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Showing results for "event".

221. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
     November 01, 2012 - objects avoidable.1 • Retained foreign objects represent a serious and significant patient adverse event … Sentinel Event Alert Issue 51, October 17, 2013. http://www.jointcommission.org/assets/1/6/SEA_51_URFOs

222. Practice-Based Research Networks (PBRNs) | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
     September 01, 2018 - Effective approaches for facilitating patient self-management during a pandemic influenza event.

223. Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
     January 01, 2024 - (HBV) reactivation in the setting of rituximab use is a potentially fatal but preventable adverse event … These surprising results suggested that the adverse event rate from antimicrobial prophylaxis was far … Food and Drug Administration Adverse Event Reporting System (FAERS).

224. Limit Technical Information and Caveats in Quality Data Displays | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/talkingquality/translate/labels/limit-info.html
     November 01, 2018 - rule of not presenting caveats within a data display: when the measure is of a very rare but serious event

225. FileNewTemplate
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module5.pptx
     January 01, 1995 - monitoring to recognize risk or unfolding error An opportunity to interrupt or correct an action or event … It allows for one to take steps to interrupt or correct an action or event before there is harm or injury

226. Understand-Facilitator-Guide (doc file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
     May 01, 2017 - the development of high-quality patient care by allowing providers to mitigate risks before a harmful event … In determining the defect that occurred, teams reconstruct the timeline of the event by placing themselves

227. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
     August 01, 2022 - management of patient safety events by implementing processes that facilitate full disclosure of an adverse event

228. Agency for Healthcare Research and Quality | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/cpi/about/mission/ahrq-fy2015-conf-spending.html
     January 01, 2016 - knowledge, resources and research outcomes to the health services research community that attended the event

229. CHIPRA 212 Technical Specifications (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-tech-specs.pdf
     September 11, 2018 - Continuous enrollment during both the measurement year and the year prior to the measurement year Event

230. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
     January 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

231. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/patient-safety/reports/liability/waever.html
     August 01, 2017 - evaluating interventions targeting liability-related issues, such as disclosure, transparency, and event … Studies of claims have shown that the perceived cause, context, outcome, and response to a given adverse event … caregivers and staff that experience psychological harm as a result of their involvement in an adverse event

232. Understanding SOPS Surveys: A Primer for New Users (Webcast) Transcript (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
     June 01, 2022 - In the event that your computer freezes at any point during the presentation, you can try logging out … , we conduct a review of the literature, looking at patient safety, safety culture, medical error, event … And the second analysis, we linked Hospital SOPS to AHRQ Patient Safety Indicators, or PSI, adverse event … found that higher patient safety culture, or Hospital SOPS scores, were associated with lower adverse event … And our most recent webcast was about the Implementation of an Event Reporting and Learning System Leading

233. Conclusion | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1concl.html
     March 01, 2019 - Engaging stakeholders is a continual process, not a one-time event.

234. CAUTI-Related Data Collection Tool | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/collect-tool.html
     March 01, 2017 - CAUTI is an event which may continue for days or even weeks, but it is counted only once, not each day

235. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/patient-safety/reports/liability/etchegaray.html
     August 01, 2017 - Good disclosures can also involve soliciting patients’ perceptions of what caused the adverse event, … reviews and discussion of video-recorded cases and live simulations, care for the caregiver after an event … Despite the fact that participation in training was a self-reported measure, it was likely a memorable event … Structuring patient and family involvement in medical error event disclosure and analysis.

236. IQI, PSI, and PDI RATES GENERATED BY THE AHRQ SAS PROGRAMS Guidance for Using the SAS Programs and an Example of Output for One Hospital (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2a_combo_ratesgenbysas.pdf
     March 01, 2016 - (identified by the PSI number) PPPS = the number of individuals in the population at risk for the event … OPSS = the observed rate of a given event Getting Help From AHRQ If you have problems getting the

237. Web Site Disclaimers | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/policy/electronic/disclaimers/index.html
     October 01, 2014 - In the event of authorized law enforcement investigations, and pursuant to any required legal process

238. Teamwork Perceptions Questionnaire (T-TPQ) | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/instructor/reference/teampercept.html
     April 01, 2017 - My supervisor/manager provides opportunities to discuss the unit’s performance after an event.    

239. Teamwork Perceptions Questionnaire (T-TPQ) | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/officebasedcare/handouts/teamperceptions.html
     December 01, 2015 - My supervisor/manager provides opportunities to discuss the team’s performance after an event.    

240. TeamSTEPPS for Office-Based Care: Introduction | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/officebasedcare/module1/office_intro-ig.html
     September 01, 2015 - 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.