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  1. www.ahrq.gov/hai/tools/mvp/vae.html
    December 01, 2017 - Tools To Support Monitoring VAEs and Outcome Measures Ventilator-Associated Event Data Collection Tool … - HTML Version of Slide Presentation ; Facilitator Guide - Word , 3 MB) Ventilator-Associated Event
  2. www.ahrq.gov/news/events/nac/2020-07-nac/071420-agenda.html
    July 01, 2020 - Closed captioning will be provided during this event. … Time Event 10:00 – 10:05 a.m.
  3. www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
    January 01, 2024 - Operational Definition A call for the RRT received by telecom- munications Any cardiac event … that required CPR**** or ACLS* was considered as well as all asystole or PEA** Any cardiac event … The responding Hospital Medicine clinicians were responsible for filling out the event form. … There were several possible reasons for the low event record completion rate. … When the event occurred during a busy day, clinicians may have simply forgotten to complete the event
  4. Data Measures Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
    January 01, 2017 - (5) occur, o 3 have adverse event (9) occur, o 2 have adverse event (18) occur, and o 3 have adverse … event (20) occur. … event (18) occur and 30% of the patient days had adverse event (20) occur Target Accurate documentation … (5) occur, o 3 have adverse event (9) occur, o 2 have adverse event (18) occur, and o 3 have adverse … event (20) occur.
  5. www.ahrq.gov/news/newsroom/case-studies/201411.html
    August 01, 2014 - In recent years, the survey findings have helped Mercy Health revamp its patient safety event reporting … system, develop event management guidelines, and decrease reportable events. … safety and quality activities at Mercy Health, including the following: Implementing SAFECARE, an event … reporting system that dramatically reduced the amount of time required to enter an event or near-miss
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
    September 13, 2013 - communication among patients, families, and clinicians; and · Discuss how to communicate an adverse event … Immediately after an adverse event, care providers: · Provide care. … The documentation should include an objective description of the event, the patient’s response to the … event, and the care provided as a result of the event. … Rarely does an adverse event occur as a result of intent.
  7. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
    December 01, 2014 - Nursing home staff generally do a good job of investigating and following up after an adverse event, … It is more difficult for staff to identify which residents are at risk for a future adverse event. … Investigate root causes when an adverse event occurs. … The questions in each Self-Assessment are tailored to the On-Time adverse event being addressed. … Discussion questions are tailored to the On-Time adverse event being addressed.
  8. www.ahrq.gov/sites/default/files/2024-01/cousins-report.pdf
    January 01, 2024 - • What suggestions do participants have for other adverse event reporting systems? … MEDMARX collects medication error event data through a series of required and optional fields. … Voluntary reporting is dependent on a reporter recognizing an error and then disclosing the event.5 … • What strategies and tools have been most helpful for data analysis and event investigation? … For other adverse event reporting systems? For a national-level patient safety database?
  9. Facilitator-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
    March 01, 2017 - The Debrief meeting is ideally conducted with all team members that were involved in the event. … SLIDE 27 SAY: Communication following an adverse event can been especially challenging. … However, prompt, compassionate, and honest communication following an event is essential. … , the resident’s response to the event, and the care provided as a result of the event. … occurs, so communication about an adverse event should be compassionate and sensitive.
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
    June 16, 2008 - MEDWATCH - The FDA Safety Information and Adverse Event Reporting Program. … Sentinel event statistics. 2005 Mar 31. … Available at: http://www.jcaho.org/accredited+organizations/sentin el+event/sentinel+event+statistics.htm … /sentinel+event+statistics.htm http://www.jcaho.org/accredited+organizations/sentinel+event/sentinel+ … event+statistics.htm 10.
  11. www.ahrq.gov/patient-safety/resources/consumer-exp/reporting/exh1.html
    October 01, 2014 - Consumer to system hub: The consumer experiences an event. … The event can be reported locally or reported nationally. The report flows toward the system hub.
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
    April 01, 2022 - for Preventing CLABSI and CAUTI in the ICU Setting CLABSI and CAUTI Learning Tools: CLABSI/CAUTI Event … The event reporting tools support a thorough review of a CLABSI or CAUTI to support the team in identifying … The event reporting tools have a comprehensive list of questions specific to CLABSI and CAUTI that can … CLABSI Event Reporting Tool CAUTI Event Reporting Tool The Learning From Defects tools support a … http://www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting.docx
  13. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-section-6-tables-5-7.pdf
    April 25, 2018 - sepsis 15 87% 0.72 Septic shock 15 87% 0.58 Table 6: Inter-Rater Reliability of Assessment of Event … within Specified Time Period Site Event Number of Records Reviewed Percent
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-6a-tables-4-5.pdf
    February 09, 2018 - Inter-Rater Reliability of Assessment of Event within Specified Time Period Site Event Number of Records
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
    January 01, 2003 - Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting 173 Development … of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting Andrew C. … ), medication error that leads to an adverse drug event (ADE/ME), or no event. … If an event was captured through multiple triggers, the event was counted only once in the overall PPV … Description of a computerized adverse drug event monitor using a hospital information system.
  16. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2018qdr-patsaf-chartbook.pptx
    October 01, 2019 - patients who received an anticoagulant Hospital patients with an anticoagulant-related adverse drug event … or factor Xa inhibitor Hospital patients who received a hypoglycemic agent who had an adverse drug event … If a CL or UC was in place for >2 calendar days and then removed, the date of event of the LCBI must … The HHS National Action Plan for Adverse Drug Event Prevention targets three areas: Bleeding related … drug event related to warfarin use Hospitalized patients with an anticoagulant-related adverse drug
  17. www.ahrq.gov/patient-safety/resources/consumer-exp/reporting/table2.html
    October 01, 2014 - Scope and range—Accessibility Allow reporting in real time and after the event … Allow access to system at multiple points so that reporters can update their account of the event. … literacy, non-English speakers) and allow patient, family members, caregivers, and others who witness an event
  18. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sas-code.pdf
    October 31, 2018 - Comments: The age variable used is the age at the time of most recent qualifying denominator event for … length=$4; if a then event = 'Inpt'; *Inpatient; if b then event = 'EOA1'; *Ed/Outpatient Asthma: … event type, and service date to create unique service events for each member_id. … = ev[i], 1, 0); end; run; * Count event type totals by member; proc sql; create table &Mth. … Events #3: Ambulatory (ED or Outpatient) event in which asthma dx codes appear in any position.
  19. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys-primer-webcast.pdf
    January 11, 2018 - www.ahrq.gov/cahps Accessing Event Materials To access the event materials and resources, click on
  20. www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
    January 01, 2024 - For this aim, we will use an event detection computer system and will build upon our prior experience … and existing expert systems for inpatient event detection.(1-4) 2. … To evaluate the performance of the event detection system as employed in Aims 1-3. … They also recorded the responsible medications and a narrative of the event. … Pediatric Adverse Drug Event Surveillance with Natural Language Processing.

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