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Showing results for "event".

61. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
    May 01, 2011 - (s) involved in the event. … The reliving of the event is also known as a “tripping” or “triggering” event and can occur when the … The event might produce feelings of internal inadequacy, either because the event occurred or because … Responding to multiple “whys” about the event. Interacting with many different event responders. … the post-event period.

62. Device or Medical/Surgical Supply including Health Information Technology Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2024.xlsx
    January 01, 2024 - Description Device_3 Device Event Description by Extent of Harm Device_4 HIT Device Related … to Event or Unsafe Condition Device_5 HIT Device Related to Event or Unsafe Condition by Extent … Device_3 Device_3: Device Event Description Device Event Description Percentage Frequency Unknown … Device_5 Device_5: HIT Device Related to Event or Unsafe Condition HIT Device Percentage Frequency … Device_6 Device_6: HIT Device Related to Event or Unsafe Condition by Extent of Harm HIT Device No

63. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
    August 21, 2015 - and of the impact of the event on their care. … Within 60 minutes after the CANDOR event is identified. … What are the implications of the event for the patient’s health? Why did the event happen? … the system” for the event. … Can I see a copy of the event analysis?

64. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/index.html
    August 01, 2022 - Notes ( PowerPoint , 836 KB) Tool: Gap Analysis Facilitator's Guide ( PDF , 440 KB) Module 4: Event … Reporting, Event Investigation and Analysis Event Reporting, Event Investigation, and Facilitator … Notes ( PowerPoint , 1 MB) Tool: CANDOR Event Checklist ( PDF , 200 KB) Tool: System-Focused Event … Care Video; Resolution Planning Video: Conversation with Family Adverse Event—Unreasonable Care … Video: Notification of Adverse Event Video: Planning for Meetings with Family Video: Disclosure

65. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/index.html
    August 01, 2022 - Notes ( PowerPoint , 836 KB) Tool: Gap Analysis Facilitator's Guide ( PDF , 440 KB) Module 4: Event … Reporting, Event Investigation and Analysis Event Reporting, Event Investigation, and Facilitator … Notes ( PowerPoint , 1 MB) Tool: CANDOR Event Checklist ( PDF , 200 KB) Tool: System-Focused Event … Care Video; Resolution Planning Video: Conversation with Family Adverse Event—Unreasonable … Care Video: Notification of Adverse Event Video: Planning for Meetings with Family Video: Disclosure

66. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
    January 01, 2004 - the event form to match the type of event being reported. … the event? … An electronic event management system can accommodate all parties who need to be aware of an event … Common understanding of event definitions. 1 2 3 4 2. … Consideration #5—Open Event Reporting NR U R VR 1.

67. Chapter 5 | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
    August 01, 2022 - Second, the system hub will interact with the health care facility where an event took place. … The event itself: the type of event; where (in the process of care) and when it occurred; who was involved … Narrative of event, including contributory factors. … These prompts will be designed to capture the type of event (e.g., harm event, no harm event, close call … Individuals will be able to submit reports at any time during or after the event.

68. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - event, etc.). … Descriptive Text About the Event Referencing COVID-19 Fall Event COVID-19 precautions cause a delay … Other Event Too many things do. … Details of Event or Unsafe Condition, and Contributing Factor(s) for Event were analyzed during a pilot … Number of Records by the Category(s) Associated with the Event or Unsafe Condition Category of Event

69. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
    August 01, 2022 - A CANDOR event is defined as an event that involves unexpected harm (physical, emotional, or financial … A CANDOR event is defined as an event that involves unexpected harm (physical, emotional, or financial … After the event is identified as a CANDOR event, CANDOR System Activation occurs and triggers the start … reporting system, event investigation, and event analysis. … (see Adverse Event (Reasonable Care) and Adverse Event (Unreasonable Care)) .

70. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
    January 01, 2024 - A nonideal care event was described as any event in the patient’s care that the caregiver did not feel … occurred and the event category and specific event type, as derived during the analysis of the data … Information included the general event category and specific event indicator classifications, the event … occurred and the event category and specific event type, as derived during the analysis of the data … The results as categorized by event category and specific event type are listed in Table 2.

71. Final Progress Report: Training Doctors To Disclose Unanticipated Outcomes to Patients: Randomized Trial (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/gallagher3-report.pdf
    January 01, 2024 - Event Inclusion and Exclusion Criteria In order for an event to be included in this study, it must have … Post Event Survey After an event was reported to COPIC or UW and the event met eligibility criteria, … about the event that formed an event record. … Post Event Survey For each reported eligible event (296 qualifying reported events total), a post-event … qualifying study event.

