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Showing results for "event".

81. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
    July 22, 2021 - IHS • Enhanced Adverse Event Reporting Capabilities: IHS Safety Tracking and Response (I-STAR) system … Future goal is to align the platform with AHRQ’s Common Formats for Event Reporting.

82. Scoring Different Kinds of Health Care Quality Measures | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/talkingquality/translate/scores/scoring.html
    June 01, 2016 - The choice of reporting only “yes” or “no” answers can be tricky if your measure captures a negative event … Do you want to tell people how often this event happened or how often it did not happen? … Experience indicates that in this case, saying how often a patient safety event did happen will be

83. TeamSTEPPS for Office-Based Care: Implementation Workbook | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/teamstepps/officebasedcare/impworkbook.html
    December 01, 2015 - □ Adverse event due to a breakdown in team skills (e.g., communications, situation monitoring, mutual … (es) due to breakdowns in team skills □ Staff members are concerned that we could have an adverse event … □ Incorporates redundancy and backup systems to minimize risk of patient harm in event of error or … Examples include event counts, rates (percentages), survey scores, and time-to-event occurrences .  

84. Silence A Commentary | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/reports/liability/silence.html
    August 01, 2017 - Doing a thorough event investigation and analysis, or root cause analysis, is an important step in the … hour-care provided while the patient is in the medical setting. 4 Third, taking responsibility for the event … adverse events, continuous communication with patients and families throughout the disclosure process, event … Disclosure is not an event, it is a process, and it does not end until the patient or family says it

85. Staff-Safety-Assessment (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
    June 01, 2021 - Category Unit Please describe how you think the next resident at your facility will be harmed by an event

86. Ventilator-Associated Events and Outcome Measures Module | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/hai/tools/mvp/vae.html
    December 01, 2017 - Tools To Support Monitoring VAEs and Outcome Measures Ventilator-Associated Event Data Collection Tool … - HTML Version of Slide Presentation ; Facilitator Guide - Word , 3 MB) Ventilator-Associated Event

87. AHRQ Safety Program for Perinatal Care Summary Report (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
    May 01, 2017 - Summary of impact on maternal and neonatal adverse events for L&D units submitting adverse event data … 3.9 million births in the United States each year,1 2 percent are estimated to involve an adverse event … measures, two neonatal adverse event measures, and one inpatient quality reporting measure. … e 1 unit that submitted data is excluded from all PSI adverse event measures because of discrepancies … Sentinel event data: Root causes by event type 2004–2014.

88. Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
    March 01, 2004 - Methods ICD-9-CM codes suggestive of surgical adverse events An adverse event was considered to be … To facilitate review, the chart abstraction tool contained the study definitions of adverse event and … The Pre-admit event column shows the percentages of flag codes that were not confirmed because the event … : Post-admit AE, Pre-admit event, and No AE columns should sum to 100. … number and label Codes PVP: post- admit AE PVP: surgery AE Pre-admit event No AE N %

89. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
    December 01, 2023 - Analysis of why the event occurred, what worked, and what did not work. … Debriefs can be a short (about 3 minutes or less) team event, typically initiated and facilitated by

90. TeamSTEPPS for Office-Based Care Implementation Workbook (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
    December 11, 2015 - □ Adverse event due to a breakdown in team skills (e.g., communications, situation monitoring, mutual … es) due to breakdowns in team skills □ Staff members are concerned that we could have an adverse event … process failures)  Incorporates redundancy and backup systems to minimize risk of patient harm in event … Examples include event counts, rates (percentages), survey scores, and time-to-event occurrences.

91. Slide 1
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro.pptx
    January 01, 2010 - 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 delivery with an adverse event

92. Cholesterol Management Evidence and Resources | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/evidencenow/projects/heart-health/evidence/cholesterol.html
    March 01, 2021 - CVD) in adults aged 40 to 75 years, with at least one CVD risk factor and an increased risk of a CVD event … The USPSTF recommended discussing statin use in similar patients with more moderate risk of a CVD event … cardiovascular disease (CVD) and for those who have one or more CVD risk factors with a calculated 10-year CVD event

93. PDI RATES GENERATED BY THE AHRQ SAS PROGRAMS (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2a_pdi_ratesgenbysas.pdf
    March 01, 2016 - identified by the NQI number) • PPPD = the number of individuals in the population at risk for the event … (PDI) • PPNQ = the number of individuals in the population at risk for the event (NQI) • OPPD = the … observed rate of a given event (PDI) • OPNQ = the observed rate of a given event (NQI) Note that

94. Module 3: Component Kit (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
    May 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.

95. Tool: Call-Out | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/teamstepps-program/curriculum/communication/tools/callout.html
    May 01, 2023 - Afterwards, consider how the use of call-outs helped the team during an emergent event:  How did the … call-outs made by the nurse and intern aid the team during this emergent labor and delivery event?

96. Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
    July 01, 2023 - The specific event presented in the video is postpartum hemorrhage, but the CUSP techniques can be used … for any perinatal safety event.

97. Articulate Word Output (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
    May 10, 2018 - Put another way, you’d have to treat 50 patients like this for 10 years to prevent one major CVD event … means that because the treatment effect is larger, you’d have to treat fewer patients to prevent one event … per deciliter, and his LDL cholesterol is 130 mg per deciliter. 16 What is his risk of a CVD event … Gray 16 What is his risk of a CVD event over the next 10 years?

98. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
    July 01, 2018 - No event reports  d. 6 to 10 event reports  b. 1 to 2 event reports  e. 11 to 20 event reports …  c. 3 to 5 event reports  f. 21 event reports or more SECTION H: Background Information This information … We are given feedback about changes put into place based on event reports. C3. … Number of Events Reported (No event reports, 1 to 2 event reports, 3 to 5 event report, 6 to 10 event … reports, 11 to 20 event reports, 21 event reports or more) G1.

99. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
    May 20, 2016 - 3 days of discharge ∗ Death associated with drug reaction ∗ Death associated with adverse drug event … • Find ways to prevent recurrence of the event if preventable. … • Recommendations are made to prevent recurrence of a similar event. … results are reviewed regularly (quarterly or biannually) to determine if there is any recurrence of the event

100. AcademyHealth’s Annual Research Meeting: An Opportunity to Connect, Engage, and Inspire | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/blog/ahrqviews/academy-health-2022-meeting.html
     May 01, 2022 - ARM is a premier event for health services research (HSR).  … AHRQ is one of the participating Federal agencies supporting this important event, and it’s an honor