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Showing results for "event".

181. Overview of TAKEheart Training Curriculum & Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/training/index.html
     February 01, 2023 - Select to view a recording of the webinar, the slides, and an event summary .  … Select to view a recording of the webinar, the slides, and an event summary . … Select to access a recording of the webinar, slides, and the event summary of the materials . … Select to access a recording of the webinar, slides, and the event summary of the materials . … Select to access a recording of the webinar, slides, and the event summary .

182. Blood Dashboard Data (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2020.xlsx
     January 01, 2020 - Type of Blood Product by Extent of Harm Blood_3 Stage of the Process When Blood or Blood Product Event … Originated Blood_4 Stage of the Process When Blood or Blood Product Event Originated by Extent … Blood_4 Blood_4: Stage of the Process When Blood or Blood Product Event Originated Process When Blood … or Blood Product Event Originated Percentage Frequency Total Post-transfusion or administration 15.8% … Blood_5 Blood_5: Stage of the Process When Blood or Blood Product Event Originated by Extent of Harm

183. Medication Dashboard 2020 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_2020.xlsx
     January 01, 2020 - tables include the relative frequency of reports by incorrect action, by the stage of process where the event … Description of Incorrect Dose Med_4 Description of Incorrect Dose by Extent of Harm Med_5 Stage Event … Originated Med_6 Stage Event Originated by Extent of Harm Med_7 https://www.ahrq.gov … Med_6 Med_6: Stage Event Originated Stage of Process Percentage Frequency Total Unknown 32.2% 22,196 … Originated by Extent of Harm Stage Event Originated No Harm Percentage No Harm Frequency Harm Percentage

184. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
     August 01, 2022 - Define a CANDOR event. Develop a measurement strategy. … Event Reporting, Investigation, and Analysis Team—responsible for reviewing the organization’s current … Slide 6 Say: A CANDOR event is defined as an event that involves unexpected harm (physical … As the culture begins to change, the organization can start to expand the definition of a CANDOR event … and Event Investigation and Analysis.

185. Strategies to Better Manage Lipids – Statin Pearls
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/strategies-to-better-manage-lipids.pptx
     November 01, 2016 - Recommendation Grade Adults ages 40-75 years with no symptoms or history of CVD and a calculated 10-year CVD event … dyslipidemia, diabetes, hypertension, or smoking) They have a calculated 10-year risk of a cardiovascular event … of 10% or greater Identification of dyslipidemia and calculation of 10-year CVD event risk requires … Recommendation Grade Adults ages 40-75 years with no symptoms or history of CVD and a 10-year CVD event … statin use may be beneficial for the primary prevention of CVD events in some adults with a 10-year CVD event

186. Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
     January 01, 2024 - Simply because the system has not realized a catastrophic adverse event does not mean that it is ‘ … Time pressures can increase with each instance of an adverse event, particularly if it occurs in … ‘unsuccessful’ waiving (i.e., waiving with a subsequent adverse event) increases time pressure. … The logic defining the transition at this event node is described below. … Exposure leads to a transition to one of two outcomes: 1) adverse event/harm or 2) no adverse event

187. Affinity-Details-Coping-Staff-Challenges (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-coping-staff-challenges.pdf
     September 16, 2020 - EVENT SUMMARY LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1 AFFINITY GROUP DETAILS … Format • A moderated panel discussion with five panelists, with additional input from the 100 event … EVENT SUMMARY LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 2 ASSESSING THE CURRENT … STATUS OF CR PROGRAM OPERATION STATUS AT-A-GLANCE Current State Future State Participants in this event … —Tina Miller EVENT SUMMARY LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE |

188. Scottish Government Uses AHRQ Tools to Prepare for Influenza Pandemic | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cp31104.html
     October 01, 2014 - Classification System"], more detailed work has been undertaken with practitioners on surge management in the event … seen as a way to create additional hospital surge capacity during a disaster or other high-consequence event … suitability for immediate discharge on the basis of risk tolerance for a subsequent consequential medical event … Kelen also serves as Director of the Johns Hopkins Office of Critical Event Preparedness and Response … and Director of the National Center for the Study of Preparedness and Catastrophic Event Responses,

189. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overview.html
     November 01, 2017 - Generally, a nursing home works on one adverse event at a time. … risks, or easily assemble the clinical information needed to appropriately intervene before the adverse event … Reports that identify residents who have had an adverse event and that show risk information, treatment … , and intervention history preceding the event. … Implementation Materials Two worksheets are provided for each adverse event.

