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  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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.    
  7. 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
  8. 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.
  9. 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
  10. 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
  11. 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
  12. 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
  13. Ldusafety Facguide (doc file)

    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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. pcmh.ahrq.gov/cahps/news-and-events/events/index.html
    April 01, 2024 - SHARE: More topics in this section 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…
  20. 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

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