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Total Results: 1,146 records

Showing results for "event".

141. Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
     July 01, 2023 - The specific event presented in the video is postpartum hemorrhage, but the CUSP techniques can be used … for any perinatal safety event.

142. Events | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/events/index.html
     November 01, 2022 - SHARE: More topics in this section News Newsroom Blog Newsletter Events AHRQ Research Summit on Diagnostic Safety AHRQ Research Summit on Learning Health Systems National Advisory Council Meetings AHRQ Research Confere…

143. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
     May 01, 2017 - Communicate with the patient – Providers communicate by sharing relevant facts about an adverse event … Document the event in the medical record – Providers must document in the medical record the facts of … The documentation should include an objective description of the event, the patient’s response to the … event, and the care provided as a result of the event. … PS 105: Patient Safety and Communicating with Patients After an Adverse Event (updated August 15, 2016

144. Improving Patient Safety Systems for Limited English Proficiency Patients
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pptx
     January 01, 2011 - most frequent root cause of serious patient safety events reported to the Joint Commission's Sentinel Event … particularly frontline staff and interpreters, on the full spectrum of 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

145. Best Practices in Fall Prevention
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
     June 16, 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 Involves the patient/resident whenever possible in the environment where the patient/ … Review Tool 3N ‹#› Root Cause Analysis After an injurious fall, collect data to reconstruct the event

146. E-Fetal-Monitoring Facguide (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
     May 01, 2017 - cases of perinatal death or permanent disability reported to The Joint Commission under its sentinel event-reporting … Slide 12 SAY: A unit can decide its approach to debriefing events based on seriousness of event, expertise … Informal debriefings can be used by the clinical team immediately following a near miss or actual adverse event

147. AHRQ Research Priorities and Compliance Guidance | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/funding/policies/nofoguidance/index.html
     January 01, 2024 - Establishment of strategies to sustain patient safety improvements such as just culture, incident/event … Patient characteristics that might influence the risk of experiencing a patient safety event, for example

148. 2017Qdr-Patsafchartbook (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
     October 01, 2018 - • Hospital patients with an anticoagulant-related adverse drug event due to low-molecular- weight … , with day of device placement being Day 1 and the line also being in place on the date of event or … If a CL or UC was in place for >2 calendar days and then removed, the date of event of the LCBI must … Adverse Drug Events • An adverse drug event (ADE) is an injury—including physical harm, mental harm, … • The three initial targets of the HHS National Action Plan for Adverse Drug Event Prevention are:

149. Strategy 4: IDEA Discharge Planning (Tool 1) (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
     January 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event … Remember that discharge is not a one-time event but a process that takes place throughout the hospital … Discharge planning should be an ongoing process throughout the stay, not a one-time event.

150. Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
     January 01, 2010 - patients and families in discharge planning Nearly 20 percent of patients experience an adverse event … Remember that discharge is not a one-time event but a process that takes place throughout the hospital … Discharge planning should be an ongoing process throughout the stay, not a one-time event.

151. CAUTI-Related Data Collection Tool | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/collect-tool.html
     March 01, 2017 - CAUTI is an event which may continue for days or even weeks, but it is counted only once, not each day

152. Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
     October 01, 2014 - Providence also educated its residents on the importance of maintaining an accurate medication list in the event

153. Limit Technical Information and Caveats in Quality Data Displays | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/talkingquality/translate/labels/limit-info.html
     November 01, 2018 - rule of not presenting caveats within a data display: when the measure is of a very rare but serious event

154. Agency for Healthcare Research and Quality | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/cpi/about/mission/ahrq-fy2015-conf-spending.html
     January 01, 2016 - knowledge, resources and research outcomes to the health services research community that attended the event

155. AHRQ’s Toolkit Helped Vanderbilt University Hospital Substantially Reduce Patient Falls | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsroom/case-studies/201616.html
     November 01, 2016 - percent of all falls, down from 19 percent the previous year, with 64 fewer instances of a fall-with-harm event

156. Tool: I'M SAFE Checklist | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps-program/curriculum/situation/tools/safe.html
     June 01, 2023 - Stress: Is there anything, such as a life event or situation at work, that is detracting from my ability

157. TeamSTEPPS 2.0 Readiness Assessment | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/readiness/index.html
     August 01, 2015 - 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

158. When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
     March 01, 2024 - AHRQ is committed to improving the consumer’s experience with healthcare and making this a rare event

159. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
     March 01, 2019 - According to sentinel event data compiled by the Joint Commission between 1995 and 2005, ineffective … Say: A call-out is a tactic used to communicate critical information during an emergent event. … It also benefits a recorder when present during a code or emergent event. … did the call-outs made by the nurse and intern aid the team during this emergent Labor and Delivery event

160. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
     July 01, 2023 - cases of perinatal death or permanent disability reported to The Joint Commission under its sentinel event-reporting … From Defects Say: A unit can decide its approach to debriefing events based on seriousness of event … Informal debriefings can be used by the clinical team immediately following a near miss or actual adverse event