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Showing results for "event".

121. Events | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/events/index.html
     November 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

122. In Pandemic’s Wake, We Must Recommit to Patient and Workforce Safety | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/blog/ahrqviews/patient-workforce-safety.html
     March 01, 2023 - The event was attended by 800 people online and 200 in person—in my view a strong signal of consensus … I was glad for AHRQ to take the lead in organizing the November 14 event.

123. Module 3: Best Practices in Fall Prevention—Slide Presentation | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
     September 01, 2017 - Components A brief staff gathering, interdisciplinary when possible, that immediately follows a fall event … Convenes within 15 minutes of the fall event. … Led by clinician(s) responsible for patient/resident during the fall event. … Slide 46: Root Cause Analysis After an injurious fall, collect data to reconstruct the event and

124. Best Practices in Fall Prevention
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
     June 16, 2017 - Components A brief staff gathering, interdisciplinary when possible, that immediately follows a fall event … Convenes within 15 minutes of the fall event Led by clinician(s) responsible for patient/resident during … the fall event Involves the patient/resident whenever possible in the environment where the patient/ … Review Tool 3N ‹#› Root Cause Analysis After an injurious fall, collect data to reconstruct the event

125. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - Unfortunately, a small portion of errors do result in an “adverse event”—an injury caused by medical … preventable medical death will occur in the range of 3 to 6 per 1,000 admissions and that an adverse event … their infections.22 Moreover, operative and postoperative complications were the number-two sentinel event … Sentinel event statistics. … Sentinel Event Alert, 28: 2003. http://www.jcaho .org/about+us/news+letters/sentinel+event+alert/print

126. Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
     March 01, 2016 - point-prevalence (e.g., population health management) or incidence-interval (e.g., fee for service event … In contrast, “interval incidence reports,” more typical of traditional clinical reporting, uses an event … In contrast, an interval incidence report uses an event, or activity, as the unit of analysis. … The look-back period, in this case 12 months, should not be confused with the number of times an event … An example would be patients with a 5-year risk of a cardiovascular event > 7.5% who have a statin

127. 2017Qdr-Patsafchartbook (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
     October 01, 2018 - • Hospital patients with an anticoagulant-related adverse drug event due to low-molecular- weight … , with day of device placement being Day 1 and the line also being in place on the date of event or … If a CL or UC was in place for >2 calendar days and then removed, the date of event of the LCBI must … Adverse Drug Events • An adverse drug event (ADE) is an injury—including physical harm, mental harm, … • The three initial targets of the HHS National Action Plan for Adverse Drug Event Prevention are:

128. Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
     January 01, 2010 - patients and families in discharge planning Nearly 20 percent of patients experience an adverse event … Remember that discharge is not a one-time event but a process that takes place throughout the hospital … Discharge planning should be an ongoing process throughout the stay, not a one-time event.

129. Strategy 4: IDEA Discharge Planning (Tool 1) (doc file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
     January 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event … Remember that discharge is not a one-time event but a process that takes place throughout the hospital … Discharge planning should be an ongoing process throughout the stay, not a one-time event.

130. AHRQ Researchers Find Link Between Job Flexibility and Healthcare Access and Use | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsletters/e-newsletter/818.html
     June 01, 2022 - authors of the study, published in JAMA Network Open , cross-referenced Medicare patient-level adverse event … between 2010 and 2019, they found that patients were 13 percent more likely to suffer from an adverse event

131. Information to Help Hospitals Get Started
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
     July 23, 2010 - patient-centeredness of care have seen subsequent improvements in patients’ ratings of care.4 References: Sentinel event … decrease in time for shift report.4   [Include hospital specific goals or data] References Sentinel event … Nearly 20% of patients experience an adverse event within a month of discharge, of which ¾ could be prevented … Nearly 20 percent of patients experience an adverse event within 30 days of discharge.1,2 Research shows

132. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
     May 01, 2017 - Communicate with the patient – Providers communicate by sharing relevant facts about an adverse event … Document the event in the medical record – Providers must document in the medical record the facts of … The documentation should include an objective description of the event, the patient’s response to the … event, and the care provided as a result of the event. … PS 105: Patient Safety and Communicating with Patients After an Adverse Event (updated August 15, 2016

133. Diagnostic Safety Centers of Excellence | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
     June 01, 2023 - Expand on our preliminary work in ambulatory care and analyze data from two national patient safety event … Integrate the taxonomy into currently deployed event reporting systems.

134. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/instructor/fundamentals/module3/slcommunication.html
     July 01, 2018 - **(JC Sentinel Event Data (Root Causes by Event Type) 2004-2012).

135. The Ten Steps of Action Planning  | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/instructor/essentials/implguide1.html
     November 01, 2018 - change over the test period, you will need to consider "denominator data" or the number of times the event … calculated by dividing the number of events that did occur by the total number of opportunities for the event … Antibiotic Administration Number of patients admitted to labor & delivery who incurred an adverse event … Another simple data calculation is time-to-event-occurrence , or the elapsed time from a defined starting … point to the occurrence of a specific event.

136. Medication Management Strategy: Intervention | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
     June 01, 2023 - will also help to identify patient behaviors that may be putting patients at risk for an adverse drug event

137. TeamSTEPPS for Office-Based Care: Leading Teams | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/officebasedcare/module4/office_lead.html
     September 01, 2015 - Occurs after an event or shift. Designed to improve teamwork skills. … Leading as event management: toward a new conception of team leadership.

138. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsletters/e-newsletter/878.html
     August 01, 2023 - Primary Care Research , will feature AHRQ grantees discussing their research on engaging patients in event … Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event

139. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - Measures used to estimate the national HAC rate HAC Type Source Measure Adverse Drug Event MPSMS … Acquired Conditions MPSMS Femoral Artery Puncture for Catheter Angiographic Procedures MPSMS Adverse Event … 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 … Catheter Angiographic Procedures 22,075 0.74 15,907 0.53 9,118 0.31 15,176 0.51 MPSMS Adverse Event

140. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
     July 14, 2023 - • Common Formats for Event Reporting – Diagnostic Safety o Released the Common Formats for Event