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41. SOPS Ambulatory Surgery Center Webcast - INTRO (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/01-ASC-webcast-2023-0509-intro.pdf
    January 01, 2023 - Webcast Technical Info • Audio issues • Poor Connection • Use Q&A: For Questions or Other Problems • Event … events.westat.com/sops ► Download presentation slides and view the agenda and speaker bios on our event

42. Table 5.A.1. Evidence Table (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
    January 01, 2014 - GJ, Study monitoring system that identified “alerts” that possibly indicated an adverse drug event … Adverse Drug Event Detection in Pediatric Oncology and Hematology Patients: Using Medication … Recognizing hypoglycemia in children through automated adverse-event detection. … Automated adverse event detection collaborative: electronic adverse event identification, classification … those with no event (95% CI 1.19 to 1.26).

43. Pf-Engagement-Facilitator-Guide (doc file)
    www.healthcare411.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.

44. Training Guide: Using Simulation in TeamSTEPPS Training (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/traininggd-update.pdf
    February 01, 2011 - The Simulation Module for Assessment of Resident Targeted Event Responses (SMARTER) approach is an event-based … All event sets consist of a trigger—the condition under which the event becomes fully activated or the … (2) Each event set should include only one trigger event to avoid introducing too many variables and … Explain that each slide can be chunked into two event sets, with one trigger for each event set. … “Event-based approach to training (EBAT).”

45. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Introduction (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-intro.pdf
    January 24, 2023 - Webcast Technical Info • Audio issues • Poor Connection • Use Q&A: For Questions or Other Problems • Event … events.westat.com/sops ► Download presentation slides and view the agenda and speaker bios on our event

46. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
    www.healthcare411.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

47. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
    www.healthcare411.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.

48. C1 Prioritization Matrix (xls file)
    www.healthcare411.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

49. Engage Patients and Families for Perinatal Safety (pdf file)
    www.healthcare411.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.

50. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
    August 01, 2022 - Does the hospital routinely use its REAL data to identify patient safety event disparities and establish … Is an attempt made to disclose within the first 24 hours following an adverse event? … Do staff have the opportunity to participate in event investigations and process improvement initiatives … Has an organized process to assess behavior related to the event been established? … Is supportive care provided to the caregiver within 24 hours of the event?

51. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
    August 01, 2022 - Does the hospital routinely use its patient REAL data to identify patient safety event disparities and … Is an attempt made to disclose within the first 24 hours following an adverse event?         … Do staff have the opportunity to participate in event investigations and process improvement initiatives … Has an organized process to assess behavior related to the event been established?         … Is supportive care provided to the caregiver within 24 hours of the event?        

52. Just Culture Webcast Intro (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-1-intro.pdf
    November 09, 2016 - Frequency of event reporting – 4. Handoffs & transitions – 5. … Defining Nonpunitive Response to Error 11 The extent to which staff feel that their mistakes and event … Response to Error Survey Items – Staff feel like their mistakes are held against them. – When an event

53. CHIPRA 230: Technical Specifications (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-tech-specs.pdf
    July 12, 2019 - Event/Diagnosis An outpatient care visit. … height, weight percentile, or height percentile alone is not sufficient to qualify as a numerator event … height, weight percentile, or height percentile alone is not sufficient to qualify as a numerator event

54. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Patient and Family Engagement
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/engagement.pptx
    May 01, 2017 - Patient & Family 5 Engagement Strategies Engaging in everyday care Engaging after an adverse event … Safety Program for Perinatal Care Patient & Family 16 Engaging After Adverse Events An adverse event … Prompt, compassionate, and honest communication with the patient and family after an adverse event is … the appropriate parties Communicate with the patient (who, what, when, where, and why) Document the event … in the medical record 18 AHRQ Safety Program for Perinatal Care Patient & Family Adverse Event

55. Asthma 1: Emergency Room Visits for Children between 3 and 21 with identifiable asthma (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sas-code.pdf
    October 31, 2018 - Comments: The age variable used is the age at the time of most recent qualifying denominator event for … length=$4; if a then event = 'Inpt'; *Inpatient; if b then event = 'EOA1'; *Ed/Outpatient Asthma: … event type, and service date to create unique service events for each member_id. … = ev[i], 1, 0); end; run; * Count event type totals by member; proc sql; create table &Mth. … Events #3: Ambulatory (ED or Outpatient) event in which asthma dx codes appear in any position.

56. Section 6, Tables 5 to 7 (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-section-6-tables-5-7.pdf
    April 25, 2018 - sepsis 15 87% 0.72 Septic shock 15 87% 0.58 Table 6: Inter-Rater Reliability of Assessment of Event … within Specified Time Period Site Event Number of Records Reviewed Percent

57. Section 6.A, Tables 4 and 4 (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-6a-tables-4-5.pdf
    February 09, 2018 - Inter-Rater Reliability of Assessment of Event within Specified Time Period Site Event Number of Records

58. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/reports/liability/crane.html
    August 01, 2017 - (as opposed to an adverse event or an error that had no potential for patient harm) and how to use the … to make sure that the report was a near-miss (i.e., no harm came to the patient) and not an adverse event … their practice reported at least 10 near-miss events a month and identified at least one near-miss event … In fact, many of the near-miss event reports contained statements from those submitting the report that … Does error and adverse event reporting by physicians and nurses differ?

59. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
    March 01, 2017 - The Debrief meeting is ideally conducted with all team members that were involved in the event. … Caring for the resident's physical needs after an event is the first step a provider must take. … However, prompt, compassionate, and honest communication following an event is essential. … , the resident's response to the event, and the care provided as a result of the event. … about an adverse event should be compassionate and sensitive.

60. Asthma Measure 1: Pediatric Emergency Department Use (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/technical-specifications.pdf
    March 03, 2021 - Event/Diagnosis Children who have evidence of claims sufficient to meet the eligibility criteria … and many ED visits that result in hospitalization are not captured in encounter data, a numerator event