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Total Results: 2,220 records

Showing results for "event".

101. E-Fetal-Monitoring Facguide (doc file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
     May 01, 2017 - cases of perinatal death or permanent disability reported to The Joint Commission under its sentinel event-reporting … Slide 12 SAY: A unit can decide its approach to debriefing events based on seriousness of event, expertise … Informal debriefings can be used by the clinical team immediately following a near miss or actual adverse event

102. Diagnostic Safety Centers of Excellence | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
     June 01, 2023 - 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.

103. Diagnostic Safety Grants Awarded in FY 2022 | Agency for Healthcare Research and Quality
     talkingquality.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.

104. Strategy 4: IDEA Discharge Planning (Tool 1) (doc file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
     January 01, 2010 - engaging 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.

105. Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
     talkingquality.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.

106. AHRQ Researchers Find Link Between Job Flexibility and Healthcare Access and Use | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/newsletters/e-newsletter/818.html
     June 01, 2022 - authors of the study, published in JAMA Network Open , cross-referenced Medicare patient-level adverse event … between 2010 and 2019, they found that patients were 13 percent more likely to suffer from an adverse event

107. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/teamstepps/instructor/fundamentals/module3/slcommunication.html
     July 01, 2018 - **(JC Sentinel Event Data (Root Causes by Event Type) 2004-2012).

108. Medication Management Strategy: Intervention | Agency for Healthcare Research and Quality
     talkingquality.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

109. AHRQ Signals Intent To Fund Clinics To Improve Care for People With Long COVID | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/newsletters/e-newsletter/852.html
     February 01, 2023 - Food and Drug Administration’s Adverse Event Reporting System from January 2004 through June 2020. … It found a total of 787 reports that pointed to an adverse event from a colchicine drug interaction.

110. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
     talkingquality.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

111. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     talkingquality.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

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

113. Peer Support Interaction—Nurse: Video | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/nurses.html
     August 01, 2022 - video demonstrates an example of emotional support provided for the nurse caregiver after an adverse event

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

115. United States Health Information Knowledgebase | Agency for Healthcare Research and Quality
     talkingquality.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

116. TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) (pdf file)
     talkingquality.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.

117. Creating a Safe Medicine List: Patient Information/Reminder Flyer (pdf file)
     talkingquality.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

118. States That Didn’t Expand Medicaid Lost New General Internists to Expansion States | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/newsletters/e-newsletter/816.html
     May 01, 2022 - human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event … Collaborative case review: a systems-based approach to patient safety event investigation and analysis

119. Patient Safety Awareness Week 2019 | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
     July 01, 2022 - As the Nation's patient safety agency, AHRQ supports this event to increase awareness about patient safety

120. Rapidresponse Facguide (doc file)
     talkingquality.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