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Total Results: 1,146 records

Showing results for "event".

201. Toolkit 1. Suspected UTI SBAR Toolkit | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
     October 01, 2016 - Urinary tract infection (UTI) event for long-term care facilities. 2012 .  

202. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
     May 01, 2017 - risk of hemorrhage, or patient preferences that may limit the use of blood and blood products in the event … · Unit can decide its approach to debriefing events based on seriousness of event, expertise available … · Informal debriefings by clinical team immediately following event should use an approach that does

203. Resource List - AHRQ Nursing Home Survey (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.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. … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management http://www.ihi.org/ … Culture Just In Time Toolkits: Recipes for Staffing Transformation Leadership Response to a Sentinel Event … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management 4.

204. Post Award Grants Management | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/funding/grant-mgmt/index.html
     December 01, 2022 - incorporated either directly or by reference in the following (this order of precedence prevails in the event … in the course of or under any PHS research grant be promptly and fully reported to HHS and, in any event

205. AHRQ Unveils Research Agenda to Transform Care for People with Multiple Chronic Conditions | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/blog/ahrqviews/transform-care-mcc.html
     November 01, 2021 - The culminating event of our year-long journey was our November 2020 AHRQ Summit on Transforming Care

206. Adverse Drug Events Occurring in U.S. Hospitals | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/data/infographics/adverse-drug-events.html
     August 01, 2018 - SHARE: More topics in this section Data & Analytics Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims Databases Healthcare Cost and Utilization Project (HCUP) Medical Expenditure Panel Survey…

207. Slide 1 (ppt file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsslides.ppt
     January 01, 2008 - In-class sessions Simulation center Interdisciplinary training in same location Data collection Event … TEAMSTEPPS 05.2 Mod 1 05.2 Page * Page * RRS Evaluation: Debriefs Debriefs occur right after the event … importance to the rapid response call and failed to provide a critical skill during a rapid response event

208. TeamSTEPPS for Rapid Response Systems (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrs_slides/rrsslides.pdf
     January 01, 2008 - Training In-class sessions Simulation center Interdisciplinary training in same location Data collection Event … TEAMSTEPPS 05.2Mod 1 05.2 Page 42Page 42 RRS Evaluation: Debriefs Debriefs occur right after the event … importance to the rapid response call and failed to provide a critical skill during a rapid response event

209. Scisafetynotes (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
     September 04, 2012 - . · On average, every patient admitted to an intensive care unit suffers an adverse event. · 44,000 to … the development of high-quality patient care by allowing providers to mitigate risks before a harmful event … In determining the defect that occurred, teams reconstruct the timeline of the event by placing themselves

210. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Calls And Hazardous Conditions https://psnet.ahrq.gov/resources/resource/32494 This new sentinel event … Staff can use this decision tree when analyzing an error or adverse event in an organization to help … identify how human factors and systemic issues contributed to the event. … news-and-multimedia/fact-sheets/facts-about-do- not-use-list/ In 2001, The Joint Commission issued a Sentinel Event

211. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
     pcmh.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
     January 01, 2024 - The event-based data obtained from the Noldus Observer XT12 was transformed into time-based data that … alternatives while also informing multiple data analysis strategies, such as spaghetti diagrams and discrete-event … The 2-day, intensive event explored how different aspects of surgery center design impact patient safety … The event involved around 100 attendees, including advisory committee members, industry experts, designers … The goal of the event was to provide industry leaders with in-depth knowledge of surgical center design

212. TeamSTEPPS Rapid Response Systems Module | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/rrs/rrs_slides/rrsslides.html
     July 01, 2018 - In-class sessions Simulation center Interdisciplinary training in same location Data collection Event … Return to Top Evaluation: Debriefs Debriefs occur right after the event and are conducted by the … importance to the rapid response call and failed to provide a critical skill during a rapid response event

213. Settings: Finding the Audience for a Health Care Quality Report | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/talkingquality/distribute/placement/settings.html
     January 01, 2023 - They found that the programs were most successful when conducted either before or after some other event

214. FileNewTemplate
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module3.pptx
     January 01, 2008 - December 2005) 2010 - 2013: Communication among top 3 root causes of sentinel events reported (JC Sentinel Event … Data (Root Causes by Event Type) 2004-2012) http://www.jointcommission.org/sentinel_event.aspx … According to sentinel event data compiled by the Joint Commission between 1995 and 2005, ineffective

215. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
     January 01, 2024 - SHARE: More topics in this section Funding & Grants Notice of Funding Opportunities Research Policies Funding Priorities Training & Education Funding Grant Application, Review & Award Process Post Award Grants Management AHR…

216. Team Self-Correction to Enhance Performance
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-jan2015.pptx
     January 01, 2015 - TeamSTEPPS® Team Dimensional Training Slide ‹#› Developmental Active self-learning Tied to performance event … Page ‹#› TeamSTEPPS® Team Dimensional Training Slide ‹#› 35 Team member: “Half-way through the event

217. Selected Best Practices and Suggestions for Improvement (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
     November 01, 2012 - objects avoidable.1 • Retained foreign objects represent a serious and significant patient adverse event … Sentinel Event Alert Issue 51, October 17, 2013. http://www.jointcommission.org/assets/1/6/SEA_51_URFOs

218. AHRQ Signals Interest in Research To Improve Healthcare for People With Disabilities | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/890.html
     November 01, 2023 - within 48 hours of presentation and in 13 percent of hospitalizations patients experienced an adverse event

219. How Will You Gain the Trust of Health Care Providers or Plans? | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/talkingquality/plan/gain-trust.html
     November 01, 2018 - Have a Back-up Plan Consider what you can do in the event that providers don’t cooperate—or if cooperation

220. Appendix I. National Healthcare Safety Network (NHSN) Definition CAUTI Criteria Pocket Card | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/pocket-card.html
     May 01, 2017 - References Adapted from the Centers for Disease Control and Prevention, Urinary Tract Infection (UTI) Event