Results

Total Results: 5,333 records

Showing results for "event".

101. Table 2. Key features of ideal consumer reporting systems from stakeholder interviews | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table2.html
     August 01, 2022 - Scope and range—Accessibility Allow reporting in real time and after the event … Allow access to system at multiple points so that reporters can update their account of the event. … literacy, non-English speakers) and allow patient, family members, caregivers, and others who witness an event

102. Project Overview: Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
     October 01, 2014 - Designing Consumer Reporting Systems for Patient Safety Events Current patient safety event … Current Reporting Systems Current patient safety event reporting systems are aimed at obtaining information … Research to Create Patient Safety Event Reporting Systems for Consumers To develop recommendations … What is the most effective operational approach for consumers to report patient safety event information

103. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
     August 01, 2022 - Event Investigation and Analysis Guide: Appendix C Visual Model The model above is one major … This format helps to utilize the information found in the investigation to understand why the event occurred

104. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
     March 01, 2012 - ) 1 0.000103 Event 173 (0.9) Event 142 (0.3) Event 450 (0.293) Event 642 (0.2) Event 182 (0.2) Event … 173 (0.9) Event 142 (0.3) Event 450 (0.293) Event 642 (0.2) Event 30 (0.125) Event 543 (0.0325) Staff … 173 (0.9) Event 450 (0.293) Event 642 (0.2) Event 182 (0.2) Event 659 (0.18) Event 543 (0.0325) Staff … 173 (0.9) Event 450 (0.293) Event 642 (0.2) Event 182 (0.2) Event 138 (0.15) Event 543 (0.0325) Staff … Event 30 Gate 239 Event 142 Event 659 Event 138 25% reduction in noncompliance Event 30 Fail to

105. 114-Mrsa-Prevention-Learning-From-Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
     October 01, 2024 - A defect is any clinical or operational event that you would not want to happen again. … In the space below, identify the MRSA infection or other event. … Please describe the event to include the timeline, witnesses, and decisions that were made. … Try to view the world as they did when the event occurred. … Event Components Descriptions Event Enter event description Timeline Enter timeline description

106. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
     January 01, 2003 - Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event … Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event … The medical care costs for these injury and adverse event hospital discharges were obtained from the … Results: Over the study time frame, 153,153 injury and adverse event discharges occurred, with more … Trends in VHA injury and adverse event hospitalizations: by discharge frequency Table 2.

107. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
     February 16, 2021 - Hospital management seems interested in patient safety only after an adverse event happens. … 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. … In the past 12 months, how many event reports have you filled out and submitted?

108. Final Progress Report: Conference on Medical Error Communication and Dispute Resolution (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
     January 01, 2024 - three areas: 1) communication between patients and their families following a medical error or adverse event … understanding about the complexity of communication with patients and their families after an adverse event … Presenters explored the benefits and risks of apology and disclosure after an adverse event or medical … Apology, mediation, medical malpractice claims, patient safety, disclosure of medical error/adverse event … ) improving communication between patients and their families following a medical error or adverse event

109. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
     April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems 135 Lessons Learned … from the Evolution of Mandatory Adverse Event Reporting Systems Ellen Flink, C. … NYPORTS is in compliance with JCAHO’s sentinel event reporting system. … Using administrative data to improve compliance with mandatory State event reporting. … Sentinel event statistics.

110. Survey on Patient Safety (facility version) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
     November 18, 2019 - Instructions This survey asks for your opinions about patient safety issues, medical error, and event … • An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless … When an event is reported, it feels like the person is being written up, not the problem .......... … 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

111. Survey on Patient Safety (facility version) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
     November 15, 2019 - Safety Instructions This survey asks for your opinions about patient safety issues, medical error, and event … to answer a question, or if a question does not apply to you, you may leave your answer blank. · An “event … When an event is reported, it feels like the person is being written up, not the problem (1 (2 (3 … 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

112. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/capacity/candor/modules/guide4/apc.html
     February 01, 2017 - Event Investigation and Analysis Guide: Appendix C The model above is one major output … This format helps to utilize the information found in the investigation to understand why the event occurred

113. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17111-Hall-report.pdf
     September 01, 2007 - A nonideal care event was described as any event in the patient’s care that the caregiver did not feel … occurred and the event category and specific event type, as derived during the analysis of the data … Information included the general event category and specific event indicator classifications, the event … occurred and the event category and specific event type, as derived during the analysis of the data … The results as categorized by event category and specific event type are listed in Table 2.

114. Candor-Impguide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
     April 01, 2016 - A CANDOR event is defined as an event that involves unexpected harm (physical, emotional, or financial … A CANDOR event is defined as an event that involves unexpected harm (physical, emotional, or financial … After the event is identified as a CANDOR event, CANDOR System Activation occurs and triggers the start … reporting system, event investigation, and event analysis. … (see Adverse Event [Reasonable Care] and Adverse Event [Unreasonable Care]).

115. Using Simulation in TeamSTEPPS Training: Classroom Slides | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
     June 01, 2019 - Return to Top   Define Event Sets Event sets are the building blocks of a scenario Event … Each event set should not include more than one trigger event . … Event sets can be created by breaking a clinical procedure into chunks . … The event sets or behavior categories can be used to structure discussion. … Rule of thumb: Have a key event every 1 to 2 minutes of scenario time.

116. Prioritization Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheetinstructions.pdf
     June 05, 2016 - Column F, “Cost of Single Event,” indicates the average cost to your organization of one event. … both costs and risk of the adverse event (e.g., concurrent cancer diagnosis). … Ideally, if your data permit, consider only costs that occur after the adverse event occurred. … Has your organization recently experienced negative press regarding an event? … What would this look like in the community if you had an event in your organization?

117. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
     January 01, 2024 - Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care Adverse Event-Directed … Key Words: trigger tool, adverse event, patient safety, ambulatory care 2 PURPOSE The purpose of … is and why they think it is an adverse event. … Description of a computerized adverse drug event monitor using a hospital information system. … Adverse drug event trigger tool: a practical methodology for measuring medication related harm.

118. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
     March 01, 2002 - The RMEES database contains the following information: event date, floor, event number, event description … After pharmacy staff receives adverse drug event data from RMEES, they further categorize the event … adverse drug event rates. … types, and event reasons. … Scatter plot of RMEES potential adverse drug event rates versus preventable adverse drug event rates

119. Chapter 1. Background | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
     August 01, 2022 - care experience with patient safety events that may be useful and/or actionable in a patient safety event … What caused the patient safety event to happen? Where did the patient safety event happen? … What impact did the patient safety event have? … What were the consequences of the patient safety event? … What is the most effective operational approach for consumers to report patient safety event information

120. Sensemakingnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
     August 08, 2012 - into a near-miss event. … of "why's" to reach the root causes of the event. … the event from reaching the patient. … that did not happen—No harm event · Event did not reach the patient—Near-miss event We then ask why … The tree is an interpretation of the event.