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Showing results for "event".

101. TeamSTEPPS 2.0 Module 4: Leading Teams
     pcmh.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

102. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
     pcmh.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

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

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

105. About the Toolkit Development | Agency for Healthcare Research and Quality
     pcmh.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

106. Diagnostic Safety Grants Awarded in FY 2022 | Agency for Healthcare Research and Quality
     pcmh.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.

107. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
     pcmh.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.

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

109. Principles Underlying CAHPS Surveys | Agency for Healthcare Research and Quality
     pcmh.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

110. Selected Best Practices and Suggestions for Improvement (pdf file)
     pcmh.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

111. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse (doc file)
     pcmh.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

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

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

114. Diagnostic Safety Centers of Excellence | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
     June 01, 2023 - 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.

115. Medication Management Strategy: Intervention | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
     June 01, 2023 - will also help to identify patient behaviors that may be putting patients at risk for an adverse drug event

116. Comparing Quality Scores to an Independent Standard | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/talkingquality/translate/compare/choose/standard.html
     January 01, 2023 - While “zero-tolerance” is implied by the term “never event,” this may not be language that the public

117. AHRQ National Advisory Council to Meet Virtually on March 18 | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsroom/press-releases/national-advisory-council-meeting.html
     March 01, 2021 - Closed captioning will be provided during this event.

118. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
     December 01, 2017 - at unexpected events, data results, and outcomes to determine all of the underlying causes of the event … Event Analysis Team notification – Nurse Manager, Medical Director, and Frontline staff notification … – email and huddle Infection Prevention Council report out Slide 66 Event Analysis Tool Image … : Screen shot of a CAUTI Event Analysis form. … Slide 80 Identifying Defects: Defects Can Come From Many Different Sources Staff feedback Event

119. TeamSTEPPS Pocket Guide (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
     May 01, 2023 - .......................11 Effective Team Leadership ..............................12 Effective Team Event … Team Leadership Page 13 Effective Team Event Tools Sharing the Plan y Brief—Short session prior to … I-PASS Team Leadership Multi-Team System forPatient Care Effective Team Leadership Effective Team Event … I-PASS Team Leadership Multi-Team System forPatient Care Effective Team Leadership Effective Team Event

120. TeamSTEPPS Fundamentals Course: Module 4. Leading Teams | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
     March 01, 2019 - Discussion: What event necessitated the need for the huddle? … Analysis of why the event occurred, what worked, and what did not work. … Debriefs can be a brief (about 3 minutes or less) team event, typically initiated and facilitated by … Held debrief to recap event and share lessons learned. … Use of these tools leads to gaining a shared model or understanding of a situation or event (i.e., shared