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Showing results for "event".

41. USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
    July 01, 2022 - Select Adverse Event (Reaction) to 1st Dose. … Select Adverse Event (Reaction) to 2nd Dose. … Adverse Event (Reaction) to any COVID-19 Vaccine Dose? … Select Adverse Event (Reaction) to 1st Dose. … Select Adverse Event (Reaction) to 2nd Dose.

42. Patient and Family Engagement for Perinatal Safety | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
    July 01, 2023 - Discuss how to communicate an adverse event to a patient and family members. … Engaging after an adverse event. Engaging in planning and design. … Slide 18: Immediate Response to an Adverse Event 4 Care for the patient. … Document the event in the medical record. … Slide 21: Next Steps in Responding to an Adverse Event 6 Investigation.

43. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
    August 01, 2022 - Define a CANDOR event. Develop a measurement strategy. … Event Reporting, Investigation, and Analysis Team—responsible for reviewing the organization’s current … Slide 6 Say: A CANDOR event is defined as an event that involves unexpected harm (physical, … As the culture begins to change, the organization can start to expand the definition of a CANDOR event … and Event Investigation and Analysis.

44. Event Investigation and Analysis Guide: Appendix G | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apg.html
    August 01, 2022 - Patient Safety Resources by Setting Hospital Hospital Resources CANDOR Event … Patient Safety News and Events Education & Training Resources Event … Page last reviewed August 2022 Page originally created April 2016 Internet Citation: Event

45. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 01, 2022 - Overall, the QSRS will generate adverse event rates and trend performance over time. … The QSRS also: Offers an expanded array of adverse event measures, including ones related to opioid … standardized definitions and algorithms, consistent with those used by the AHRQ Common Formats for Event … This approach ensures that an event identified at one institution is the same as one identified elsewhere

46. Event Investigation and Analysis Guide: Appendix A | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
    August 01, 2022 - Patient Safety Resources by Setting Hospital Hospital Resources CANDOR Event … Patient Safety News and Events Education & Training Resources Event … Event Summary:   The wrong concentration of potassium (K+) was used in the compounding of TPN. … Page last reviewed August 2022 Page originally created April 2016 Internet Citation: Event

47. Nursing Home Workplace Safety Resource List (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
    January 01, 2023 - /resources/patient-safety-topics/sentinel-event/sentinel- event-alert-newsletters/sentinel-event-alert … /sentinel-event-alert-newsletters/sentinel-event-alert-59-physical-and-verbal-violence-against-health-care-workers … https://www.jointcommission.org/resources/patient-safety-topics/sentinel-event/sentinel- event-alert-newsletters … /sentinel-event-alert-60-developing-a-reporting-culture-learning-from- close-calls-and-hazardous-condi … /sentinel-event-alert-newsletters/sentinel-event-alert-60-developing-a-reporting-culture-learning-from-close-calls-and-hazardous-condi

48. SOPS Ambulatory Surgery Center Webcast - INTRO (pdf file)
    www.talkingquality.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

49. Table 5.A.1. Evidence Table (pdf file)
    www.talkingquality.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).

50. Pf-Engagement-Facilitator-Guide (doc file)
    www.talkingquality.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.

51. Just Culture Webcast Presentation (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
    May 01, 2007 - Education • Two Nurse Managers • Pediatrician • Anesthesiologist The Collaborative • Prework – RCA Event … Reports – Patient Safety Activity Documentation – Policies; Corrective Action, Sentinel Events, Adverse Event … When a patient safety event happens, hospital management looks at more than staff actions to determine … what led to the event.

52. Training Guide: Using Simulation in TeamSTEPPS Training (pdf file)
    www.talkingquality.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).”

53. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Introduction (pdf file)
    www.talkingquality.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

54. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
    www.talkingquality.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

55. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
    www.talkingquality.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.

56. C1 Prioritization Matrix (xls file)
    www.talkingquality.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

57. Engage Patients and Families for Perinatal Safety (pdf file)
    www.talkingquality.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.

58. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
    www.talkingquality.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?

59. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
    www.talkingquality.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?        

60. Just Culture Webcast Intro (pdf file)
    www.talkingquality.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