72. C1 Prioritization Worksheet (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
    June 29, 2016 - Anticipated average cost for one case with this event The total annual cost of this event to … Anticipated average cost for one case with this event The total annual cost of this event to … Anticipated average cost for one case with this event The total annual cost of this event to … Anticipated average cost for one case with this event The total annual cost of this event to … Anticipated average cost for one case with this event The total annual cost of this event to

73. Mod5-Disclosure-Checklist (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
    April 01, 2016 - ■ Identify the adverse event early in the disclosure. … ■ Explain what is known about why the adverse event occurred; do not speculate. … ■ Tell the patient whether the adverse event was preventable, if known. … event. … ■ Consider ways to involve patients in post-event learning.

74. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
    www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
    January 01, 2024 - Perceived Value of Adverse Event Reporting. … In addition to the narrative description of the event, a number of fields in many of the adverse event … Results Phase 1: Determining the Landscape of Adverse Event Reporting The Adverse Event Reporting … Use of Adverse Event Data. … Use of Adverse Event Data.

75. Additional Benefits of Simulation | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/simulation-issue-brief6.html
    July 01, 2024 - Debriefing sessions may be “hot,” consisting of short discussions immediately after a clinical event, … scheduled (e.g., monthly) and may include additional investigation or followup related to the patient care event

76. Device or Medical/Surgical Supply including Health Information Technology Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2023.xlsx
    January 01, 2023 - Description Device_3 Device Event Description by Extent of Harm Device_4 HIT Device Related … to Event or Unsafe Condition Device_5 HIT Device Related to Event or Unsafe Condition by Extent … Device_3 Device_3: Device Event Description Device Event Description Percentage Frequency Total Unknown … Device_5 Device_5: HIT Device Related to Event or Unsafe Condition HIT Device Percentage Frequency … Device_6 Device_6: HIT Device Related to Event or Unsafe Condition by Extent of Harm HIT Device No

77. Device or Medical/Surgical Supply including Health Information Technology Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2022.xlsx
    January 01, 2022 - Description Device_4 Device Event Description by Extent of Harm Device_5 HIT Device Related … to Event or Unsafe Condition Device_6 HIT Device Related to Event or Unsafe Condition by Extent … Device_4 Device_4: Device Event Description Device Event Description Percentage Frequency Total Unknown … Device_6 Device_6: HIT Device Related to Event or Unsafe Condition HIT Device Percentage Frequency … Device_7 Device_7: HIT Device Related to Event or Unsafe Condition by Extent of Harm HIT Device No

78. Learning-Antibiotic-Adverse-Events-Form (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx
    November 01, 2019 - Use Learning From Antibiotic-Associated Adverse Events An antibiotic-related adverse event … is any event or situation involving the prescription or administration of antibiotics that you would … Identify the antibiotic-associated adverse event. 2. … Identify the negative and positive factors associated with the adverse event. … Adverse Event Negative Factor Positive Factor Patient Factors (related to clinical or emotional

79. Patient Safety Concerns Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2022.xlsx
    January 01, 2022 - Type by Event Type Gen_2 Extent of Harm Gen_3 Extent of Harm by Event Type Gen_4 Event … Types) Event Type Percentage Frequency Total Other 53.8% 1,199,285 2,228,834 Medication or Other … Gen_2 Gen_2: Report Type by Event Type Event Type Report Type Percentage Frequency Total Blood or … Gen_4 Gen_4: Extent of Harm by Event Type Event Type Extent of Harm Percentage Frequency Total Blood … Gen_5 Gen_5: Event Type by Extent of Harm Event Type Extent of Harm Percentage Frequency Total Blood

80. Patient Safety Concerns Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2021.xlsx
    January 01, 2021 - Dashboard Name Worksheet Name Percentage of Patient Safety Concerns (Event Types) Gen_1 Report … Type by Event Type Gen_2 Extent of Harm Gen_3 Extent of Harm by Event Type Gen_4 Event … /www.ahrq.gov/npsd/data/dashboard/generic.html Gen_1 Gen_1: Percentage of Patient Safety Concerns (Event … Gen_2 Gen_2: Report Type by Event Type Event Type Report Type Percentage Frequency Total Blood or … Gen_5 Gen_5: Event Type by Extent of Harm Event Type Extent of Harm Percentage Frequency Total Blood