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Showing results for "event".

41. C1 Prioritization Worksheet (xls file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
    July 01, 2016 - disagree/low) Barrier Assessment (indicate Yes or No) Volume of Cases at Risk Cost of Single Event … G H I J K L M N O P Q R List of PSIs/IQIs/PDIs Own Rate National Comparator Annual volume of this event … Anticipated average cost for one case with this event The total annual cost of this event to our organization … Anticipated cost to investigate/ implement new process is less than annual cost of event Anticipated … with established organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event

42. USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
    July 01, 2022 - Select Adverse Event (Reaction) to 1st Dose. … Select Adverse Event (Reaction) to 2nd Dose. … Adverse Event (Reaction) to any COVID-19 Vaccine Dose? … Select Adverse Event (Reaction) to 1st Dose. … Select Adverse Event (Reaction) to 2nd Dose.

43. Patient and Family Engagement for Perinatal Safety | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
    July 01, 2023 - Discuss how to communicate an adverse event to a patient and family members. … Engaging after an adverse event. Engaging in planning and design. … Slide 18: Immediate Response to an Adverse Event 4 Care for the patient. … Document the event in the medical record. … Slide 21: Next Steps in Responding to an Adverse Event 6 Investigation.

44. Serious Reportable Adverse Events in Health Care (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
    December 01, 2000 - Event Additional specifications 3. Patient protection events A. … Event Additional specifications 5. Environmental events A. … Event means a discrete, auditable, and clearly defined occurrence. … , an event whose occurrence is not trivial. … the additional information as a separate event.

45. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
    August 01, 2022 - Define a CANDOR event. Develop a measurement strategy. … Event Reporting, Investigation, and Analysis Team—responsible for reviewing the organization’s current … Slide 6 Say: A CANDOR event is defined as an event that involves unexpected harm (physical, … As the culture begins to change, the organization can start to expand the definition of a CANDOR event … and Event Investigation and Analysis.

46. Ventilator-Associated Event Surveillance: Facilitator Guide | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
    February 01, 2017 - Program Tools Mechanically Ventilated Patients Toolkit Ventilator-Associated Event … Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Ventilator-Associated Event … Surveillance Say: This module will focus on ventilator-associated event surveillance and how it … unit staff can spend time focusing on what went wrong and how to fix it rather than debate whether the event … 2017 Page originally created February 2017 Internet Citation: Ventilator-Associated Event

47. Ventilator-Associated Event Surveillance: Slide Presentation | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-slides.html
    February 01, 2017 - Program Tools Mechanically Ventilated Patients Toolkit Ventilator-Associated Event … Telemedicine Universal ICU Decolonization Protocol Ventilator-Associated Event … Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Ventilator-Associated Event … 2017 Page originally created February 2017 Internet Citation: Ventilator-Associated Event

48. Event Investigation and Analysis Guide: Appendix G | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apg.html
    August 01, 2022 - Patient Safety Resources by Setting Hospital Hospital Resources CANDOR Event … Patient Safety News and Events Education & Training Resources Event … Page last reviewed August 2022 Page originally created April 2016 Internet Citation: Event

49. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 01, 2022 - Overall, the QSRS will generate adverse event rates and trend performance over time. … The QSRS also: Offers an expanded array of adverse event measures, including ones related to opioid … standardized definitions and algorithms, consistent with those used by the AHRQ Common Formats for Event … This approach ensures that an event identified at one institution is the same as one identified elsewhere

50. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
    July 01, 2004 - Exposure/adverse event (the name of the exposure/adverse event). 2. … Description (a description of the exposure/adverse event measure). 3. … The adverse event occurrence or the occurrence, of an event considered as a proxy for an adverse event … • the adverse event is common. … • the adverse event is preventable or repairable.

51. Event Investigation and Analysis Guide: Appendix A | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
    August 01, 2022 - Patient Safety Resources by Setting Hospital Hospital Resources CANDOR Event … Patient Safety News and Events Education & Training Resources Event … Event Summary:   The wrong concentration of potassium (K+) was used in the compounding of TPN. … Page last reviewed August 2022 Page originally created April 2016 Internet Citation: Event

52. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
    September 01, 2023 - Healthcare providers submit patient safety event data to Patient Safety Organizations (PSOs), which … As of December 31, 2022, the PSOPPC has maintained over 2.6 million patient safety event reportsiii … In addition, causal inferences cannot be based on these event data alone. … associations between various concurrent reported event characteristics. … Does error and adverse event reporting by physicians and nurses differ? Jt. Comm. J. Qual.

