-
psnet.ahrq.gov/node/33571/psn-pdf
March 15, 2025 - Limitations of Event Reporting
The limitations of voluntary event reporting systems have been well documented … Failure to receive feedback after
reporting an event is a commonly cited barrier to event reporting … Using Event Reports to Improve Safety
A 2016 article contrasted event reporting in health care with … event reporting in other high-risk industries
(such as aviation), pointing out that event reporting … analysis, rather than encouraging event reporting for its own
sake.
-
www.ahrq.gov/patient-safety/settings/hospital/candor/index.html
August 01, 2022 - Notes ( PowerPoint , 836 KB)
Tool: Gap Analysis Facilitator's Guide ( PDF , 440 KB)
Module 4: Event … Reporting, Event Investigation and Analysis
Event Reporting, Event Investigation, and Facilitator … Notes ( PowerPoint , 1 MB)
Tool: CANDOR Event Checklist ( PDF , 200 KB)
Tool: System-Focused Event … Care
Video; Resolution Planning
Video: Conversation with Family
Adverse Event—Unreasonable Care … Video: Notification of Adverse Event
Video: Planning for Meetings with Family
Video: Disclosure
-
www.ahrq.gov/patient-safety/settings/hospital/candor/index.html
August 01, 2022 - Notes ( PowerPoint , 836 KB)
Tool: Gap Analysis Facilitator's Guide ( PDF , 440 KB)
Module 4: Event … Reporting, Event Investigation and Analysis
Event Reporting, Event Investigation, and Facilitator … Notes ( PowerPoint , 1 MB)
Tool: CANDOR Event Checklist ( PDF , 200 KB)
Tool: System-Focused Event … Care
Video; Resolution Planning
Video: Conversation with Family
Adverse Event—Unreasonable … Care
Video: Notification of Adverse Event
Video: Planning for Meetings with Family
Video: Disclosure
-
meps.ahrq.gov/data_files/publications/mr26/mr26.shtml
September 01, 2011 - MEPS Event Files
Domain Variance Estimation
Comparison of Variance Estimates from Event Files … Comparison of variance estimates obtained from Home Health Visit Event file and from merging of Event … Comparison of variance estimates obtained from Outpatient Department Event file and from merging of Event … Comparison of variance estimates obtained for expense estimates from Event file and from merging Event … Sizes of different MEPS Event files in 2008
Event file
Total number of event
records
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
January 01, 2004 - the event form to match the type of event being
reported. … the event? … An
electronic event management system can accommodate all parties who need to be
aware of an event … Common understanding of event definitions. 1 2 3 4
2. … Consideration #5—Open Event Reporting
NR U R VR
1.
-
meps.ahrq.gov/data_files/publications/mr26/mr26.pdf
September 01, 2011 - The conditions file or an event file includes identifiers to
link each event to the individual in the … Table 1 summarizes the sizes of 2008 MEPS
event files and brief descriptions of different event files … Sizes of different MEPS Event files in 2008
Event file
Total
number of
event records
Corresponding … The merged file becomes
an expanded event level file with one record for each person with no event … Comparison of variance estimates obtained from Home Health Event file
and from merging of Event and
-
www.psoppc.org/psoppc_web/publicpages/commonFormatsHV2.0
March 31, 2025 - (Core)
The following event descriptions contain core data elements required for event reporting … CFER-H V2.0aR Generic Event Description Core Posted on: 03/31/2025, 96 KB
Event-Specific Descriptions … CFER-H V2.0aR Device Event Description Core Posted on: 03/31/2025, 82 KB
Fall
A Fall event is … Patient safety concerns for this event include incidents and near misses. … CFER-H V2.0aR Generic Event Description Supplemental Posted on: 03/31/2025, 138 KB
Event-Specific
-
staging-meps.ahrq.gov/data_stats/download_data/pufs/PUFID.csv
January 01, 2022 - ABBREV DATA YEAR PUFID URL
DV Event File - Dental Visits 2022 HC-239B https://meps.ahrq.gov/mepsweb/ … cboPufNumber=HC-239B
ER Event File - Emergency Room Visits 2022 HC-239E https://meps.ahrq.gov/mepsweb … cboPufNumber=HC-239E
HH Event File - Home Health 2022 HC-239H https://meps.ahrq.gov/mepsweb/data_stats … cboPufNumber=HC-239H
IP Event File - Hospital Inpatient Stays 2022 HC-239D https://meps.ahrq.gov/mepsweb … cboPufNumber=HC-239F
RX Event File - Prescribed Medicines 2022 HC-239A https://meps.ahrq.gov/mepsweb
-
meps.ahrq.gov/data_stats/download_data/pufs/PUFID.csv
January 01, 2022 - ABBREV DATA YEAR PUFID URL
DV Event File - Dental Visits 2022 HC-239B https://meps.ahrq.gov/mepsweb/ … cboPufNumber=HC-239B
ER Event File - Emergency Room Visits 2022 HC-239E https://meps.ahrq.gov/mepsweb … cboPufNumber=HC-239E
HH Event File - Home Health 2022 HC-239H https://meps.ahrq.gov/mepsweb/data_stats … cboPufNumber=HC-239H
IP Event File - Hospital Inpatient Stays 2022 HC-239D https://meps.ahrq.gov/mepsweb … cboPufNumber=HC-239F
RX Event File - Prescribed Medicines 2022 HC-239A https://meps.ahrq.gov/mepsweb
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
June 29, 2016 - Anticipated
average cost for
one case with this
event
The total annual
cost of this event
to … Anticipated
average cost for
one case with this
event
The total annual
cost of this event
to … Anticipated
average cost for
one case with this
event
The total annual
cost of this event
to … Anticipated
average cost for
one case with this
event
The total annual
cost of this event
to … Anticipated
average cost for
one case with this
event
The total annual
cost of this event
to
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
April 01, 2016 - ■ Identify the adverse event early in the disclosure. … ■ Explain what is known about why the adverse event occurred; do not speculate. … ■ Tell the patient whether the adverse event was preventable, if known. … event. … ■ Consider ways to involve patients in post-event learning.
