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Showing results for "event".

1. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
   August 01, 2022 - of the event are imperative. … information on the event. … all the steps involved in event reporting, including; How the event was reported. … After initial reporting of the event, the CANDOR Response Team responds to the location of the event … Providing guidance on how to report an event, including requested patient information, where the event

2. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
   August 01, 2022 - (s) involved in the event. … The reliving of the event is also known as a "tripping" or "triggering" event and can occur when the … The event might produce feelings of internal inadequacy, either because the event occurred or because … the post-event period. … , not just the details of the event.

3. Dashboard Information | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/npsd/data/dashboard/info.html
   June 01, 2019 - Reporting – Hospital Version (CFER-H) definitions of Adverse Events, i.e., the Common Formats Event … The event-specific modules provide additional and more detailed information about the following nine … The text of the NPSD Dashboards has been formatted to assist readers to better understand event types … Near miss: An event that did not reach a patient. … Unsafe condition: Any circumstance that increases the probability of a patient safety event; includes

4. NPSD Dashboards | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/npsd/data/dashboard/index.html
   October 01, 2023 - reports and event-specific dashboards that describe in greater depth specific safety events such as … The dashboard charts detail event type, report type by event type, extent of harm by event type, event … originated, and stage of process where event originated by residual harm to the patient.   … originated, and stage of process where event originated by residual harm to the patient.     … or Other Substance events, including description of substance event, stage event originated, and type

5. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
   August 01, 2022 - A CANDOR event is an event that involves unexpected patient harm. … cause of a harm event. … the event. … Say: More information on Event Identification and Reporting of a CANDOR event will be discussed in … Resolution of the event can only occur after Event Investigation and Analysis has been completed.

6. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
   August 01, 2022 - A CANDOR event is defined as an event that involves unexpected harm (physical, emotional, or financial … A CANDOR event is defined as an event that involves unexpected harm (physical, emotional, or financial … After the event is identified as a CANDOR event, CANDOR System Activation occurs and triggers the start … reporting system, event investigation, and event analysis. … (see Adverse Event (Reasonable Care) and Adverse Event (Unreasonable Care)) .

7. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
   January 01, 2023 - event types. … OF EVENT OR UNSAFE CONDITION by EVENT TYPE. … to the event?” … event? … (EVENT ID); and the REPORT TYPE, category of event (EVENT TYPE), and INITIAL REPORT DATE.

8. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
   August 01, 2022 - and of the impact of the event on their care. … What are the implications of the event for the patient's health? Why did the event happen? … the system" for the event. … Can I see a copy of the event analysis? … It is rarely helpful to share all event analysis findings.

9. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
   January 01, 2019 - Event-specific Reports The Common Formats include event-specific modules pertaining to nine patient … (EVENT ID); and the REPORT TYPE, category of event (EVENT TYPE), and INITIAL REPORT DATE. … of different EVENT TYPES. … concern (CATEGORY ASSOCIATED WITH EVENT OR UNSAFE CONDITION [EVENT TYPE]) as a percentage of all EVENT … Types) Report Type by Event Type Extent of Harm by Event Type Event Type by Extent of Harm Extent

10. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/modules/identify/notes.html
    December 01, 2012 - into a near-miss event. … of "why's" to reach the root causes of the event. … the event from reaching the patient. … Harm that did not happen—No harm event. Event did not reach the patient—Near-miss event. … The tree is an interpretation of the event.

11. The PSO Privacy Protection Center | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/cpi/about/otherwebsites/psoppc.ahrq.gov/index.html
    September 01, 2018 - The PSOPPC provides technical assistance to PSOs to ensure that patient safety event data is rendered … The Common Formats promote consistent event reporting by all providers and health care organizations … assistance services, such as— Educating PSOs on the format for submitting nonidentifiable patient safety event … Rendering PSO patient safety event data nonidentifiable. … software vendors interested in implementing common definitions and reporting formats for patient safety event

12. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
    January 01, 2022 - Agency for Healthcare Research and Quality (AHRQ) began the de- velopment of the Common Formats for Event … Results: Estimated completion time was 30 to 90 minutes per event. … The CFER-DS also offers a definition of a diagnostic safety event using concepts pro- posed in 2 prior … Participants were asked to complete the CFER-DS to simulate event reporting for 5 cases of diagnostic … DISCUSSION Standards for diagnostic safety event reporting are necessary to advance national-level

13. Patient and Family Engagement | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/modules/patient-family-engagement/sl-pat-fam.html
    September 01, 2013 - Immediate Response to an Adverse Event 4 Slide 24. … Next Steps in Responding to an Adverse Event 5 Slide 25. … How to Communicate About an Adverse Event 6 Slide 26. … Immediate Response to an Adverse Event 4 Care for the patient. … Next Steps in Responding to an Adverse Event 5 Investigation.

14. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/modules/identify/identify.html
    December 01, 2012 - The purpose is to reduce the ambiguity about the event/issue—literally to make sense of it. … Each person brings his or her experience of that event/issue to the discussion. … Antecedent Event Root Causes Root Cause Classification Codes Recovery Return to Contents … Providers must also correct the factors that contribute to an event. … The attributes of medical event-reporting systems: Experience with a prototype medical event-reporting

15. Staff Safety Assessment
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
    January 01, 2006 - /issue The purpose is to reduce the ambiguity about the event/issue -literally to make sense of it Each … person brings their experience of that event/issue to the discussion The conversation is the mechanism … Sensemaking 17 Learning From Defects Overview Health care providers are adept at reacting to an event … 25 Sensemaking Tools To Learn From Defects 26 Causal Coding: Eindhoven Model6 20 separate event … The attributes of medical event-reporting systems: Experience with a prototype medical event-reporting

16. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
    November 03, 2022 - • Common Format for Event Reporting – Diagnostic Safety o AHRQ released the Common Formats for Event … The Event Description, Users’ Guide and Glossary, and Form are all available here. … IHS • Enhanced Adverse Event Reporting Capabilities o IHS Safety Tracking and Response (I-STAR) is deployed … improvement project to better identify and facilitate the reporting of diagnostic errors through voluntary event

17. Best Practices for Administering SOPS® Surveys Users (Webcast): Introduction (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-intro.pdf
    January 24, 2024 - PM ET Webcast Technical Info • Audio issues • Poor Connection • Use Q&A to submit questions • Event … events.westat.com/sops ► Download presentation slides and view the agenda and speaker bios on our event … site • Event recording and slides will also be available soon at https://www.ahrq.gov/sops/events/

18. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
    August 01, 2022 - Organizational Buy-in and Support Module 3: Preparing for Implementation: Gap Analysis Module 4: Event … Reporting, Event Investigation and Analysis Analysis Module 5: Response and Disclosure Module 6: … Generally, the CANDOR process begins with identification of an event that involves harm. … This activates initiation of coordinated post-event processes, as depicted below and described in the … Investigate and analyze an adverse event to learn from it and prevent future adverse events.

19. Patient and Family Engagement | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - Immediate Response to an Adverse Event 4 Slide 24. … How to Communicate About an Adverse Event 6 Slide 26. … What if an Adverse Event Occurs on the Unit? … event, and the care provided as a result of the event … of emotions when an adverse event occurs.

20. Blood and Blood Product Dashboard | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/npsd/data/dashboard/blood.html
    October 01, 2023 - blood product involved, type of blood product by residual harm to the patient, stage of process where event … originated, and stage of process where event originated by residual harm to the patient.