-
talkingquality.ahrq.gov/patient-safety/news-events/index.html
March 01, 2024 - 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
…
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
March 08, 2019 - • Partnership with VA to look at data, trends, and solution for delay in
treatment event type.
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
May 01, 2017 - 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
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-tpq-questionnaire.pdf
May 31, 2023 - My supervisor/manager provides
opportunities to discuss the unit’s
performance after an event.
-
talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
July 01, 2023 - cases of perinatal death or permanent disability reported to The Joint Commission under its sentinel event-reporting … From Defects
Say:
A unit can decide its approach to debriefing events based on seriousness of event … Informal debriefings can be used by the clinical team immediately following a near miss or actual adverse event
-
talkingquality.ahrq.gov/talkingquality/translate/compare/choose/standard.html
January 01, 2023 - While “zero-tolerance” is implied by the term “never event,” this may not be language that the public
-
talkingquality.ahrq.gov/news/newsroom/press-releases/national-advisory-council-meeting.html
March 01, 2021 - Closed captioning will be provided during this event.
-
talkingquality.ahrq.gov/news/newsletters/e-newsletter/899.html
February 01, 2024 - Speakers at the event, sponsored by AHRQ and the National Institutes of Health, highlighted major drivers
-
talkingquality.ahrq.gov/ncepcr/communities/pbrn/registry/machine-machine-mankind-interface-pbrn.html
August 11, 2014 - Supports advance features such as sensor support, behavior pattern recognition, event-driven behavior
-
talkingquality.ahrq.gov/diagnostic-safety/resources/index.html
March 01, 2024 - Common Formats for Event Reporting–Diagnostic Safety (CFER–DS)
Page last
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - facilitating a safe
delivery by offering logic and a
clear focus during what can often
be a chaotic event … of hemorrhage, or
patient preferences that may limit
the use of blood and blood products
in the event … culture that supports
debriefing by the clinical team
immediately after a near miss, an
adverse event … o A unit can decide its approach to
debriefing events based on the
seriousness of the event,
expertise
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - Discharges—
Based on 2010
Baseline)
2012 PFP
Measured
HACs per
1,000
Discharge
s
Adverse Drug
Event
-
talkingquality.ahrq.gov/teamstepps/readiness/index.html
August 01, 2015 - Objective information can originate from a variety of sources, including adverse event and near-miss … For continued success, the organization needs to view the culture change as a process rather than an event
-
talkingquality.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
December 01, 2023 - As the Nation's patient safety agency, AHRQ supports this event to increase awareness about patient safety
-
talkingquality.ahrq.gov/cahps/index.html
Associations and Paths for Quality Improvement – Research Meeting Summary
Read the event
-
talkingquality.ahrq.gov/news/newsroom/press-releases/national-advisory-meeting-july-14.html
July 01, 2021 - Closed captioning will be provided during this event.
-
talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
July 01, 2023 - 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
-
talkingquality.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
-
talkingquality.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
-
talkingquality.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.