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Total Results: 2,869 records

Showing results for "event".

161. AHRQ Research Priorities and Compliance Guidance | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/funding/policies/nofoguidance/index.html
     January 01, 2024 - Establishment of strategies to sustain patient safety improvements such as just culture, incident/event … Patient characteristics that might influence the risk of experiencing a patient safety event, for example

162. FileNewTemplate
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
     March 01, 2010 - outcomes include: 50% reduction in the Weighted Adverse Outcome Score (WAOS), which describes the adverse event … decrease in the Severity Index, which measures the average severity of each delivery with an adverse event … decrease in the severity index, which measures the average severity of each delivery with an adverse event

163. Strategy 4: IDEA Discharge Planning (Tool 3) (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
     January 01, 2010 - patients and families in discharge planning Nearly 20 percent of patients experience an adverse event

164. Strategy 4: IDEA Discharge Planning (Tool 3) (doc file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
     January 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event

165. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
     January 01, 2019 - 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

166. Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/news/newsletters/e-newsletter/848.html
     January 01, 2023 - Algorithms’ Impacts on Racial and Ethnic Disparities Registration is open for a two-day virtual event … The online event will explore algorithms’ impacts and approaches to identify and mitigate existing biases

167. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
     March 01, 2016 - Surgical Centers Instructional Videos on Surgical Safety Checklist Use Leadership Response to a Sentinel 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. … receives urgent requests from organizations seeking help in the aftermath of a serious organizational event … and restore hope” to patients, families, and clinicians who have been affected by an adverse medical event

168. Practice Improvement Initiatives | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/practiceimprovement/initiatives.html
     September 01, 2019 - Cardiac Rehabilitation Only 20 percent of the nearly one million Americans who experience a qualifying event

169. Information Items | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/teamstepps/readiness/informationitems.html
     April 01, 2016 - Objective information can originate from a variety of sources, including adverse event and near-miss … For continued success, the organization needs to view the culture change as a process rather than an event

170. CHIPRA 213: Section 2 Technical Specifications (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-2-tech-specs.pdf
     January 24, 2019 - Ages Younger than eighteen years of age during measurement year Event/Diagnosis Diagnosed with Sickle

171. Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/news/newsletters/e-newsletter/899.html
     February 01, 2024 - Speakers at the event, sponsored by AHRQ and the National Institutes of Health, highlighted major drivers

172. AHRQ National Advisory Council to Meet Virtually on November 17 | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/news/newsroom/press-releases/nac-meeting-nov17.html
     November 01, 2022 - Closed captioning will be provided during this event.

173. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
     March 01, 2019 - According to sentinel event data compiled by the Joint Commission between 1995 and 2005, ineffective … Say: A call-out is a tactic used to communicate critical information during an emergent event. … It also benefits a recorder when present during a code or emergent event. … did the call-outs made by the nurse and intern aid the team during this emergent Labor and Delivery event

174. AHRQ National Advisory Council to Meet Virtually on March 6 | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/news/newsroom/press-releases/nac-meeting-mar6.html
     March 01, 2023 - Closed captioning will be provided during this event.

175. Principles Underlying CAHPS Surveys | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/cahps/about-cahps/principles/index.html
     January 01, 2020 - CAHPS reporting questions provide an explicit time frame (e.g., in the past six months) or event reference

176. PowerPoint Presentation
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module5/5_ts_office_sitmon.pptx
     January 20, 2006 - monitoring to recognize risk or unfolding error An opportunity to interrupt or correct an action or event

177. SITUATION MONITORING
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro-ig.pptx
     January 20, 2006 - decrease in the Severity Index, which measures the average severity of each delivery with an adverse event … This is a timed event with the goal to see which team can construct the longest chain.

178. AHRQ National Advisory Council to Meet Virtually on March 14 | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/news/newsroom/press-releases/ahrq-nac.html
     March 01, 2024 - Closed captioning will be provided during this event.

179. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
     March 08, 2019 - • Partnership with VA to look at data, trends, and solution for delay in treatment event type.

180. SITUATION MONITORING (ppt file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
     January 01, 2008 - to the response team and who follow a patient from one care unit to the next during a rapid response event … Data collection at this university includes: Conducting event debriefing. … SAY: Responders conduct typical debriefs right after the event to give teams an opportunity to conduct … Sensemaking reviews are typically conducted after an event, much like a debrief. … This is typically indicative of an attempt to uncover what might have gone wrong during an uncommon event