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Showing results for "event".

141. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
     August 01, 2019 - When an event is reported in this unit, it feels like the person is being written up, not the problem … In this unit, we are informed about changes that are made based on event reports. … Hospital management seems interested in patient safety only after an adverse event happens.

142. Hypertension Screening for Children Who Are Overweight or Obese: Technical Specifications (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-technicalspecs.pdf
     February 04, 2020 - Event/Diagnosis An outpatient care visit and BMI ≥85th percentile. … Reporting of systolic and/or diastolic blood pressure only is not sufficient to qualify as a numerator event

143. CHIPRA 136: Section 2 Technical Specifications (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-section-2-tech-specs.pdf
     January 01, 2012 - Other qualifying events after the fifth birthday at time of event:  One or more prior ambulatory visits … Exclude those children who have previously had an event (include only the first hospitalization or ED … Qualifying events after the fifth birthday at time of event: 1) One or more prior ambulatory visits … were continuously enrolled for at least 6 continuous months before the month in which the qualifying event … Use the first such event for each child when assessing each numerator.

144. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
     www.qualitymeasures.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.

145. Scoring Different Kinds of Health Care Quality Measures | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

146. CLABSI Learning From Defects Tool (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects.docx
     April 01, 2022 - ) This worksheet is designed to be used near the bedside and is the shortened version of the CLABSI Event … Report Tool: Data for Event Analysis.

147. CAUTI Learning From Defects Tool (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.docx
     April 01, 2022 - CAUTI) This worksheet is designed to be used near the bedside and is the shortened version of the CAUTI Event … Report Tool: Data for Event Analysis.

148. Engage the Team and Applying CUSP in the ICU Setting Slides (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
     April 01, 2022 - One of these is adverse event reporting systems which are common in hospitals.  … The CLABSI and CAUTI event reporting templates are helpful tools that can be used as to demonstrate the … Slide 12 The CLABSI and CAUTI Learn From Defects tools and other event reporting tools, such as the … CLABSI and CAUTI Event Report tools, provide a structured approach to help your teams identify system … Slide 13 The event report tool is designed to be used as a guide through the initial investigation

149. 4 Things You Should Know about Urine Cultures (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/4-things.pdf
     March 01, 2017 - Urinary Tract Infection (UTI) Event for Long-term Care Facilities. … epididymis, or prostate ■ Pus around the catheter * See CDC's January 2016 "Urinary Tract Infection (UTI) Event

150. Measure 1, Section 2, Attachment 6 (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-6.pdf
     January 17, 2017 - during continuous enrollment period Anchor Date Date of ADHD diagnosis at the physician visit Event … patients, identify all assessment services (see Table 2) with an ADHD diagnosis code at the anchor event

151. TeamSTEPPS for Office-Based Care: Implementation Workbook | Agency for Healthcare Research and Quality
     www.qualitymeasures.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 .  

152. Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/susan-edgman-levitan-intro-slides.pdf
     March 15, 2016 - Ask a Question 6 www.cahps.ahrq.gov Accessing Presentations 7 www.cahps.ahrq.gov Accessing Event … To Ask a Question Accessing Presentations Accessing Event Materials CAHPS Ambulatory Care Improvement

153. Silence A Commentary | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

154. Staff-Safety-Assessment (doc file)
     www.qualitymeasures.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

155. PowerPoint Presentation
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
     June 01, 2021 - , continued The nurse helps Elma get back into bed She pages on-call provider to notify him of the event … care practitioners, not as guidelines. 26 Communicating With Prescribers 26 References Sentinel Event … Accessed March 27, 2020. 10 Most Identified Sentinel Event Root Causes. … COMMUNICATIONS 2020. 2013. https://www.beckershospitalreview.com/quality/10-most-identified-sentinel-event-root-causes.html

156. Ventilator-Associated Events and Outcome Measures Module | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

157. CAHPS Elicitation Protocol Webcast (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-shaller-intro.pdf
     January 01, 2017 - Ask a Question 9 www.ahrq.gov/cahps Accessing Presentations 10 www.ahrq.gov/cahps Accessing Event … To Ask a Question Accessing Presentations Accessing Event Materials First Polling Question

158. Changing-System-Facilitator-Guide (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
     June 01, 2021 - They may not be obvious until a triggering event occurs. … This patient had a recent cardiac event, which can lead to lower extremity swelling. … Sometimes we forget to acknowledge the factors that reduce potential harm from the adverse event. … As your antibiotic stewardship team evaluates a problem, near-miss, or sentinel event, the team should … This can come from a near-miss or sentinel event, as in the case described in this presentation.

159. Appendix G. References for Fault Tree Model Probability Estimates | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraapg.html
     October 01, 2018 - 0.15 From Tony Event418 Nurse fails to recognize infection 0.12 Nurse not assesses 0.16*(1-Event … Event526 Glucose level controlled post-op 0.73 same as Event 523 Event527 Glucose level not … controlled post-op 0.27 same as Event 520 Event528 SSI if bug gets to pt (diabetes (not obese … =0.37 Event622 Pt fails to comply with instruction (on stopping drinking—alcoholic pt) 0.13 Event … disease, COPD) 0.06 Best guess Event687 Pt does not provide accurate info 0.37 Same as Event

160. Assessment (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.docx
     March 01, 2017 - while having an indwelling urinary catheter in place or removed within the 2 calendar days prior to the event … References: Adapted from Centers for Disease Control and Prevention (CDC), Urinary Tract Infection (UTI) Event