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Total Results: 1,180 records

Showing results for "event".

81. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
    March 11, 2022 - Conference included sessions or posters on the following AHRQ-supported work: Common Formats for Event … Indian Health Service • Enhanced Adverse Event Reporting Capabilities: o Reporting of adverse events

82. Maine Groups Improve Care for Patients with Intellectual/Developmental Disabilities | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsroom/case-studies/202201.html
    January 01, 2022 - Pezzullo described their Safe Table event as a protected forum where participants can feel comfortable … After an IDD Safe Table event held in August 2020 for primary care physicians, attendee feedback forms

83. Morningbriefing (doc file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
    August 07, 2012 - After receiving an update on the patients, proceed to Question II, unless there was an adverse event. … If an adverse event occurred, you should also use the Learn From Defects Form. II.

84. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
    May 01, 2023 - England Journal of Medicine that estimated 1 in 4 people hospitalized are at risk of a patient safety event … Trends in adverse event rates in hospitalized patients. JAMA  2022 Jul 12;328(2):173-83.

85. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
    September 01, 2019 - (F3R) Hospital management seems interested in patient safety only after an adverse event happens. … (C3) We are given feedback about changes put into place based on event reports. … (G1) (No event reports, 1 to 2, 3 to 5, 6 to 10, 11 to 20, 21 event reports or more) 45% 44% 1% … (C3) We are given feedback about changes put into place based on event reports. … (G1) (No event reports, 1 to 2, 3 to 5, 6 to 10, 11 to 20, 21 event reports or more) 45% 44% 1%

86. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
    June 09, 2016 - Instructions This survey asks for your opinions about patient safety issues, medical error, and event … injuries or adverse events resulting from the processes of healthcare delivery. · A “patient safety event … When an event is reported in this unit, it feels like the person is being written up, not the problem … In this unit, we are informed about changes that are made based on event reports 1 2 3 4 5 9 … Hospital management seems interested in patient safety only after an adverse event happens 1 2 3

87. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
    August 01, 2019 - When an event is reported in this unit, it feels like the person is being written up, not the problem … In this unit, we are informed about changes that are made based on event reports. … Hospital management seems interested in patient safety only after an adverse event happens.

88. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
    January 01, 2019 - • Investigate and analyze an adverse event to learn from it and prevent future adverse events. … /primers/primer/13 This AHRQ primer provides background information on voluntary patient safety event … of event reporting, and how event reports can be used to improve safety. … 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.

89. Introducing the CAHPS Child Hospital Survey (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/1_carla_zema_intro.pdf
    January 22, 2015 - Question 10 www.cahps.ahrq.gov Accessing Presentations 11 www.cahps.ahrq.gov Accessing Event … To Ask a Question Accessing Presentations Accessing Event Materials

90. Peer Support Interaction—Nurse: Video | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/hospital/candor/videos/nurses.html
    August 01, 2022 - video demonstrates an example of emotional support provided for the nurse caregiver after an adverse event

91. Strategies to Support Cooperation of Multiple Organizations’ Institutional Review Boards (IRBs) | Practice-Based Research Networks | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/events/strategies-support-cooperation-multiple-organizations%E2%80%99-institutional-review-boards-irbs
    September 10, 2014 - Please Note: CME credits were approved for those who attended the live event of this webinar only. … Event Materials: Presentation slides ( PDF - 1.64 MB ) Your browser does not support inline frames

92. Communication Strategies To Promote Resident Safety | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/strategies-slides.html
    March 01, 2017 - 2 According to Sentinel Event data compiled by the Joint Commission between 1995 and 2005, ineffective … Root Causes by Event Type, 2004-2Q 2014. Sentinel Event Data. … Root Causes by Event Type, 2004-2Q 2014. Sentinel Event Data.

93. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
    July 22, 2021 - IHS • Enhanced Adverse Event Reporting Capabilities: IHS Safety Tracking and Response (I-STAR) system … Future goal is to align the platform with AHRQ’s Common Formats for Event Reporting.

94. PBRN Workforce of the Future | Practice-Based Research Networks | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/events/pbrn-workforce-future
    July 15, 2013 - Event Materials: Presentation Slides ( PDF - 1.97 MB )   Your browser does not support inline

95. Staff-Safety-Assessment (doc file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
    June 01, 2021 - Category Unit Please describe how you think the next resident at your facility will be harmed by an event

96. CAHPS Elicitation Protocol Webcast (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-shaller-intro.pdf
    January 01, 2017 - Ask a Question 9 www.ahrq.gov/cahps Accessing Presentations 10 www.ahrq.gov/cahps Accessing Event … To Ask a Question Accessing Presentations Accessing Event Materials First Polling Question

97. PBRN Pragmatic Research and Translation Learning Group Call: Patient Engagement in Research and the Role of PBRNs | Practice-Based Research Networks | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/events/pbrn-pragmatic-research-and-translation-learning-group-call-patient-engagement-research-and
    January 05, 2015 - Visit the Event pages for the PBRN Pragmatic Research and Translation Learning Group Calls held on November … Event Materials: Presentation Slides ( PDF - 1.5 MB ) Meeting Summary ( PDF - 210 KB ) Relevant

98. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps/instructor/scenarios/dental.html
    March 01, 2014 - Instructor Comments A call-out is a tactic used to communicate critical information or an emerging event … This communication failure results in an adverse event. … In the event of high workload, team members are expected to prioritize and assist teammates to ensure

99. 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.

100. 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.