53. Nursing Home Workplace Safety Resource List (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
    January 01, 2023 - /resources/patient-safety-topics/sentinel-event/sentinel- event-alert-newsletters/sentinel-event-alert … /sentinel-event-alert-newsletters/sentinel-event-alert-59-physical-and-verbal-violence-against-health-care-workers … https://www.jointcommission.org/resources/patient-safety-topics/sentinel-event/sentinel- event-alert-newsletters … /sentinel-event-alert-60-developing-a-reporting-culture-learning-from- close-calls-and-hazardous-condi … /sentinel-event-alert-newsletters/sentinel-event-alert-60-developing-a-reporting-culture-learning-from-close-calls-and-hazardous-condi

54. Pf-Engagement-Facilitator-Guide (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
    May 01, 2017 - Discuss how to communicate an adverse event to patients and family members. … Immediately after an adverse event, care providers: Provide care. … Caring for the patient’s physical needs after an event is the first step a provider must take. … event, and the care provided as a result of the event. … Rarely does an adverse event occur as a result of intent.

55. How Does the NPSD Work? | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/npsd/how-does-npsd-work/index.html
    February 01, 2024 - Patient Safety Organization Privacy Protection Center (PSOPPC) using the AHRQ Common Formats for Event … The AHRQ Common Formats for Event Reporting can be used to report patient safety concerns, a term that … Presently, data must comply with AHRQ's Common Formats for Event Reporting (CFER) in order to be accepted

56. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
    August 01, 2022 - Contents Scenario 1: Non-Clinical Situation, Group Project Scenario 2: Disclosure Immediately After Event … Scenario 3: Disclosure After Event Analysis Scenario 4: Disclosure After Event Analysis Scenario 1 … Return to Contents Scenario 2: Disclosure Immediately After Event Mary is a 39-year-old mother … Return to Contents Scenario 3: Disclosure After Event Analysis Adam, a 55 year-old male is admitted … Return to Contents Scenario 4: Disclosure After Event Analysis Alphonse, a 50 year-old CEO of a

57. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
    August 01, 2022 - that these tiers of support are provided to caregivers after they have in been involved in an adverse event … YES  NO       Adverse Event Investigation Process Is an adverse event policy in place? … Do you have an event investigation process clearly outlined? … available interventional support strategies for clinicians in the aftermath of an unanticipated clinical event … Providing supportive care following an unanticipated clinical event.

58. Hospital Survey Version 2.0: Background and Information for Translators | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/sops/international/hospital/translators-version-2.html
    September 01, 2023 - When an event is reported in this unit, it feels like the person is being written up, not the problem … (negatively worded) More about this item: When an event is reported, it feels like the person is the … In this unit, we are informed about changes that are made based on event reports. … More about this item: When changes are made in response to patient safety event reports, staff are informed … Hospital management seems interested in patient safety only after an adverse event happens.

59. C1 Prioritization Matrix (xls file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
    July 01, 2016 - ) Barrier Assessment (indicate Yes or No) Q3/10-Q2/11 Volume of Cases at Risk Cost of Single Event … G H I J K L M N O P Q R List of PSIs/IQIs/PDIs Own Rate National Comparator Annual volume of this event … Anticipated average cost for one case with this event The total annual cost of this event to our organization … Anticipated cost to investigate/ implement new process is less than annual cost of event Anticipated … with established organizational goals and priorities • Regulatory • Value-based purchasing • Sentinel event

60. Engage Patients and Families for Perinatal Safety (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
    May 01, 2017 - • Discuss how to communicate an adverse event to patients and family members. … Immediately after an adverse event, care providers: • Provide care. … Caring for the patient’s physical needs after an event is the first step a provider must take. … event, and the care provided as a result of the event. … Rarely does an adverse event occur as a result of intent.