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Showing results for "event".

2481. Experiences From the Frontline: Case Studies (pdf file)
      www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
      May 01, 2015 - This event demonstrated the need for a more coordinated and rapid response to obstetric patients arriv … percent were due to lack of teamwork and communication, consistent with Joint Commission sentinel event … facilitator also instituted a 5-minute debriefing conversation following every near-miss or adverse event … address obstetric hemorrhage as required by the Illinois Department of Public Health, but an adverse event … • Created a “no blood banner” to clearly identify patients who will decline blood products in the event

2482. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
      May 01, 2017 - This event demonstrated the need for a more coordinated and rapid response to obstetric patients arriving … percent were due to lack of teamwork and communication, consistent with Joint Commission sentinel event … facilitator also instituted a 5-minute debriefing conversation following every near-miss or adverse event … address obstetric hemorrhage as required by the Illinois Department of Public Health, but an adverse event … • Created a “no blood banner” to clearly identify patients who will decline blood products in the event

2483. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
      May 01, 2017 - This event demonstrated the need for a more coordinated and rapid response to obstetric patients arriving … percent were due to lack of teamwork and communication, consistent with Joint Commission sentinel event … facilitator also instituted a 5-minute debriefing conversation following every near-miss or adverse event … address obstetric hemorrhage as required by the Illinois Department of Public Health, but an adverse event … • Created a “no blood banner” to clearly identify patients who will decline blood products in the event