Council to Meet Virtually on November 17 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsroom/press-releases/nac-meeting-nov17.html
     November 01, 2022 - Closed captioning will be provided during this event.