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Showing results for "event".

101. Chapter 6. Measure Maps and Profiles (continued, 20) | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6s.html
     June 01, 2014 - in an early outpatient cardiac rehabilitation/secondary prevention (CR) program for the qualifying event … Patients with a Transient Ischemic Event ER Visit That Had a Follow Up Office Visit Care Coordination … Patients with a Transient Ischemic Event ER Visit That Had a Follow Up Office Visit Purpose: To measure … the percent of patients with an emergency department visit for a transient ischemic event who had a … or Validated Applications*: Patient Age: Adults Patient Condition : Other – Transient Ischemic Event

102. Maine Groups Improve Care for Patients with Intellectual/Developmental Disabilities | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsroom/case-studies/202201.html
     January 01, 2022 - Pezzullo described their Safe Table event as a protected forum where participants can feel comfortable … After an IDD Safe Table event held in August 2020 for primary care physicians, attendee feedback forms

103. TeamSTEPPS Pocket Guide (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
     May 01, 2023 - .......................11 Effective Team Leadership ..............................12 Effective Team Event … Team Leadership Page 13 Effective Team Event Tools Sharing the Plan y Brief—Short session prior to … I-PASS Team Leadership Multi-Team System forPatient Care Effective Team Leadership Effective Team Event … I-PASS Team Leadership Multi-Team System forPatient Care Effective Team Leadership Effective Team Event

104. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
     January 01, 2016 - The use of these five sets of charts also eliminated the need to use 2005-2006 Medicare adverse event … Measures used to estimate the national HAC rate HAC Type Source Measure Adverse Drug Event MPSMS … Associated With Hip Joint Replacements MPSMS Adverse Event Associated With Knee Joint Replacements … for all patients for which the MPSMS data are used, we follow these steps: • Multiply the adverse event … MPSMS Femoral Artery Procedures Puncture for Catheter Angiographic 21,538 0.72 MPSMS Adverse Event

105. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
     May 01, 2023 - England Journal of Medicine that estimated 1 in 4 people hospitalized are at risk of a patient safety event … Trends in adverse event rates in hospitalized patients. JAMA  2022 Jul 12;328(2):173-83.

106. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - Condition Rate Partnership for Patients Hospital-Acquired Conditions Source Measure Adverse Drug Event … population, rather than as a rate for the subpopulation that has the opportunity to experience the adverse event … for each of the 21 HACs for all patients for which the MPSMS data are used, we multiply the adverse event … (rounded)  (updated June 2014) 4,757,000   145 Ideally, we would have estimated the adverse event

107. Slide 1
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module4/4_ts_office_leading.pptx
     January 01, 2006 - 8 Debrief Short, informal information exchange used as a process improvement tool Occurs after an event … Leading as event management: toward a new conception of team leadership.

108. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/pfp/hacrate2013.html
     January 01, 2018 - MPSMS data provide inpatient mortality data for the patients who experienced each type of adverse event … , and for patients who were exposed to risk for the event. 13 These MPSMS mortality data were of interest … For pressure ulcers and falls, 100 percent of patients are exposed to risk for the event; but for other … event types, such as CLABSIs, only a fraction of patients are exposed to risk for the event. … patients who received a central line as part of their inpatient care are considered at risk for the event

109. TeamSTEPPS Fundamentals Course: Module 4. Leading Teams | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
     March 01, 2019 - Discussion: What event necessitated the need for the huddle? … Analysis of why the event occurred, what worked, and what did not work. … Debriefs can be a brief (about 3 minutes or less) team event, typically initiated and facilitated by … Held debrief to recap event and share lessons learned. … Use of these tools leads to gaining a shared model or understanding of a situation or event (i.e., shared

110. Leading Teams (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module4/ts2-0ltc_module4_slides_lead.pdf
     June 12, 2017 - Debrief Process Improvement � Short information exchange and feedback sessions � Occur after an event … skills � Designed to improve outcomes � An accurate recounting of key events � Analysis of why the event

111. PowerPoint Presentation
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module3/3_ts_office_comm.pptx
     December 01, 2005 - January 1995-December 2005 † Joint Commission Sentinel Event Data (Root Causes by Event Type). 2004-2012

112. NICU Family Information Packet, Appendix B, Gastroesophageal Reflux (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-ger.pdf
     December 13, 2013 - ■ Is a physiologic event; it is important to distinguish between physiologic and pathologic GER (

113. Coop_Context_Info_Assessment_Final (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context.pdf
     June 01, 2013 - (b) What would others need to know about your recruitment experience from a historical or recent event … Stakeholders or Partner Organization Perspective: Recruitment Experience from a Historical or Recent Event

114. Problem Solving and Escalation – Standards Component Kit | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-comp-kit.html
     June 01, 2017 - Preparation (examples) 1 Can we draft an "escalation from CUS event" procedure acceptable to organization … Following the first escalation from a CUS event, prepare to debrief: (a) How well did the escalation … CUS contact person determines what communication has occurred with the patient/family regarding the event … CUS contact person leads after-event debrief with organization leaders.

115. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
     December 01, 2017 - at unexpected events, data results, and outcomes to determine all of the underlying causes of the event … Event Analysis Team notification – Nurse Manager, Medical Director, and Frontline staff notification … – email and huddle Infection Prevention Council report out Slide 66 Event Analysis Tool Image … : Screen shot of a CAUTI Event Analysis form. … Slide 80 Identifying Defects: Defects Can Come From Many Different Sources Staff feedback Event

116. TeamSTEPPS Video Debrief Guide: Huddle in Emergency Department (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
     August 31, 2023 - Lessons Learned A huddle helps teams improve performance and enhance safety when preparing for an event

117. TeamSTEPPS for Office-Based Care: Introduction | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/officebasedcare/module1/office_intro.html
     February 01, 2016 - outcomes include: 50% reduction in the Weighted Adverse Outcome Score, which describes the adverse event … decrease in the Severity Index, which measures the average severity of each deliverty with an adverse event

118. Clinical Recommendation: Statins in Primary Prevention of CVD | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/evidencenow/heart-health/cholesterol/uspstf.html
     September 01, 2018 - cardiovascular disease (CVD) and for those who have one or more CVD risk factors with a calculated 10-year CVD event

119. Staff COVID-19 Vaccine Administration Record (doc file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/staff-covid-vaccine-administration-record.docx
     May 01, 2022 - Contraindication: __________________________________________________________________________ Adverse Event

120. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - Staff can use this decision tree when analyzing an error or adverse event in an organization to help … identify how human factors and systems issues contributed to the event. … Staff can use this decision tree when analyzing an error or adverse event in an organization to help … identify how human factors and systems issues contributed to the event. … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management 5.