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Total Results: 5,333 records

Showing results for "event".

381. Leverage Patient Safety Infrastructure | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/simulation-issue-brief3.html
     July 01, 2024 - unusual (or usual) challenges. 6 Simulation can take learning one step further by recreating an actual event … Simulation That Revealed an Equipment Malfunction A patient safety event occurred when an infusion delivered … this information would have been obtained from other types of investigations, such as interviews of event

382. Getting Started  | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/training/getting-started/index.html
     April 01, 2023 - Recorded versions of these webinars as well as the accompanying slides and event summaries are available … Rehabilitation Program (1:01:11) Slides: Leveraging Data to Enhance your CR Program (PDF, 1 MB) Event … Rehabilitation (59:46) Slides: Maximizing Physician Support for Cardiac Rehabilitation (PDF, 1 MB) Event

383. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
     August 20, 2015 - After the resolution of a CANDOR event, information is fed into an organization’s performance improvement … These may include a checklist to follow after an event.   … Communication Team Event Reporting, Investigation, and Analysis Team Resolution Team Identify CANDOR … Ask patients and family members to share their stories to put a human face on a harm event and engage … Think about a patient story involving a CANDOR event.

384. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
     January 01, 2024 - A web-based event reporting system (Patient Safety Net, PSN) was in place. … Hospital web-based event report data (Patient Safety Net [PSN] Data) We monitored hospital event reports … They included event and follow-up dates; event notes; whether patient harm may have occurred as a result … Most multiple sequences had two event rows of data (range 2-8). … JCAHO Sentinel Event Statistics, June 24, 2003.

385. Antibiotic Stewardship Program (ASP) Development
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-slides.pptx
     June 01, 2021 - for 8 days without monitoring. 7 Developing a Program 7 Reviewing the Events Clinical Event … Developing a Program 9 10 Identifying the Problems—2 Clinical Event Son notes resident has dark … Developing a Program 10 11 Identifying the Problems—3 Clinical Event Son notes resident has dark … Developing a Program 11 12 Identifying the Problems—4 Clinical Event Son notes resident has … Developing a Program 12 Clinical Event Son notes resident has dark urine, with a foul odor.

386. Designing Consumer Reporting Systems for Patient Safety Events: Project Overview (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/system-design_0.pdf
     July 01, 2011 - Current Reporting Systems Current patient safety event reporting systems are aimed at obtaining information … Research to Create Patient Safety Event Reporting Systems for Consumers To develop recommendations for … • What is the most effective operational approach for consumers to report patient safety event information

387. COVID-19 Vaccination Tracking Tool for Use in Nursing Homes (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/vaccination-tracking-tool.xlsx
     December 28, 2020 - REFUSED (mm/dd/yyyy) 1st Dose Administered: (mm/dd/yyyy) Vaccine Lot # Diluent Lot # (if known) Adverse Event … REFUSED (mm/dd/yyyy) 2nd Dose Administered: (mm/dd/yyyy) Vaccine Lot # Diluent Lot # (if known) Adverse Event … (Autopopulated Column) Adverse Event (Reaction) to Either Dose Vaccination Fully Completed? … & Johnson 0 Residents with a history of laboratory positive COVID-19 0 Residents with an adverse event … (Autopopulated Column) Adverse Event (Reaction) to Either Dose Vaccination Fully Completed?

388. Children's Hospital of Pittsburgh of the University of Pittsburgh | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/priorities-in-action/childrens-hospital-of-pittsburgh-of-upmc.html
     March 01, 2017 - identified an 11.1 percent rate of adverse drug events in pediatric admissions, a rate that translates to 1 event … unpredictable reactions to medicine and difficulty reporting the particular symptoms of an adverse drug event … Before the hospital used the eRecord, its medication safety event rate was 0.10 incidents per 1,000 doses … In the 6 years since eRecord implementation, the hospital's medication safety event rate dropped by 60 … in the number of patients treated each year for the last 6 years, the hospital's medication safety event

