Results

Total Results: 1,146 records

Showing results for "event".

121. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
     January 01, 2016 - The use of these five sets of charts also eliminated the need to use 2005-2006 Medicare adverse event … Measures used to estimate the national HAC rate HAC Type Source Measure Adverse Drug Event MPSMS … 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 … MPSMS Femoral Artery Procedures Puncture for Catheter Angiographic 21,538 0.72 MPSMS Adverse Event

122. Patient and Family Engagement | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
     July 01, 2018 - How to communicate an adverse event to patients and family members.

123. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2022.pdf
     March 01, 2023 - • Common Formats for Event Reporting – Diagnostic Safety o Released the Common Formats for Event

124. AHRQ National Advisory Council to Meet Virtually on July 14 | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsroom/press-releases/national-advisory-meeting-july-14.html
     July 01, 2021 - Closed captioning will be provided during this event.

125. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/878.html
     August 01, 2023 - Primary Care Research , will feature AHRQ grantees discussing their research on engaging patients in event … Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event

126. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.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 event using an approach that does not … www.safehealthcareforeverywoman.org · Resource name: Process for Reviewing Severe Maternal Morbidity Event

127. United States Health Information Knowledgebase | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/data/ushik.html
     July 01, 2022 - patient; and unsafe condition - any circumstance that increases the probability of a patient safety event … elements individually and compare two versions of the Common Formats with each other (Common Formats for Event

128. Module 3: Best Practices in Fall Prevention—Slide Presentation | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
     September 01, 2017 - Components A brief staff gathering, interdisciplinary when possible, that immediately follows a fall event … Convenes within 15 minutes of the fall event. … Led by clinician(s) responsible for patient/resident during the fall event. … Slide 46: Root Cause Analysis After an injurious fall, collect data to reconstruct the event and

129. TeamSTEPPS Video Debrief Guide: Huddle in Emergency Department (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
     August 31, 2023 - Lessons Learned A huddle helps teams improve performance and enhance safety when preparing for an event

130. Information Items | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/readiness/informationitems.html
     April 01, 2016 - Objective information can originate from a variety of sources, including adverse event and near-miss … For continued success, the organization needs to view the culture change as a process rather than an event

131. Resources Related to Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/diagnostic-safety/resources/index.html
     April 01, 2024 - Common Formats for Event Reporting–Diagnostic Safety (CFER–DS) Page last

132. Patient Safety Awareness Week 2020 | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
     December 01, 2023 - As the Nation's patient safety agency, AHRQ supports this event to increase awareness about patient safety

133. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.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. … 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 5.

134. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
     August 01, 2022 - management of patient safety events by implementing processes that facilitate full disclosure of an adverse event

135. Tools for Reducing Central Line-Associated Blood Stream Infections (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
     January 01, 2013 - CLABSI Event Report Template Appendix 8. CLABSI Investigation Nurse Letter Appendix 9. … Use the Event Report Template and Nurse Letter If a CLABSI occurs on your unit, your team should … The CLABSI Event Report Template (Appendix 7) catalogs defects that contribute to a CLABSI. … Central Line-Associated Bloodstream Infection (CLABSI) Event. … device policies Empower nurses to stop procedures Use the Central Line Maintenance Audit Form Use the Event

136. Seeking the Right Balance: Addressing Behaviors That Undermine a Culture of Safety (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-sept2015.pdf
     January 01, 2015 - Case: “Whistling a Tune” The following event was reported to you (an authority figure) through your … electronic event reporting system. … Behaviors that Undermine Safety Culture Slide 15 What % of the time would someone report the event … to a responsible party or through an established event reporting system?

137. TeamSTEPPS for Code Blue Teams: Piloting SBAR & CUS for Interprofessional Team Education
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-april2015.pptx
     January 01, 2015 - about issues related to teamwork and communication Quality improvement committee reviews Data from event … Progress 2012 – Began collecting data on teamwork and communication using 5 questions included on our event … TeamSTEPPS for Code Blue Teams Slide ‹#› Measuring Progress Limitations Not a validated questionnaire Event

138. Practice-Based Research Networks (PBRNs) | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
     September 01, 2018 - Effective approaches for facilitating patient self-management during a pandemic influenza event.

139. AHRQ National Advisory Council to Meet Virtually on July 12 with 5 New Members | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsroom/press-releases/nac-meeting-july12.html
     July 01, 2023 - Closed captioning will be provided during this event.

140. AHRQ National Advisory Council to Meet Virtually on July 21 with 7 New Members | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsroom/press-releases/nac-meeting-members.html
     July 01, 2022 - Closed captioning will be provided during this event.