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Showing results for "event".

81. Tools for Reducing Central Line-Associated Blood Stream Infections (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
    January 01, 2013 - CLABSI Event Report Template Appendix 8. CLABSI Investigation Nurse Letter Appendix 9. … Use the Event Report Template and Nurse Letter If a CLABSI occurs on your unit, your team should … The CLABSI Event Report Template (Appendix 7) catalogs defects that contribute to a CLABSI. … Central Line-Associated Bloodstream Infection (CLABSI) Event. … device policies Empower nurses to stop procedures Use the Central Line Maintenance Audit Form Use the Event

82. Nursing Practice Guide (doc file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.docx
    March 01, 2022 - to ensure 10 doses are delivered Order set reconciliation Escalation via standard pathway in the event

83. Nursing Practice Guide (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.pdf
    March 01, 2022 - 10 doses are delivered • Order set reconciliation • Escalation via standard pathway in the event

84. In Pandemic’s Wake, We Must Recommit to Patient and Workforce Safety | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/blog/ahrqviews/patient-workforce-safety.html
    March 01, 2023 - The event was attended by 800 people online and 200 in person—in my view a strong signal of consensus … I was glad for AHRQ to take the lead in organizing the November 14 event.

85. Module 3: Best Practices in Fall Prevention—Slide Presentation | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
    September 01, 2017 - Components A brief staff gathering, interdisciplinary when possible, that immediately follows a fall event … Convenes within 15 minutes of the fall event. … Led by clinician(s) responsible for patient/resident during the fall event. … Slide 46: Root Cause Analysis After an injurious fall, collect data to reconstruct the event and

86. Best Practices in Fall Prevention
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
    June 16, 2017 - Components A brief staff gathering, interdisciplinary when possible, that immediately follows a fall event … Convenes within 15 minutes of the fall event Led by clinician(s) responsible for patient/resident during … the fall event Involves the patient/resident whenever possible in the environment where the patient/ … Review Tool 3N ‹#› Root Cause Analysis After an injurious fall, collect data to reconstruct the event

87. Diagnostic Safety Grants Awarded in FY 2022 | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/diagnostic-safety/research/grants-2022.html
    March 01, 2024 - Expand on our preliminary work in ambulatory care and analyze data from two national patient safety event … Integrate the taxonomy into currently deployed event reporting systems.

88. Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
    January 01, 2010 - patients and families in discharge planning Nearly 20 percent of patients experience an adverse event … Remember that discharge is not a one-time event but a process that takes place throughout the hospital … Discharge planning should be an ongoing process throughout the stay, not a one-time event.

89. Medication Management Strategy: Intervention | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
    June 01, 2023 - will also help to identify patient behaviors that may be putting patients at risk for an adverse drug event

90. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/878.html
    August 01, 2023 - Primary Care Research , will feature AHRQ grantees discussing their research on engaging patients in event … Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event

91. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    preventiveservices.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

92. Results | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/pfp/haccost2017-results.html
    November 01, 2017 - with OBAE is based on two studies reporting on a subset of conditions included in the maternal adverse event … examining the risk of maternal mortality for adverse events acquired in hospitals, and the adverse event … We used meta-analysis to estimate the overall incidence rate for maternal adverse event as 688 (95% CI … represents a fundamental shift in the focus of HACs related to mechanical ventilation from a single adverse event … addressed costs related to VTE leading to a pooled estimate of $17,367 additional costs for each VTE event

93. Assess Your Health Care Quality Reporting Project | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/talkingquality/assess/index.html
    September 01, 2019 - Project Reporting comparative quality information to consumers is typically not a one-time event

94. United States Health Information Knowledgebase | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/data/ushik.html
    July 01, 2022 - patient; and unsafe condition - any circumstance that increases the probability of a patient safety event … elements individually and compare two versions of the Common Formats with each other (Common Formats for Event

95. Implementation Guide for the CANDOR Process: Appendix C | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apc.html
    August 01, 2022 -   Disclosure Team Lead           Care for the Caregiver Team Lead           Event

96. Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
    July 01, 2023 - The specific event presented in the video is postpartum hemorrhage, but the CUSP techniques can be used … for any perinatal safety event.

97. What is the NPSD’s Role in Quality and Patient Safety? | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/npsd/quality-patient-safety/index.html
    August 01, 2020 - By aggregating data submitted in AHRQ’s Common Formats for Event Reporting (a standardized reporting

98. Monitoring Ventilator-Associated Events Module 2
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-slides.pptx
    January 01, 2017 - Device-associated module: ventilator-associated event. … VAC – Definition Criteria Patient intubated for >2 calendar days (earliest day of event … Device-associated module: ventilator-associated event.

99. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
    March 01, 2016 - Surgical Centers Instructional Videos on Surgical Safety Checklist Use Leadership Response to a 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 systems issues contributed to the event. … receives urgent requests from organizations seeking help in the aftermath of a serious organizational event … and restore hope” to patients, families, and clinicians who have been affected by an adverse medical event

100. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
     preventiveservices.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