Results

Total Results: 1,180 records

Showing results for "event".

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

222. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
     June 01, 2014 - Discharges— Based on 2010 Baseline) 2012 PFP Measured HACs per 1,000 Discharge s Adverse Drug Event

223. Adverse Drug Events Occurring in U.S. Hospitals | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/data/infographics/adverse-drug-events.html
     August 01, 2018 - SHARE: More topics in this section Data & Analytics Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims Databases Healthcare Cost and Utilization Project (HCUP) Medical Expenditure Panel Survey…

224. Toolkit 1. Suspected UTI SBAR Toolkit | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
     October 01, 2016 - Urinary tract infection (UTI) event for long-term care facilities. 2012 .  

225. Advanced Methods for Primary Care Research: The Stepped Wedge Design | Practice-Based Research Networks | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/events/advanced-methods-primary-care-research-stepped-wedge-design
     February 27, 2015 - Event Materials: Presentation Slides ( PDF - 713 KB ) Your browser does not support inline frames

226. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
     May 01, 2017 - risk of hemorrhage, or patient preferences that may limit the use of blood and blood products in the event … · Unit can decide its approach to debriefing events based on seriousness of event, expertise available … · Informal debriefings by clinical team immediately following event should use an approach that does

227. Resource List - AHRQ Nursing Home Survey (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - Staff can use this decision tree when analyzing an error or adverse event in an organization to help … identify how human factors and systems issues contributed to the event. … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management http://www.ihi.org/ … Culture Just In Time Toolkits: Recipes for Staffing Transformation Leadership Response to a Sentinel Event … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management 4.

228. AHRQ Unveils Research Agenda to Transform Care for People with Multiple Chronic Conditions | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/blog/ahrqviews/transform-care-mcc.html
     November 01, 2021 - The culminating event of our year-long journey was our November 2020 AHRQ Summit on Transforming Care

229. Post Award Grants Management | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/funding/grant-mgmt/index.html
     December 01, 2022 - incorporated either directly or by reference in the following (this order of precedence prevails in the event … in the course of or under any PHS research grant be promptly and fully reported to HHS and, in any event

230. Slide 1 (ppt file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsslides.ppt
     January 01, 2008 - In-class sessions Simulation center Interdisciplinary training in same location Data collection Event … TEAMSTEPPS 05.2 Mod 1 05.2 Page * Page * RRS Evaluation: Debriefs Debriefs occur right after the event … importance to the rapid response call and failed to provide a critical skill during a rapid response event

231. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
     January 01, 2024 - SHARE: More topics in this section Funding & Grants Notice of Funding Opportunities Research Policies Funding Priorities Training & Education Funding Grant Application, Review & Award Process Post Award Grants Management AHR…

232. Scisafetynotes (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
     September 04, 2012 - . · On average, every patient admitted to an intensive care unit suffers an adverse event. · 44,000 to … the development of high-quality patient care by allowing providers to mitigate risks before a harmful event … In determining the defect that occurred, teams reconstruct the timeline of the event by placing themselves

233. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Calls And Hazardous Conditions https://psnet.ahrq.gov/resources/resource/32494 This new sentinel event … 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. … news-and-multimedia/fact-sheets/facts-about-do- not-use-list/ In 2001, The Joint Commission issued a Sentinel Event

234. Settings: Finding the Audience for a Health Care Quality Report | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/talkingquality/distribute/placement/settings.html
     January 01, 2023 - They found that the programs were most successful when conducted either before or after some other event

235. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
     pbrn.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
     January 01, 2024 - The event-based data obtained from the Noldus Observer XT12 was transformed into time-based data that … alternatives while also informing multiple data analysis strategies, such as spaghetti diagrams and discrete-event … The 2-day, intensive event explored how different aspects of surgery center design impact patient safety … The event involved around 100 attendees, including advisory committee members, industry experts, designers … The goal of the event was to provide industry leaders with in-depth knowledge of surgical center design

236. TeamSTEPPS Rapid Response Systems Module | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/rrs/rrs_slides/rrsslides.html
     July 01, 2018 - In-class sessions Simulation center Interdisciplinary training in same location Data collection Event … Return to Top Evaluation: Debriefs Debriefs occur right after the event and are conducted by the … importance to the rapid response call and failed to provide a critical skill during a rapid response event

237. Team Self-Correction to Enhance Performance
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-jan2015.pptx
     January 01, 2015 - TeamSTEPPS® Team Dimensional Training Slide ‹#› Developmental Active self-learning Tied to performance event … Page ‹#› TeamSTEPPS® Team Dimensional Training Slide ‹#› 35 Team member: “Half-way through the event

238. Education & Training for Health Professionals | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/education/index.html
     January 01, 2021 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families About AHRQ's Quality & Patient Safety Work Patie…

239. Selected Best Practices and Suggestions for Improvement (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
     November 01, 2012 - objects avoidable.1 • Retained foreign objects represent a serious and significant patient adverse event … Sentinel Event Alert Issue 51, October 17, 2013. http://www.jointcommission.org/assets/1/6/SEA_51_URFOs

240. AHRQ Signals Interest in Research To Improve Healthcare for People With Disabilities | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/890.html
     November 01, 2023 - within 48 hours of presentation and in 13 percent of hospitalizations patients experienced an adverse event