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Showing results for "event".

101. Tool: Call-Out | Agency for Healthcare Research and Quality
     www.talkingquality.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?

102. 1b.3_ICD_and_CPT_Codes_508 (xls file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/ICD-and-CPT-codes.xlsx
     January 01, 2018 - Exclude P25.0 Neonatal Interstitial Emphysema End of Table Hospitalization_508 Hospitalization Codes Event … End of Table Office Ambulatory Visits_508 Office Ambulatory Visits Codes Event … Visits CPT 99215 Office outpatient visit 40 minutes End of Table ED Visits_508 ED Visits Codes Event

103. Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
     www.talkingquality.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.

104. Articulate Word Output (pdf file)
     www.talkingquality.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?

105. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
     www.talkingquality.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.

106. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.talkingquality.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

107. AcademyHealth’s Annual Research Meeting: An Opportunity to Connect, Engage, and Inspire | Agency for Healthcare Research and Quality
     www.talkingquality.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

108. Section 5, Tables (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-5-tables.pdf
     January 01, 2007 - 0.87 dysfunctional organs Nosocomial infections 65 (20%) 79 (25%) 0.16 At least 1 adverse event

109. Maine Groups Improve Care for Patients with Intellectual/Developmental Disabilities | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/news/newsroom/case-studies/202201.html
     January 01, 2022 - Pezzullo described their Safe Table event as a protected forum where participants can feel comfortable … After an IDD Safe Table event held in August 2020 for primary care physicians, attendee feedback forms

110. TeamSTEPPS Pocket Guide (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
     May 01, 2023 - .......................11 Effective Team Leadership ..............................12 Effective Team Event … Team Leadership Page 13 Effective Team Event Tools Sharing the Plan y Brief—Short session prior to … I-PASS Team Leadership Multi-Team System forPatient Care Effective Team Leadership Effective Team Event … I-PASS Team Leadership Multi-Team System forPatient Care Effective Team Leadership Effective Team Event

111. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
     January 01, 2016 - The use of these five sets of charts also eliminated the need to use 2005-2006 Medicare adverse event … Measures used to estimate the national HAC rate HAC Type Source Measure Adverse Drug Event MPSMS … 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 … MPSMS Femoral Artery Procedures Puncture for Catheter Angiographic 21,538 0.72 MPSMS Adverse Event

112. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
     May 01, 2023 - England Journal of Medicine that estimated 1 in 4 people hospitalized are at risk of a patient safety event … Trends in adverse event rates in hospitalized patients. JAMA  2022 Jul 12;328(2):173-83.

113. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - Condition Rate Partnership for Patients Hospital-Acquired Conditions Source Measure Adverse Drug Event … population, rather than as a rate for the subpopulation that has the opportunity to experience the adverse event … for each of the 21 HACs for all patients for which the MPSMS data are used, we multiply the adverse event … (rounded)  (updated June 2014) 4,757,000   145 Ideally, we would have estimated the adverse event

114. Slide 1
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module4/4_ts_office_leading.pptx
     January 01, 2006 - 8 Debrief Short, informal information exchange used as a process improvement tool Occurs after an event … Leading as event management: toward a new conception of team leadership.

115. Use of Multiple Concurrent Antipsychotics in Children Section 2, Technical Specifications (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-section-2-technical-specs.pdf
     April 30, 2018 - Event/ diagnosis Children on any antipsychotic medication for 90 days or more (Table 1).

116. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/hai/pfp/hacrate2013.html
     January 01, 2018 - MPSMS data provide inpatient mortality data for the patients who experienced each type of adverse event … , and for patients who were exposed to risk for the event. 13 These MPSMS mortality data were of interest … For pressure ulcers and falls, 100 percent of patients are exposed to risk for the event; but for other … event types, such as CLABSIs, only a fraction of patients are exposed to risk for the event. … patients who received a central line as part of their inpatient care are considered at risk for the event

117. TeamSTEPPS Fundamentals Course: Module 4. Leading Teams | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
     March 01, 2019 - Discussion: What event necessitated the need for the huddle? … Analysis of why the event occurred, what worked, and what did not work. … Debriefs can be a brief (about 3 minutes or less) team event, typically initiated and facilitated by … Held debrief to recap event and share lessons learned. … Use of these tools leads to gaining a shared model or understanding of a situation or event (i.e., shared

118. Coop_Context_Info_Assessment_Final (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context.pdf
     June 01, 2013 - (b) What would others need to know about your recruitment experience from a historical or recent event … Stakeholders or Partner Organization Perspective: Recruitment Experience from a Historical or Recent Event

119. Problem Solving and Escalation – Standards Component Kit | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-comp-kit.html
     June 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.

120. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
     December 01, 2017 - at unexpected events, data results, and outcomes to determine all of the underlying causes of the event … Event Analysis Team notification – Nurse Manager, Medical Director, and Frontline staff notification … – email and huddle Infection Prevention Council report out Slide 66 Event Analysis Tool Image … : Screen shot of a CAUTI Event Analysis form. … Slide 80 Identifying Defects: Defects Can Come From Many Different Sources Staff feedback Event