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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - centeredness of care have seen subsequent improvements in patients’ ratings of care.4
References:
1.Sentinel event … Nearly 20 percent of patients experience an adverse event within a month of discharge, of which ¾ could … Strategy 4: IDEAL Discharge Planning (Tool 4)
Nearly 20 percent of patients experience an adverse event … Remember discharge is not a one-time event, but a process that takes place throughout the hospital stay … That’s why discharge planning should be an ongoing process throughout the stay–not a onetime event.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - Remember that discharge is not a one-time event but is a process that takes place throughout the hospital … Discharge planning should be an ongoing process throughout the stay, not a one-time event. … Discharge from a hospital can be a complex process: It is not a one-time event, and no single act will … Recognize that discharge planning is not a one-time event but a process throughout the hospital stay. … Discharge planning is not a one-time event with a single fix.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule3.pptx
December 01, 2005 - Causes and Percentages for Sentinel Events (All Categories) January 1995−December 2005)
** (JC Sentinel Event … Data (Root Causes by Event Type) 2004-2012)
See Instructor Guide, pages 7-9
Select Here for Joint … We use it in our adverse event reports. … did the call-outs made by the nurse and intern aid the team during this emergent Labor and Delivery event … the call-outs made by the nurse and the intern aid the team during this emergent labor and delivery event
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June 01, 2021 - thoroughness, and
perceived technical competence
• Actionable: conveys the who, what, when and where of the event
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
January 01, 2013 - interpreters to report any patient safety events
Train all staff on what constitutes a patient safety event … English-Speaking and LEP Patients
46.1
40.1
24.4
10.8
22.3
26.1
5.8
19.4
0.9
3.2
0.1
0
0.4
0.5
Sheet1
Adverse Event
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February 06, 2006 - S, stress, is there anything, such as a life event or a situation at work, that is detracting from my … describe mental model is a mental picture or a sketch of the relevant facts and relationships defining an event … For briefings, we do this every time we have a training event where I work. … Prior to the training event, we'll get together. … That helps us monitor each other and know what each one of us will do in the event of any type of unexpected
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pbrn.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - Although the paper did not study trends in EHR adoption or trends in adverse event rates, one may hypothesize
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pbrn.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - MPSMS data provide inpatient mortality data for the patients who experienced each type
of adverse event … , and for patients who were exposed to risk for the event.
13
These MPSMS
mortality data were of … ; but for other event types,
such as CLABSIs, only a fraction of patients are exposed to risk for the … event. … Sentinel Event Alert Issue 44; January 26, 2010.