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Total Results: 5,333 records

Showing results for "event".

281. AHRQ Hospital Survey on Patient Safety Culture Hospital Survey Version 1.0 Data File Specifications (pdf file)
     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

282. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
     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

283. Timeline and Prize Structure | Agency for Healthcare Research and Quality
     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.

284. Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance (pdf file)
     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.

285. Using Just Culture To Improve Hospital SOPS (Presentation) | Agency for Healthcare Research and Quality
     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.

286. Just Culture Webcast Presentation (pdf file)
     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.

287. Audio/Video Concept Proposal Form (pdf file)
     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

288. AHRQ's Digital Healthcare Research Program | Agency for Healthcare Research and Quality
     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

289. Executive Summary | Agency for Healthcare Research and Quality
     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.

290. Final Progress Report: Validation of an Innovative Approach to Error Reduction (pdf file)
     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

291. SOPS State Hospital Association Webcast - Introduction (pdf file)
     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

292. Event Investigation and Analysis Guide: Appendix A | Agency for Healthcare Research and Quality
     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.

293. Monthly Team Checkup Tool for MRSA Prevention (pdf file)
     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

294. Training Guide: Using Simulation in TeamSTEPPS Training (pdf file)
     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).”

295. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Introduction (pdf file)
     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

296. Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation
     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.

297. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey-WOODWARD (pdf file)
     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

298. Appendix O. CAUTI Event Report Template | Agency for Healthcare Research and Quality
     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.

299. Situation Monitoring: Severe Hypertension - PowerPoint Presentation
     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.

300. Executive Summary | Agency for Healthcare Research and Quality
     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