-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops1-datafilespec.pdf
September 16, 2019 - When an event is reported, it
feels like the person is being
written up, not the problem
A12 Column … We are given feedback about
changes put into place based
on event reports
C1 Column Z 1=Never
2= … In the past 12 months, how
many event reports have you
filled out and submitted? … G1 Column AU a=No event reports
b=1 to 2 event reports
c=3 to 5 event reports
d=6 to 10 event reports … e=11 to 20 event reports
f=21 event reports or more
AHRQ SOPS Hospital Survey Version 1.0
Survey
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - In 2000, this was an innovative approach to event
reporting. … Additional questions are applicable to any event category. … Data are gathered
about the type of event, the location of the event, contributing factors, injuries … prevention of the event. … The Report Management Tool is used to manage event reports, analyze event classes and the
cause of events
-
www.ahrq.gov/mcctransitions-challenge/timeline.html
February 01, 2020 - showcase at the American Medical Informatics Association (AMIA) 2020 Annual Symposium or another similar event … A portion of the semifinalist prize money should be used for travel to the showcase/demo event.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
October 01, 2011 - Adverse event-positive predictive value for ICD-9-CM codes
N (%)
Adverse event category All patients … ADEs are one notable category
of event without specific exposure codes. … for chairing the Expert Panel for Classification of Adverse Event ICD-9-CM Codes. … The ICD-9-CM adverse event
classification. Available at:
health.utah.gov/psi/icd9.htm. … Utah/Missouri
Adverse Event ICD-9-CM Classification, final 2008
version.
-
www.ahrq.gov/sops/events/webinars/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/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
May 01, 2007 - Education
• Two Nurse Managers
• Pediatrician
• Anesthesiologist
The Collaborative
• Prework
– RCA Event … Reports
– Patient Safety Activity Documentation
– Policies; Corrective Action, Sentinel
Events, Adverse Event … 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/research/publications/pubcomguide/Audiovideo-fiilable-form.pdf
April 01, 2024 - Is the final product tied to any event? … Yes No
• If yes, name of the event:
• Date of the event: … Off
6 months to 1 year: Off
Budget:
Funding Source:
Start Date_af_date:
End Date_af_date:
Event … :
Event Date_af_date:
Information: Off
Support: Off
Yes: Off
No: Off
Yes1: Off
No1: Off
Yes2
-
www.ahrq.gov/cpi/about/otherwebsites/healthit.ahrq.gov/index.html
November 01, 2024 - Upcoming Webinar: Advancing Digital Healthcare Equity: Navigating Disparities in the Digital Age Event … You will receive a confirmation email message with instructions on how to join the event. … ensure successful participation, please download the Webex app and/or test your system prior to the live event
-
www.ahrq.gov/patient-safety/resources/consumer-exp/reporting/summary.html
October 01, 2014 - The TEP includes experts in patient safety, patient safety event reporting systems, health care delivery … care experience with patient safety events that may be useful and/or actionable in a patient safety event … What is the most effective operational approach for consumers to report patient safety event information … to the event; whether or to whom an event was reported; what happened when an event was reported; and … the impacts or consequences of the event.
-
www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
January 01, 2024 - We defined a preventable adverse
event as an adverse event associated with an error. … If
the ED patient was admitted and screened positive for a possible adverse event, chart
abstractors … In cases
when a critical error was responsible for a preventable adverse event, the data point was … entered into the analysis only as a preventable adverse event to prevent double counting. … We tried to address this by including a
return to the ED within 48 hours as a potential adverse event
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/01-sops-hospital-survey-workplace-item-set-webcast-intro.pdf
May 23, 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/patient-safety/capacity/candor/modules/guide4/apa.html
February 01, 2017 - Event Investigation and Analysis Guide: Appendix A
In this example, there is only one path … Event Summary: The wrong concentration of potassium (K+) was used in the compounding of TPN.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/118-monthly-team-checkup-tool.pdf
October 01, 2024 - In the past month, has a disruptive event distracted unit personnel from the MRSA Prevention
work (e.g … ., emergency response, reorganization, sentinel event, accreditation activities, loss
of key personnel … What event distracted unit personnel from the MRSA Prevention work (e.g., emergency
response, reorganization … , sentinel event, accreditation activities, loss of key personnel)? … Off
Verbal report: Off
Written report: Off
Question 17:
In the past month, has a disruptive event
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/traininggd-update.pdf
February 01, 2011 - The Simulation Module for Assessment of Resident Targeted Event Responses
(SMARTER) approach is an event-based … All event sets consist of a
trigger—the condition under which the event becomes fully activated or the … (2) Each event set should include only one trigger event to avoid introducing too
many variables and … Explain that each slide can be chunked into two event sets, with one
trigger for each event set. … “Event-based approach to training
(EBAT).”
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-intro.pdf
January 24, 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/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
July 01, 2023 - For instance, was there enough medication to manage a severe hypertension event? … For instance, was there enough medication to manage a severe hypertension event? … What system issues contributed to how we handled the event? … What system issues contributed to how we handled the event? … During the Response stage, you might debrief after a patient hemorrhage event.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-technical-assistance.pdf
January 01, 2021 - /app.smartsheet.com/b/form/598e60c379ba4e6b9583d5285244fb69
https://pri.adobeconnect.com/hcbs072821/event … /registration.html
https://pri.adobeconnect.com/hcbs072821/event/registration.html
-
www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-o.html
October 01, 2015 - CAUTI Event Report Template
Previous Page Next Page
Table of Contents
Toolkit for Reducing … CAUTI Event Report Template
Appendix P.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
July 01, 2023 - What system issues contributed to our handling of the event? … What teamwork behaviors contributed to our handling of the event? … What system issues contributed to our handling of the event? … What teamwork behaviors contributed to our handling of the event? … Please note that the scenario does not relate to a severe hypertension event.
-
www.ahrq.gov/research/findings/final-reports/stpra/stprasumm.html
April 01, 2013 - We assigned probabilities to each basic event in the fault tree, using information available from the … This process resulted in a probability of occurrence of the top-level event, along with the major risk … Intervention Next, we examined the events from the ST-PRA model ranked in order of criticality, finding that Event … 642 [Fail to protect the patient effectively] ranked as the most critical unique event, with the highest … Based on this finding, we propose an intervention aimed at Event 642 [Fail to protect patient effectively