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Showing results for "event".

61. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
    July 01, 2022 - Researchers found significant decreases in in-hospital adverse event rates for heart attack, heart failure … In the observed data for 2010 and 2019, adverse event rates fell 36 percent for heart attack patients … After adjustment, the relative risk of experiencing an adverse event diminished for all five patient

62. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
    June 09, 2016 - Instructions This survey asks for your opinions about patient safety issues, medical error, and event … injuries or adverse events resulting from the processes of healthcare delivery. · A “patient safety event … When an event is reported in this unit, it feels like the person is being written up, not the problem … In this unit, we are informed about changes that are made based on event reports 1 2 3 4 5 9 … Hospital management seems interested in patient safety only after an adverse event happens 1 2 3

63. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
    August 01, 2019 - When an event is reported in this unit, it feels like the person is being written up, not the problem … In this unit, we are informed about changes that are made based on event reports. … Hospital management seems interested in patient safety only after an adverse event happens.

64. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
    January 01, 2019 - • Investigate and analyze an adverse event to learn from it and prevent future adverse events. … /primers/primer/13 This AHRQ primer provides background information on voluntary patient safety event … of event reporting, and how event reports can be used to improve safety. … 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.

65. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
    July 22, 2021 - IHS • Enhanced Adverse Event Reporting Capabilities: IHS Safety Tracking and Response (I-STAR) system … Future goal is to align the platform with AHRQ’s Common Formats for Event Reporting.

66. Scoring Different Kinds of Health Care Quality Measures | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/talkingquality/translate/scores/scoring.html
    June 01, 2016 - The choice of reporting only “yes” or “no” answers can be tricky if your measure captures a negative event … Do you want to tell people how often this event happened or how often it did not happen? … Experience indicates that in this case, saying how often a patient safety event did happen will be

67. Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/susan-edgman-levitan-intro-slides.pdf
    March 15, 2016 - Ask a Question 6 www.cahps.ahrq.gov Accessing Presentations 7 www.cahps.ahrq.gov Accessing Event … To Ask a Question Accessing Presentations Accessing Event Materials CAHPS Ambulatory Care Improvement

68. Staff-Safety-Assessment (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
    June 01, 2021 - Category Unit Please describe how you think the next resident at your facility will be harmed by an event

69. Ventilator-Associated Events and Outcome Measures Module | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/hai/tools/mvp/vae.html
    December 01, 2017 - Tools To Support Monitoring VAEs and Outcome Measures Ventilator-Associated Event Data Collection Tool … - HTML Version of Slide Presentation ; Facilitator Guide - Word , 3 MB) Ventilator-Associated Event

70. CAHPS Elicitation Protocol Webcast (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-shaller-intro.pdf
    January 01, 2017 - Ask a Question 9 www.ahrq.gov/cahps Accessing Presentations 10 www.ahrq.gov/cahps Accessing Event … To Ask a Question Accessing Presentations Accessing Event Materials First Polling Question

71. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
    December 01, 2023 - Analysis of why the event occurred, what worked, and what did not work. … Debriefs can be a short (about 3 minutes or less) team event, typically initiated and facilitated by

72. Communication Strategies To Promote Resident Safety | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/strategies-slides.html
    March 01, 2017 - 2 According to Sentinel Event data compiled by the Joint Commission between 1995 and 2005, ineffective … Root Causes by Event Type, 2004-2Q 2014. Sentinel Event Data. … Root Causes by Event Type, 2004-2Q 2014. Sentinel Event Data.

73. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
    May 01, 2017 - Safety) (continued) Key Perinatal Safety Elements Examples for documentation of the rapid response event … General activation criteria: · An emergent or potentially emergent maternity care condition · An event … · Unit can decide its approach to debriefing events based on seriousness of event, expertise available … · Informal debriefings by clinical team immediately following event using an approach that does not … It also helps everyone understand why the event occurred and how it could be prevented in the future.

74. Cholesterol Management Evidence and Resources | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/evidencenow/projects/heart-health/evidence/cholesterol.html
    March 01, 2021 - CVD) in adults aged 40 to 75 years, with at least one CVD risk factor and an increased risk of a CVD event … The USPSTF recommended discussing statin use in similar patients with more moderate risk of a CVD event … cardiovascular disease (CVD) and for those who have one or more CVD risk factors with a calculated 10-year CVD event

75. Resource List - AHRQ Hospital Survey (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
    April 01, 2023 - of event reporting, and ways event reports can be used to improve safety. … • Investigate and analyze an adverse event to learn from it and prevent future adverse events. … 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. … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management 3.

76. Tool: Call-Out | Agency for Healthcare Research and Quality
    talkingquality.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?

77. Communication is the most important leadership trait (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/leadership-communication.pdf
    January 01, 2018 - Belfer shared this anecdote during a recent Advisory Roundtable event convened by athenahealth. … “You cannot over-communicate for primary care physicians,” Belfer said at the event.

78. TeamSTEPPS 2.0 Module 4: Leading Teams
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule4.pptx
    March 10, 2006 - Now briefs are a strategy for sharing the plan when leading a team, and is done in advance of an event … So this is an opportunity before an event for the entire team to get together under the leadership of … And so when something changes or there's an event, it's getting the team together for a brief discussion … What event necessitated the need for the huddle? … And you want to discuss those things that you learned from the event that will actually make the plan

79. Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/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.

80. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
    September 01, 2014 - 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 … Final HAC Data (Finalized May 2012) (continued) 6 Ideally, we would have estimated the adverse event