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Showing results for "event".

61. Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
    January 01, 2024 - Scope: The National Action Plan for Adverse Drug Event (ADE) Prevention identified three high-priority … Step 2 – Event Identification: An event summary was prepared whenever the clinical pharmacist identified … The event summary also captured information to assess the probability of an adverse event being attributable … investigators (AK, SS, SLK, JHG) for final event determination. … summary information and classified the event as well as its severity and preventability.

62. PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
    May 01, 2017 - Specifications and EMR Vendors Functional specifications are available for On-Time reports for each adverse event … Investigate the root cause when an adverse event occurs. … The questions in each Self-Assessment Worksheet are tailored to the On-Time adverse event being addressed … discussion to help the Change Team decide how to use the On-Time reports to help prevent the adverse event

63. Guide Promotional Postcard (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
    April 01, 2018 - were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse drug event

64. Tool: Call-Out | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/teamstepps-program/curriculum/communication/tools/callout.html
    May 01, 2023 - Afterwards, consider how the use of call-outs helped the team during an emergent event:  How did the … call-outs made by the nurse and intern aid the team during this emergent labor and delivery event?

65. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/pfp/haccost2017.html
    November 01, 2017 - Care-Associated Infections: Road Map to Elimination, 3 and the National Action Plan for Adverse Drug Event … Care-Associated Infections: Road Map to Elimination, 3 and the National Action Plan for Adverse Drug Event … feasible to incorporate clinical characteristics (e.g., laboratory test results) into patient safety event … replace the MPSMS and attempt to address some of the prior measurement limitations by 1) simplifying event … In the event that no substantial heterogeneity is observed from the random-effects model, we would then

66. Data Submissions Dashboard | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/npsd/data/dashboard/submissions.html
    October 01, 2023 - percentage of reports by version, percentage of reports by report type, and percentage of events by event

67. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
    July 01, 2018 - No event reports  d. 6 to 10 event reports  b. 1 to 2 event reports  e. 11 to 20 event reports …  c. 3 to 5 event reports  f. 21 event reports or more SECTION H: Background Information This information … We are given feedback about changes put into place based on event reports. C3. … Number of Events Reported (No event reports, 1 to 2 event reports, 3 to 5 event report, 6 to 10 event … reports, 11 to 20 event reports, 21 event reports or more) G1.

68. Conducting a Morning Briefing | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
    December 01, 2012 - After receiving an update on the patients, proceed to Question II, unless there was an adverse event. … If an adverse event occurred, you should also use the Learn From Defects Form.

69. AcademyHealth’s Annual Research Meeting: An Opportunity to Connect, Engage, and Inspire | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/blog/ahrqviews/academy-health-2022-meeting.html
    May 01, 2022 - ARM is a premier event for health services research (HSR).  … AHRQ is one of the participating Federal agencies supporting this important event, and it’s an honor

70. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
    May 01, 2023 - England Journal of Medicine that estimated 1 in 4 people hospitalized are at risk of a patient safety event … Trends in adverse event rates in hospitalized patients. JAMA  2022 Jul 12;328(2):173-83.

71. Maine Groups Improve Care for Patients with Intellectual/Developmental Disabilities | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsroom/case-studies/202201.html
    January 01, 2022 - Pezzullo described their Safe Table event as a protected forum where participants can feel comfortable … After an IDD Safe Table event held in August 2020 for primary care physicians, attendee feedback forms

72. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
    January 01, 2016 - The use of these five sets of charts also eliminated the need to use 2005-2006 Medicare adverse event … Measures used to estimate the national HAC rate HAC Type Source Measure Adverse Drug Event MPSMS … 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 … MPSMS Femoral Artery Procedures Puncture for Catheter Angiographic 21,538 0.72 MPSMS Adverse Event

73. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/pfp/methods.html
    December 01, 2017 - Condition Rate Partnership for Patients Hospital-Acquired Conditions Source Measure Adverse Drug Event … population, rather than as a rate for the subpopulation that has the opportunity to experience the adverse event … for each of the 21 HACs for all patients for which the MPSMS data are used, we multiply the adverse event … (rounded)  (updated June 2014) 4,757,000   145 Ideally, we would have estimated the adverse event

74. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2022.pdf
    March 01, 2023 - • Common Formats for Event Reporting – Diagnostic Safety o Released the Common Formats for Event

75. LTC Data Collection Tool (xls file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/data-collection-tool.xlsx
    March 01, 2017 - CAUTI is an event which may continue for days or even weeks, but it is counted only once, not each day

76. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2021 User Database Report Part II (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-II-508.pdf
    January 01, 2021 - (Item A6*) 63% 68% 61% 61% 57% 59% 57% When an event is reported in this unit, it feels like the … (Item C2) 73% 75% 77% 74% In this unit, we are informed about changes that are made based on event … (Item A6*) 59% 63% 60% 62% When an event is reported in this unit, it feels like the person is being … (Item A6*) 63% 63% 61% 63% 61% 57% When an event is reported in this unit, it feels like the person … (Item A6*) 66% 51% 71% 64% 61% 79% 56% 55% 66% 62% When an event is reported in this unit, it feels

77. AHRQ SHARE Approach Training and Implementation Success Story (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/success-stories/share_approach_success_story3_anthem.pdf
    July 01, 2016 - They were pleasantly surprised to instead be part of an engaging event that offered practical resources … Post-event survey results reflected participants’ informal comments to the training team.

78. Clinical Recommendation: Statins in Primary Prevention of CVD | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/evidencenow/heart-health/cholesterol/uspstf.html
    September 01, 2018 - cardiovascular disease (CVD) and for those who have one or more CVD risk factors with a calculated 10-year CVD event

79. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.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. … 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 5.

80. Events | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/events/index.html
    November 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …