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Total Results: 1,180 records

Showing results for "event".

181. When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
     March 01, 2024 - AHRQ is committed to improving the consumer’s experience with healthcare and making this a rare event

182. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
     March 01, 2019 - According to sentinel event data compiled by the Joint Commission between 1995 and 2005, ineffective … Say: A call-out is a tactic used to communicate critical information during an emergent event. … It also benefits a recorder when present during a code or emergent event. … did the call-outs made by the nurse and intern aid the team during this emergent Labor and Delivery event

183. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
     July 01, 2023 - cases of perinatal death or permanent disability reported to The Joint Commission under its sentinel event-reporting … From Defects Say: A unit can decide its approach to debriefing events based on seriousness of event … Informal debriefings can be used by the clinical team immediately following a near miss or actual adverse event

184. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - Measures used to estimate the national HAC rate HAC Type Source Measure Adverse Drug Event MPSMS … Acquired Conditions MPSMS Femoral Artery Puncture for Catheter Angiographic Procedures MPSMS Adverse Event … Associated With Hip Joint Replacements MPSMS Adverse Event Associated With Knee Joint Replacements … for all patients for which the MPSMS data are used, we follow these steps: • Multiply the adverse event … Catheter Angiographic Procedures 22,075 0.74 15,907 0.53 9,118 0.31 15,176 0.51 MPSMS Adverse Event

185. AHRQ’s Research and Tools Help Transform Delivery of Primary Care | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/blog/ahrqviews/delivery-primary-care.html
     November 01, 2022 - prevent 5,800 cardiovascular events over the next 10 years, with $11,000 avoided expense per prevented event—a

186. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
     July 14, 2023 - • Common Formats for Event Reporting – Diagnostic Safety o Released the Common Formats for Event

187. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/pfp/hacrate2011-12.html
     January 01, 2018 - 32,750,000 Discharges— Based on 2010 Baseline) 2012 PFP Measured HACs per 1,000 Discharges Adverse Drug Event

188. Web Site Disclaimers | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/policy/electronic/disclaimers/index.html
     October 01, 2014 - In the event of authorized law enforcement investigations, and pursuant to any required legal process

189. Teamwork Perceptions Questionnaire (T-TPQ) | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/officebasedcare/handouts/teamperceptions.html
     December 01, 2015 - My supervisor/manager provides opportunities to discuss the team’s performance after an event.    

190. CAHPS Webcasts & Recent Events | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/cahps/news-and-events/events/index.html
     April 01, 2024 - SHARE: More topics in this section Consumer Assessment of Healthcare Providers and Systems (CAHPS)® About CAHPS Surveys and Guidance Supplemental Items Using CAHPS Surveys CAHPS Databases Webcasts & Recent Events Research Me…

191. AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
     August 01, 2022 - Promoting standardized data collection : In May, AHRQ released the Common Formats for Event Reporting

192. Rapidresponse Facguide (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
     May 01, 2017 - responding and expectations for the response, uniform expectations for documentation of the rapid response event … An event that requires a team response. … The L&D unit can decide its approach to learning from defects based on seriousness of event, expertise

193. Monitoring for Perinatal Safety: Electronic Fetal Monitoring (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
     May 01, 2017 - cases of perinatal death or permanent disability reported to The Joint Commission under its sentinel event-reporting … Monitoring 8 SAY: A unit can decide its approach to debriefing events based on seriousness of event … debriefings can be used by the clinical team immediately following a near miss or actual adverse event

194. Ldusafety Facguide (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
     May 01, 2017 - facilitating a safe delivery by offering logic and a clear focus during what can often be a chaotic event … risk of hemorrhage, or patient preferences that may limit the use of blood and blood products in the event … Fostering a culture that supports debriefing by the clinical team immediately after a near miss, an adverse event … episode of care. · A unit can decide its approach to debriefing events based on the seriousness of the event

195. Labor and Delivery Unit Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
     July 01, 2023 - facilitating a safe delivery by offering logic and a clear focus during what can often be a chaotic event … risk of hemorrhage, or patient preferences that may limit the use of blood and blood products in the event … Fostering a culture that supports debriefing by the clinical team immediately after a near miss, an adverse event … A unit can decide its approach to debriefing events based on the seriousness of the event, expertise

196. Implementing Automatic Referral | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/takeheart/training/implementing-automatic-referral/index.html
     April 01, 2023 - Recorded versions of these webinars as well as the accompanying slides and event summaries are available

197. FileNewTemplate
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
     March 01, 2010 - outcomes include: 50% reduction in the Weighted Adverse Outcome Score (WAOS), which describes the adverse event … decrease in the Severity Index, which measures the average severity of each delivery with an adverse event … decrease in the severity index, which measures the average severity of each delivery with an adverse event

198. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
     January 01, 2019 - Measures used to estimate the national HAC rate HAC Type Source Measure Adverse Drug Event MPSMS … Acquired Conditions MPSMS Femoral Artery Puncture for Catheter Angiographic Procedures MPSMS Adverse Event … Associated With Hip Joint Replacements MPSMS Adverse Event Associated With Knee Joint Replacements … for all patients for which the MPSMS data are used, we follow these steps: • Multiply the adverse event … Catheter Angiographic Procedures 22,075 0.74 15,907 0.53 9,118 0.31 15,176 0.51 MPSMS Adverse Event

199. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
     July 12, 2018 - were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse drug event

200. TeamSTEPPS® for Office-Based Care - Teamwork Perceptions Questionnaire (T-TPQ) (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/teampercept.pdf
     December 09, 2015 - My supervisor/manager provides opportunities to discuss the team’s performance after an event.