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Total Results: 5,333 records

Showing results for "event".

241. Medication or Other Substance Supplement Dashboard | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/data/dashboard/medication-supplement.html
     September 01, 2023 - includes information organized by medication events at a glance, including description of substance event … , stage event originated, and type of substance involved for incidents, near misses, and unsafe conditions

242. Data Submission Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2020.xlsx
     January 01, 2020 - tables include distributions of events and unsafe conditions reported by PSOs using Common Formats for Event … Common Formats Version DS_3 Percentage of Total Reports by Report Type DS_4 Percentage of Event … Miss 16.4% 289,077 1,758,235 Unsafe Condition 7.7% 135,455 1,758,235 DS_5 DS_5: Percentage of Event … Type by Common Formats Version Event Type Version Frequency Percentage Total Other CFER-H V1.1 153,170

243. Hospital Evacuation Decision Guide (Figure 1) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/hospevacfig1.html
     July 01, 2018 - Advanced Warning Event Evacuation Decisions

244. St. Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips1402.html
     January 01, 2014 - methods to improve communication about events, including new summaries from the hospital's voluntary event … The hospital also compiles quarterly summaries of entered event reports, which are discussed at a variety … Jude also modified its customized electronic event reporting system to improve its patient safety culture … of the patient care delivery system that contributed to the event. … Jude also streamlined the interface with a goal of making the time to enter an event report of 2 minutes

245. Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17118-Dierks-report.pdf
     June 01, 2011 - 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

246. Common Cause Analysis: Focus on Institutional Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
     January 20, 2008 - to view the event from a systems perspective. … It starts with a process flow developed for the event. … • Was a lack of information or misinterpretation a factor in this event? … • Was communication a factor in this event? … • Occurrence (O) evaluates the risk of the event occurring again.

247. Patient and Family Engagement | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
     September 01, 2013 - Immediate Response to an Adverse Event 4 Slide 24. … How to Communicate About an Adverse Event 6 Slide 26. … What if an Adverse Event Occurs on the Unit? … event, and the care provided as a result of the event … of emotions when an adverse event occurs.

248. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
     June 05, 2008 - issued an executive order that mandated Indiana health and medical professionals to report adverse event … However, confusion, fear, and blame may result if adverse event data are misinterpreted or misused. … In this study, we explore the issues of medical adverse event reporting in the State of Indiana. … • The medical adverse event reporting system should be standardized across the State. … Patient safety and medical adverse event: A roadmap for state action. Portland, ME.

249. IV. Evaluation Aims, Methods, and Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/eval4.html
     May 01, 2016 - report and classifies the event(s) described within it by event type, harm scale, and duration of harm … If each of these 45 visitors had completed the event reporting form, the hotline would have received … The first page of the event reporting form requires potential reporters to indicate whether they are … Patient Event Reports During the 17 months of operation from February 2014 through June 2015, only … t When a reported event described multiple harms, the physician classified the event according to the

250. Generic Dashboard Data 2023 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
     January 01, 2023 - of Event/Unsafe Condition by Event Type Gen_3 Location of Event/Unsafe Condition by Report Type … _6 Near Miss Prevention Actions within Event Types Gen_7 Extent of Harm by Event Type, Age, and … Type by Year Report Year Event Type Event Count Total Yearly Events Percent 2010 Blood or Blood Product … Gen_3 Location of Event/Unsafe Condition by Event Type Event Type Location of event/unsafe condition … Gen_5 Contributing Factors by Event Type Event Type Contributing Factor(s) for Event Event Count Total

251. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
     November 03, 2022 - • Common Format for Event Reporting – Diagnostic Safety o AHRQ released the Common Formats for Event … The Event Description, Users’ Guide and Glossary, and Form are all available here. … IHS • Enhanced Adverse Event Reporting Capabilities o IHS Safety Tracking and Response (I-STAR) is deployed … improvement project to better identify and facilitate the reporting of diagnostic errors through voluntary event

252. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroupmeeting-notes-july2022.pdf.pdf
     November 03, 2022 - • Common Format for Event Reporting – Diagnostic Safety o AHRQ released the Common Formats for Event … The Event Description, Users’ Guide and Glossary, and Form are all available here. … IHS • Enhanced Adverse Event Reporting Capabilities o IHS Safety Tracking and Response (I-STAR) is deployed … improvement project to better identify and facilitate the reporting of diagnostic errors through voluntary event

253. Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
     June 01, 2023 - The Challenge: Most studies eliciting patient experience with medical errors focus on the adverse event … The focus of questions is on the immediate antecedents and outcomes of the adverse event. … is that the ways patients and clinicians interact in the aftermath of that event go unreported. … Exacerbated harms associated with the adverse event. … But only 14 percent more reported such an event from 2 to 5 years before the survey (less than half of

254. Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
     June 01, 2023 - The Challenge: Most studies eliciting patient experience with medical errors focus on the adverse event … The focus of questions is on the immediate antecedents and outcomes of the adverse event. … is that the ways patients and clinicians interact in the aftermath of that event go unreported. … Exacerbated harms associated with the adverse event. … But only 14 percent more reported such an event from 2 to 5 years before the survey (less than half of

255. USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-tracking-tool-skilled-nursing-facilities.pdf
     December 01, 2021 - Select Adverse Event (Reaction) to 2nd Dose. … Adverse Event (Reaction) to any COVID-19 Vaccine Dose? … Select Adverse Event (Reaction) to 1st Dose. … Select Adverse Event (Reaction) to 2nd Dose. … Adverse Event (Reaction) to any COVID-19 Vaccine Dose?

256. Data Submission Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2022.xlsx
     January 01, 2022 - tables include distributions of events and unsafe conditions reported by PSOs using Common Formats for Event … Common Formats Version DS_3 Percentage of Total Reports by Report Type DS_4 Percentage of Event … DS_5 DS_5: Percentage of Event Type by Common Formats Version Event Type Version Frequency Percentage

257. Data Submission Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2021.xlsx
     January 01, 2021 - tables include distributions of events and unsafe conditions reported by PSOs using Common Formats for Event … Common Formats Version DS_3 Percentage of Total Reports by Report Type DS_4 Percentage of Event … DS_5 DS_5: Percentage of Event Type by Common Formats Version Event Type Version Frequency Percentage

258. SOPS Ambulatory Surgery Center Webcast - INTRO (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/01-ASC-webcast-2023-0509-intro.pdf
     January 01, 2023 - Webcast Technical Info • Audio issues • Poor Connection • Use Q&A: For Questions or Other Problems • Event … events.westat.com/sops ► Download presentation slides and view the agenda and speaker bios on our event

259. Data Submission Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2023.xlsx
     January 01, 2023 - tables include distributions of events and unsafe conditions reported by PSOs using Common Formats for Event … Common Formats Version DS_3 Percentage of Total Reports by Report Type DS_4 Percentage of Event … DS_5 DS_5: Percentage of Event Type by Common Formats Version Event Type Version Frequency Percentage

260. Vascular Access Device (VAD) Policy, Adult (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
     March 01, 2008 - event=Appendix.PDFFile.Render&aid=2478 http://www.insidehopkinsmedicine.org/hpo/index.cfm? … event=Appendix.PDFFile.Render&aid=2478 http://www.insidehopkinsmedicine.org/hpo/index.cfm? … event=Appendix.PDFFile.Render&aid=2294 http://www.insidehopkinsmedicine.org/hpo/index.cfm? … event=Appendix.PDFFile.Render&aid=2294 http://www.insidehopkinsmedicine.org/hpo/index.cfm? … event=Appendix.PDFFile.Render&aid=2260 http://www.insidehopkinsmedicine.org/hpo/index.cfm?