389. Understanding SOPS Surveys: A Primer for New Users (Webcast) - Famolaro (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-SOPS_101_Webcast-FAMOLARO.pdf
     January 01, 2020 - Hospital SOPS to AHRQ Patient Safety Indicator (PSI) adverse event rates 3. … Journal of Patient Safety. 8(3), 131-139. 38 HSOPS 1.0 & Patient Safety Indicator (PSI) Adverse Event … at e— PS I C om po si te Higher patient safety culture scores associated with lower adverse event … HSOPS 1.0 & Hospital CAHPS Patient Experience HSOPS 1.0 & Patient Safety Indicator (PSI) Adverse Event

390. Chapter 6. Discussion and Policy Implications | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/consumer-exp/reporting/chapter6.html
     October 01, 2014 - 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

391. Vermont Forecasts Public Health Emergency Staffing Needs With Help of AHRQ Computer Model | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/multicenter-0602-cdom-cp3.html
     October 01, 2014 - Department of Health relied on an AHRQ computer model to help forecast public health staffing needs in the event … online tool helped calculate staffing needs at an estimated 50 clinics that would be operational in the event

392. CAHPS® Moving Forward: Innovations in Tools and Research Webcast (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-intro-slides.pdf
     October 12, 2017 - www.ahrq.gov/cahps Accessing Event Materials 7 To access the event materials and resources, click

393. Introducing the CAHPS Cancer Care Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-cancer-care-intro-fry.pdf
     June 13, 2017 - Question 6 www.ahrq.gov/cahps Accessing Presentation Materials 7 www.ahrq.gov/cahps Accessing Event … To Ask a Question Accessing Presentation Materials Accessing Event Materials

394. AHRQ Safety Program For Long-Term Care: CAUTI
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/module-4-slides.pptx
     March 01, 2017 - is to help and care for residents without harming them, but adverse events happen  When an adverse event … #› 28 Disclosure and Apology for Unexpected Adverse Outcomes Immediate Response to an Adverse Event … Next Steps in Responding to an Adverse Event Care for the resident Report to the appropriate parties … Communicate with the resident and family (who, what, when, where, and why) Document the event and follow … Care Safety Modules Teamwork and Communication | ‹#› 29 How To Communicate About An Adverse Event

395. Affinity-Group-Improving-Support-Women (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-group-improving-support-women.pdf
     May 01, 2021 - updated information and links to COVID-19 resources (https://takeheart.ahrq.gov/coronavirus) Today’s Event … 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

396. Asthma Measure 1: Pediatric Emergency Department Use (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/technical-specifications.pdf
     March 03, 2021 - Event/Diagnosis Children who have evidence of claims sufficient to meet the eligibility criteria … and many ED visits that result in hospitalization are not captured in encounter data, a numerator event

397. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
     January 01, 2024 - not statistically significant; the incident rate ratio for any preventable warfarin-related adverse event … Reviewers independently classified incidents, including whether a warfarin-related adverse event or … a potential warfarin-related adverse event was present, whether the event was preventable, and the severity … of the event. … The adjusted incident rate ratio (IRR) for any preventable warfarin-related adverse event was 0.87 (

398. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
     August 01, 2022 - ) expanded our understanding of the potential role for patients and their family members in adverse event … of an existing program, UIC Medical Center showed improvements in malpractice outcomes and adverse event … Development of an adverse event debriefing method Based on 62 interviews conducted using a debriefing … provide critical information about adverse events that is not otherwise known to those analyzing the event … in this area added to the existing knowledge base regarding what patients want following an adverse event

399. Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
     August 01, 2023 - When an event is reported in this unit, it feels like the person is being written up, not the problem … (negatively worded) • More about this item: When an event is reported, it feels like the person is … In this unit, we are informed about changes that are made based on event reports. … • More about this item: When changes are made in response to patient safety event reports, staff … Hospital management seems interested in patient safety only after an adverse event happens.

400. Voluntary Hospital Coalitions to Promote Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
     January 01, 2004 - PHA includes a voluntary and confidential event reporting system, organizational self-assessment programs … Event reporting system Providing a voluntary event reporting system was one of the main priorities … As first envisioned, the event reporting system would negate the need for a State-mandated sentinel … event reporting system. … Event data will be aggregated and used by PHA to identify trends and guide educational initiatives,