-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
September 01, 2023 - Healthcare providers submit patient safety event data to Patient Safety
Organizations (PSOs), which … As of December 31, 2022, the PSOPPC has
maintained over 2.6 million patient safety
event reportsiii … In addition, causal inferences cannot be based on these event data
alone. … associations between various concurrent reported event characteristics. … Does error and adverse event reporting by physicians and nurses differ?
Jt. Comm. J. Qual.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/asp-pneumonitis-one-page.pdf
November 01, 2019 - regimens for community-acquired pneumonia (CAP) (e.g., ampicillin-
sulbactam, ceftriaxone) if the event … with regimens for hospital-acquired pneumonia (HAP) (e.g., cefepime, piperacillin-
tazobactam) if the event … A proportion of patients (20–25%) may develop bacterial pneumonia 48–72 hours after an
aspiration event
-
www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-presentation.html
January 01, 2017 - The Collaborative
Prework
RCA Event documentation.
Employee Corrective Action Reports. … Policies; Corrective Action, Sentinel Events, Adverse Event Reporting.
Patient Safety Plan. … When a patient safety event happens, hospital management looks at more than staff actions to determine … what led to the event.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/Nursing-Home-Workplace-Safety-Resource-List.pdf
January 01, 2023 - /resources/patient-safety-topics/sentinel-event/sentinel-
event-alert-newsletters/sentinel-event-alert … /sentinel-event-alert-newsletters/sentinel-event-alert-59-physical-and-verbal-violence-against-health-care-workers … https://www.jointcommission.org/resources/patient-safety-topics/sentinel-event/sentinel-
event-alert-newsletters … /sentinel-event-alert-60-developing-a-reporting-culture-learning-from-
close-calls-and-hazardous-condi … /sentinel-event-alert-newsletters/sentinel-event-alert-60-developing-a-reporting-culture-learning-from-close-calls-and-hazardous-condi
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
January 01, 2023 - /resources/patient-safety-topics/sentinel-event/sentinel-
event-alert-newsletters/sentinel-event-alert … /sentinel-event-alert-newsletters/sentinel-event-alert-59-physical-and-verbal-violence-against-health-care-workers … https://www.jointcommission.org/resources/patient-safety-topics/sentinel-event/sentinel-
event-alert-newsletters … /sentinel-event-alert-60-developing-a-reporting-culture-learning-from-
close-calls-and-hazardous-condi … /sentinel-event-alert-newsletters/sentinel-event-alert-60-developing-a-reporting-culture-learning-from-close-calls-and-hazardous-condi
-
www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh2.html
August 01, 2022 - A consumer interacts with health care facilities and providers and experiences an event. … Health care facilities and providers also add information about the event to reporting system records
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-facilitator-guide.pdf
November 01, 2019 - Slide 23
Moment 1: Aspiration Event
SAY:
Pneumonitis is an abrupt chemical injury caused by … It progresses
quickly to respiratory failure followed by rapid
improvement within 48 hours of the event … Moment 1: Distinguishing Aspiration
Events From Aspiration Pneumonia
SAY:
If an aspiration event … progresses to aspiration
pneumonia, this generally occurs around 48 hours after
the aspiration event … Treat as healthcare-associated pneumonia if the event
occurred 72 hours or more after admission to a
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/01-sops-riverside-handoffs-webcast-intro.pdf
October 30, 2024 - PM ET
Webcast Technical Info
• Audio issues
• Poor Connection
• Use Q&A to submit questions
• Event … events.westat.com/sops
► Download presentation slides and view the agenda and speaker bios
on our event
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
May 01, 2013 - improve communication among patients, families, and clinicians
Discuss how to communicate an adverse event … — Infrastructure advisory
Engaging in everyday care — How-to strategies
Engaging after an adverse event … Introduction to Adverse Events
Adverse event: An injury to a patient caused by medical intervention … family
Prompt, compassionate, and honest communication with the patient and family after an adverse event … the appropriate parties
Communicate with the patient (who, what, when, where, and why)
Document the event
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
January 01, 2014 - GJ,
Study monitoring system that identified “alerts”
that possibly indicated an adverse drug
event … Adverse Drug Event
Detection in Pediatric
Oncology and
Hematology Patients:
Using Medication … Recognizing
hypoglycemia in children
through automated
adverse-event detection. … Automated
adverse event detection
collaborative: electronic
adverse event
identification,
classification … those with no event
(95% CI 1.19 to 1.26).
-
www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - never event. … to the 2002 NQF Reportable Event Standard (N=188)
NQF Event Standard (27) %
1. … Environmental events 26.
6
NQF Event Standard (27) %
A. … They were also asked to determine the severity of the event, determine the preventability of the event … Regardless of type of event, the
chart and the patient survey agreed 77% of the time that an event occurred
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
May 01, 2017 - Discuss how to communicate an adverse event to patients and family members. … Immediately after an adverse event, care providers:
Provide care. … Caring for the patient’s physical needs after an event is the first step a provider must take. … event, and the care provided as a result of the event. … Rarely does an adverse event occur as a result of intent.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-mo-webcast-2023-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
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/primer-intro-2023.pdf
January 01, 2023 - Webcast Technical Info
• Audio issues
• Poor Connection
• Use Q&A: For Questions or Other Problems
• Event … /events.westat.com/cahps/
► Download presentation slides; view the agenda and speaker bios on
our event
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/coping-staff-challenges-slides.pdf
February 13, 2023 - information
and links to COVID-19 resources
(https://takeheart.ahrq.gov/coronavirus)
2
Today’s Event … 14
Resources Mentioned in Today’s Event
Dr. … discussions of key topics with peers at:
https://takeheart.ahrq.gov/collaboration
Today’s slides and an event … summary will be emailed to event
participants and posted online at: https://takeheart.ahrq.gov
Please
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
March 01, 2023 - Secondly,
patient safety event reports are submitted by providers to PSOs, then by PSOs to the PSO … ii The initial report date represents the date a provider completed the Healthcare Event Reporting Form … It should be noted that
a single event record may have more than one type of event specified. … as part of the
voluntary event reporting to the NPSD (i.e., the total population at risk for a fall … However, standardization of event reports under the Common Formats does
allow for valid comparisons
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-case-scenarios.pdf
April 01, 2016 - ........................................................2
Scenario 2: Disclosure Immediately After Event … ....................................................................3
Scenario 3: Disclosure After Event … ....................................................................4
Scenario 4: Disclosure After Event … Case Scenarios: Handling Challenging Communications – 3
Scenario 2: Disclosure Immediately After Event … Case Scenarios: Handling Challenging Communications – 5
Scenario 4: Disclosure After Event Analysis
-
www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
August 01, 2022 - instances in which consumers are likely to have more complete information regarding a patient safety event … Beyond positive impacts of this role for consumers, involvement of consumers in patient safety event … It will be important for members of the patient safety event reporting systems community to participate … Confidentiality of patient safety event reports, which may include protected health information (PHI) … To ensure appropriate confidentiality of patient safety event reports and thereby encourage consumers
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-sops101-webcast-2023-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
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/01-sops-teamstepps-webcast-intro.pdf
July 25, 2024 - PM ET
Webcast Technical Info
• Audio issues
• Poor Connection
• Use Q&A to submit questions
• Event … events.westat.com/sops
► Download presentation slides and view the agenda and speaker bios
on our event