-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - Measures used to estimate the national HAC rate
HAC Type Source Measure
Adverse Drug
Event
MPSMS … Acquired
Conditions
MPSMS Femoral Artery Puncture for Catheter Angiographic Procedures
MPSMS Adverse Event … 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 … Catheter
Angiographic
Procedures
22,075 0.74 15,907 0.53 9,118 0.31 15,176 0.51
MPSMS Adverse Event
-
pcmh.ahrq.gov/news/blog/ahrqviews/delivery-primary-care.html
November 01, 2022 - prevent 5,800 cardiovascular events over the next 10 years, with $11,000 avoided expense per prevented event—a
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
July 14, 2023 - • Common Formats for Event Reporting – Diagnostic Safety
o Released the Common Formats for Event
-
pcmh.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - 32,750,000 Discharges— Based on 2010 Baseline)
2012 PFP Measured HACs per 1,000 Discharges
Adverse Drug Event
-
pcmh.ahrq.gov/policy/electronic/disclaimers/index.html
October 01, 2014 - In the event of authorized law enforcement investigations, and pursuant to any required legal process
-
pcmh.ahrq.gov/teamstepps/officebasedcare/handouts/teamperceptions.html
December 01, 2015 - My supervisor/manager provides opportunities to discuss the team’s performance after an event.
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
April 12, 2018 - ■ Answer your questions.
1 in 9
emergency
department admissions
are related to an
adverse drug event
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teampercept.pdf
March 21, 2014 - My supervisor/manager provides opportunities to discuss
the unit’s performance after an event.
-
pcmh.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
August 01, 2022 - Promoting standardized data collection : In May, AHRQ released the Common Formats for Event Reporting
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
May 01, 2017 - responding and expectations for the response, uniform expectations for documentation of the rapid response event … An event that requires a team response. … The L&D unit can decide its approach to learning from defects based on seriousness of event, expertise
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
May 01, 2017 - cases of perinatal death or permanent
disability reported to The Joint Commission
under its sentinel event-reporting … Monitoring 8
SAY:
A unit can decide its approach to debriefing
events based on seriousness of event … debriefings can be used by the
clinical team immediately following a near miss
or actual adverse event
-
pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - facilitating a safe delivery by offering logic and a clear focus during what can often be a chaotic event … risk of hemorrhage, or patient preferences that may limit the use of blood and blood products in the event … Fostering a culture that supports debriefing by the clinical team immediately after a near miss, an adverse event … A unit can decide its approach to debriefing events based on the seriousness of the event, expertise
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - facilitating a safe delivery by offering logic and a clear focus during what can often be a chaotic event … risk of hemorrhage, or patient preferences that may limit the use of blood and blood products in the event … Fostering a culture that supports debriefing by the clinical team immediately after a near miss, an adverse event … episode of care.
· A unit can decide its approach to debriefing events based on the seriousness of the event
-
pcmh.ahrq.gov/takeheart/training/implementing-automatic-referral/index.html
April 01, 2023 - Recorded versions of these webinars as well as the accompanying slides and event summaries are available
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - Measures used to estimate the national HAC rate
HAC Type Source Measure
Adverse Drug
Event
MPSMS … Acquired
Conditions
MPSMS Femoral Artery Puncture for Catheter Angiographic Procedures
MPSMS Adverse Event … 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 … Catheter
Angiographic
Procedures
22,075 0.74 15,907 0.53 9,118 0.31 15,176 0.51
MPSMS Adverse Event
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
March 01, 2010 - outcomes include:
50% reduction in the Weighted Adverse Outcome Score (WAOS), which describes the adverse event … decrease in the Severity Index, which measures the average severity of each delivery with an adverse event … decrease in the severity index, which measures the average severity of each delivery with an adverse event
-
pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
July 01, 2023 - responding and expectations for the response, uniform expectations for documentation of the rapid response event … An event that requires a team response. … The L&D unit can decide its approach to learning from defects based on seriousness of event, expertise
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - Clinician responses were more varied and were affected by
type of adverse event, but they did agree … Of the 230 claims examined, 13 (5.7%) were determined to involve a potential
transition of care event … a common error
analysis tool in health care) of the underlying problems after an attempted suicide event … Clinician responses were more varied and were
affected by type of adverse event, but clinicians did … Of the 230 claims examined, 13
(5.7%) were determined to involve a potential transition of care event
-
pcmh.ahrq.gov/cahps/news-and-events/events/index.html
April 01, 2024 - SHARE:
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Consumer Assessment of Healthcare Providers and Systems (CAHPS)®
About CAHPS
Surveys and Guidance
Supplemental Items
Using CAHPS Surveys
CAHPS Databases
Webcasts & Recent Events
Research Me…
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
July 12, 2018 - were a chief concern
in outpatient visits
1 in 9
ED admissions
are related to an
adverse drug event