-
psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
April 19, 2017 - Study
Barriers to adverse event and error reporting in anesthesia. … Barriers to Adverse Event and Error Reporting in Anesthesia. … Barriers to Adverse Event and Error Reporting in Anesthesia.
-
psnet.ahrq.gov/issue/no-pay-never-event-errors-becoming-standard
March 07, 2012 - Newspaper/Magazine Article
No pay for "never event" errors becoming standard. … Citation Text:
No pay for "never event" errors becoming standard. O'Reilly KB. … Copy URL
Cite
Citation
Citation Text:
No pay for "never event
-
psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
May 20, 2009 - Book/Report
Legislative Report to the General Assembly: Adverse Event Reporting. … Citation Text:
Legislative Report to the General Assembly: Adverse Event Reporting. … Cite
Citation
Citation Text:
Legislative Report to the General Assembly: Adverse Event … February 4, 2015
Sentinel Event Program. … 18, 2012
The High Costs of Weak Compliance With the New York State Hospital Adverse Event
-
psnet.ahrq.gov/issue/patient-safety-event-reporting-large-radiology-department
March 04, 2015 - Commentary
Patient safety event reporting in a large radiology department. … Patient Safety Event Reporting in a Large Radiology Department. … Patient Safety Event Reporting in a Large Radiology Department. … 'Connecting the dots': leveraging visual analytics to make sense of patient safety event
-
psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
May 21, 2009 - Study
Validation of hospital administrative dataset for adverse event screening. … Validation of Hospital Administrative Dataset for adverse event screening. … Validation of Hospital Administrative Dataset for adverse event screening. … What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event
-
psnet.ahrq.gov/taxonomy/term/5371/feed
June 04, 2021 - Event Location:
Online … Event Date
October 6-7, 2021 … Event Location:
In Person: Scottsdale, AZ … Event Date
October 28-31, 2021 … Event Location:
In Person (Orlando, FL) and virtual
-
staging-meps.ahrq.gov/data_stats/download_data/pufs/PUFID.xlsx
January 01, 2022 - MEPS PUF IDs
PUFID
ABBREV DATA YEAR PUFID URL
DV Event File - Dental Visits 2022 HC-239B https://meps.ahrq.gov … cboPufNumber=HC-239B
ER Event File - Emergency Room Visits 2022 HC-239E https://meps.ahrq.gov/mepsweb … cboPufNumber=HC-239E
HH Event File - Home Health 2022 HC-239H https://meps.ahrq.gov/mepsweb/data_stats … cboPufNumber=HC-239H
IP Event File - Hospital Inpatient Stays 2022 HC-239D https://meps.ahrq.gov/mepsweb … cboPufNumber=HC-239F
RX Event File - Prescribed Medicines 2022 HC-239A https://meps.ahrq.gov/mepsweb
-
meps.ahrq.gov/data_stats/download_data/pufs/PUFID.xlsx
January 01, 2022 - MEPS PUF IDs
PUFID
ABBREV DATA YEAR PUFID URL
DV Event File - Dental Visits 2022 HC-239B https://meps.ahrq.gov … cboPufNumber=HC-239B
ER Event File - Emergency Room Visits 2022 HC-239E https://meps.ahrq.gov/mepsweb … cboPufNumber=HC-239E
HH Event File - Home Health 2022 HC-239H https://meps.ahrq.gov/mepsweb/data_stats … cboPufNumber=HC-239H
IP Event File - Hospital Inpatient Stays 2022 HC-239D https://meps.ahrq.gov/mepsweb … cboPufNumber=HC-239F
RX Event File - Prescribed Medicines 2022 HC-239A https://meps.ahrq.gov/mepsweb
-
meps.ahrq.gov/survey_comp/misc_survey/mpc/2006/HSP_06.pdf
January 01, 2006 - Microsoft Word - HOSP EVENT FORM 2006 _legal_.doc
OMB#: 0935-0118
PATIENT … __
MEDICAL EXPENDITURE PANEL SURVEY
MEDICAL PROVIDER COMPONENT
HOSPITAL EVENT … FORM
FOR
REFERENCE YEAR 2006
2
HOSPITAL EVENT FORM
[COMPLETE ONE FORM FOR EACH EVENT … YES ................................................ 1 (COMPLETE SEPARATE EVENT
FORM FOR ER EVENT) … THIS EVENT ...................2
A4a.