190. Chapter 3. Risk-Informed Interventions | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
     April 01, 2018 - The targeted event(s) for the intervention. A description of the proposed intervention. … used to rank the most significant individual risks, based upon their contribution to the top level event … For example, assuming that the top event SSI occurs, the criticality of basic event A is the probability … that the top event is a result of basic event A. … For example, "Event 642 Fail to protect the patient effectively,"ranked as the most critical unique event

191. Asthma 1 Measure Calculation Steps (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/flow-diagrams.pdf
     March 11, 2021 - DEC_TOTAL_MEM_LEVEL Identify payer details associated with most recent qualifying event Sum event … DEC_IDENT_CE Concatenate denominator month tables 10) AST1_OUT.DENOMINATOR_RAW_DATA Deduplicate: 1 event … payer/member combos that exist in the denominator Deduplicate so that there is only 1 numerator event … asthma (ie - is in the denominator) 6If a qualified member has no numerator events during a month, the event

192. Medication or Other Substance Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2021.xlsx
     January 01, 2021 - tables include the relative frequency of reports by incorrect action, by the stage of process where the event … Description of Incorrect Dose Med_4 Description of Incorrect Dose by Extent of Harm Med_5 Stage Event … Originated Med_6 Stage Event Originated by Extent of Harm Med_7 https://www.ahrq.gov … Med_6 Med_6: Stage Event Originated Stage of Process Percentage Frequency Total Unknown 41.3% 39,554 … Originated by Extent of Harm Stage Event Originated No Harm Percentage No Harm Frequency Harm Percentage

193. II. Hotline Design and Development | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/design2.html
     May 01, 2016 - The hotline had four key building blocks: A patient event reporting form. … Creating the Event Reporting Form We used multiple methods to develop the new event reporting form … A patient safety event taxonomy using drill-down (multilevel) menus is embedded in the form. … , where the event occurred). … according to the AHRQ Common Formats event type, harm scale, and duration of harm.

194. Appendix A. Recommendations for Ideal Consumer Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdf
     May 11, 2016 - care experience with patient safety events that may be useful and/or actionable in a patient safety event … Information collected from consumers should include where a patient safety event occurred; what contributed … to the event; whether or to whom the event was reported; what happened when the event was reported; … and the impacts or consequences of the event. … What is the most effective operational approach for consumers to report patient safety event information

195. I. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/intro1.html
     May 01, 2016 - Importantly, none of these events were documented in the hospital’s adverse event reporting systems. … Similarly, Weingart and colleagues, studying adverse event reports from ambulatory oncology patients, … reporting systems, measures must be taken to ensure that event reporting is acceptable to patients. … At Dana-Farber Cancer Institute, for example, a proposal to collect patient event reports was initially … Appendix C is the Operations Manual, which contains the consumer event reporting forms, surveys, Web

196. C1 Prioritization Worksheet (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
     July 01, 2016 - disagree/low) Barrier Assessment (indicate Yes or No) Volume of Cases at Risk Cost of Single Event … G H I J K L M N O P Q R List of PSIs/IQIs/PDIs Own Rate National Comparator Annual volume of this event … Anticipated average cost for one case with this event The total annual cost of this event to our organization … Anticipated cost to investigate/ implement new process is less than annual cost of event Anticipated … with established organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event

197. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
     May 01, 2017 - Engaging after an adverse event. Engaging in planning and design. … Immediately after an adverse event, care providers: Provide care. … event, and the care provided as a result of the event. … a number of emotions when an adverse event occurs. … Rarely does an adverse event occur as a result of intent.

198. Fallpxtool1A (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1a.docx
     January 01, 2004 - An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless of … When an event is reported, it feels like the person is being written up, not the problem 1 2 3 4 … We are given feedback about changes put into place based on event reports 1 2 3 4 5 2. … 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 information

199. Ventilator-Associated Event Data Collection Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/vae/tool.html
     January 01, 2017 - Ventilator-Associated Event Data Collection Tool AHRQ Safety Program for Mechanically … ______     Unit __________ Use this tool to track your progress in reducing ventilator-associated event

200. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
     August 01, 2022 - Does the hospital routinely use its REAL data to identify patient safety event disparities and establish … Is an attempt made to disclose within the first 24 hours following an adverse event? … Do staff have the opportunity to participate in event investigations and process improvement initiatives … Has an organized process to assess behavior related to the event been established? … Is supportive care provided to the caregiver within 24 hours of the event?