Results

Total Results: 5,333 records

Showing results for "event".

  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
    July 10, 2008 - Challenges of reporting quickly give rise to challenges of encoding and organizing the adverse event … Strategies and efforts aimed at adverse event surveillance, creating useable taxonomies, and addressing … paper examines the perceptions of health care leaders and news media professionals related to adverse event
  2. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
    September 01, 2019 - (F3R) Hospital management seems interested in patient safety only after an adverse event happens. … (C3) We are given feedback about changes put into place based on event reports. … (G1) (No event reports, 1 to 2, 3 to 5, 6 to 10, 11 to 20, 21 event reports or more) 45% 44% 1% … (C3) We are given feedback about changes put into place based on event reports. … (G1) (No event reports, 1 to 2, 3 to 5, 6 to 10, 11 to 20, 21 event reports or more) 45% 44% 1%
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
    December 15, 2016 -  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 … high risk or had a recent change in risk, would we do things differently to intervene before the event … 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.
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.pdf
    May 01, 2017 - The participants are asked to treat the simulated event like an actual patient situation. … Event sets can be created by breaking a clinical situation into chunks. … and applying clinical treatments to respond to an unfolding emergency, and a third event set might … Each event set usually has one trigger. … In addition to a trigger and expected response, an event set often contains a distractor, which is
  5. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16463-Gurwitz-report.pdf
    January 01, 2011 - 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 (
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/ref.html
    June 01, 2010 - Rosenthal J, Takach M. 2007 Guide to State adverse event reporting systems. … As used in this report, the term "serious reportable adverse health event" is defined as an event that … an undesirable outcome (death or serious harm) or significant potential for such an outcome, and the event
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
    August 01, 2019 - When an event is reported in this unit, it feels like the person is being written up, not the problem … In this unit, we are informed about changes that are made based on event reports. … Hospital management seems interested in patient safety only after an adverse event happens.
  8. www.ahrq.gov/patient-safety/settings/hospital/candor/videos/physicians.html
    August 01, 2022 - demonstrates an example of emotional support provided for the physician caregiver after an adverse event
  9. www.ahrq.gov/patient-safety/settings/hospital/candor/videos/nurses.html
    August 01, 2022 - video demonstrates an example of emotional support provided for the nurse caregiver after an adverse event
  10. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-section-2-tech-specs.pdf
    January 01, 2012 - Other qualifying events after the fifth birthday at time of event:  One or more prior ambulatory visits … Exclude those children who have previously had an event (include only the first hospitalization or ED … Qualifying events after the fifth birthday at time of event: 1) One or more prior ambulatory visits … were continuously enrolled for at least 6 continuous months before the month in which the qualifying event … Use the first such event for each child when assessing each numerator.
  11. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-technicalspecs.pdf
    February 04, 2020 - Event/Diagnosis An outpatient care visit and BMI ≥85th percentile. … Reporting of systolic and/or diastolic blood pressure only is not sufficient to qualify as a numerator event
  12. www.ahrq.gov/news/blog/ahrqviews/improving-heart-health.html
    February 01, 2019 - strategy: increasing the use of cardiac rehabilitation among patients who have experienced a coronary event … Each year, about 965,000 Americans experience a coronary event.
  13. www.ahrq.gov/evidencenow/projects/heart-health/evidence/cholesterol.html
    March 01, 2021 - CVD) in adults aged 40 to 75 years, with at least one CVD risk factor and an increased risk of a CVD event … The USPSTF recommended discussing statin use in similar patients with more moderate risk of a CVD event … cardiovascular disease (CVD) and for those who have one or more CVD risk factors with a calculated 10-year CVD event
  14. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/dale_shaller_intro.pdf
    March 17, 2015 - Question 7 www.cahps.ahrq.gov Accessing Presentations 8 www.cahps.ahrq.gov Accessing Event … To Ask a Question Accessing Presentations Accessing Event Materials CAHPS Health Plan Survey CAHPS
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
    March 27, 2008 - to implement quality improvement projects.15 In January 2006, after a serious wrong-side surgery event … The distribution of causative factors was compared to data from the Joint Commission’s Sentinel Event … Sentinel Event Alert, Issue 6. … Sentinel Event Alert, Issue 24. … Sentinel event trends: Wrong-site surgeries reported by year.
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
    April 01, 2004 - and future comparability with reports of the same adverse event in other studies. … Vaccine Adverse Event Reporting System. … Fever as an adverse event following immunization: case definition and guidelines of data collection … Hypotonic-hyporesponsive episode (HHE) as an adverse event following immunization: case definition … Levels of evidence for a reported event meeting the case definition Figure 1.
  17. www.ahrq.gov/news/newsroom/case-studies/coe1202.html
    August 01, 2012 - Medical Technologist for the Association, over 75 of AHRQ's EHC summaries were distributed at this event … This event, called "EXPO Diabetes," is the only convention in Puerto Rico fully dedicated to diabetes
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-slides.pptx
    January 01, 2017 - Delirium Early mobility (EM) Perceived barriers to EM Physical/occupational therapy (PT/OT) Adverse events Event … Measures ‹#› AHRQ Safety Program for Mechanically Ventilated Patients Events Did the patient have an “eventEvent codes are listed on the back of the data collection sheet Can include up to three events if necessary … Early Mobility Measures ‹#› AHRQ Safety Program for Mechanically Ventilated Patients Event Codes … (no delirium) Percentage of incorrectly reporting CAM-ICU/ICDSC/ASE UTA (Unable to Assess) Adverse event
  19. www.ahrq.gov/news/newsroom/case-studies/201414.html
    August 01, 2014 - As part of that education program, the Hospital Center determined that its "serious safety event" rate … When the second survey was conducted in 2012, the serious safety event rate decreased by 44 percent.
  20. www.ahrq.gov/patient-safety/reports/hotline/lessons5.html
    May 01, 2016 - an 8 th grade (or lower) reading level in all materials aimed at potential respondents: the patient event … and complaint departments) and information about patient safety concerns from staff (e.g., adverse event … since the organizations goal is to be in contact with the patients as quickly as possible after an event … Legal and regulatory obstacles to soliciting, storing, analyzing, and sharing event reports are manageable … The physicians who classified the patient event reports according to event type, harm, duration of harm

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

You selected to view results for the following site: