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21. Mod4-Event-Checklist (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
    April 01, 2016 - CANDOR Event Checklist Communication and Optimal Resolution Toolkit CANDOR Process Steps Event Report … Receipt of Report How report was received: ■ Hotline: Enter event report via the institution’s event … ■ Advise care providers on appropriate medical record documentation post event. … Event Review ■ Schedule in-person interviews of key staff. … ■ Enter all information in the hospital event reporting system.

22. Mod4-Event-Checklist (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
    April 01, 2016 - CANDOR Event Checklist Communication and Optimal Resolution Toolkit CANDOR Process Steps Event Report … Receipt of Report How report was received: ■ Hotline: Enter event report via the institution’s event … ■ Advise care providers on appropriate medical record documentation post event. … Event Review ■ Schedule in-person interviews of key staff. … ■ Enter all information in the hospital event reporting system.

23. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - Module 4: Event Reporting, Event Investigation and Analysis AHRQ Communication and Optimal Resolution … of the event are imperative. … information on the event. … all the steps involved in event reporting, including; How the event was reported. … After initial reporting of the event, the CANDOR Response Team responds to the location of the event

24. Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. | PSNet
    psnet.ahrq.gov/issue/automated-adverse-event-detection-collaborative-electronic-adverse-event-identification
    July 03, 2016 - Study Automated adverse event detection collaborative: electronic adverse event identification … Automated adverse event detection collaborative: electronic adverse event identification, classification … This study investigated the use of an automated adverse event detection system at two academic children's … Automated adverse event detection collaborative: electronic adverse event identification, classification … October 6, 2016 Relationship between medication event rates and the Leapfrog computerized

25. Wise before the event. | PSNet
    psnet.ahrq.gov/issue/wise-event
    October 09, 2024 - Commentary Wise before the event. Citation Text: Watts G. … Wise before the event. BMJ. 2010;340:c1378. doi:10.1136/bmj.c1378. … Wise before the event. BMJ. 2010;340:c1378. doi:10.1136/bmj.c1378.

26. Sentinel Event Program. | PSNet
    psnet.ahrq.gov/issue/sentinel-event-program
    October 15, 2008 - Government Resource Sentinel Event Program. … Citation Text: Sentinel Event Program. … provides information about Maine's statewide incident reporting initiative and includes annual sentinel event … Copy URL Cite Citation Citation Text: Sentinel Event

27. Sentinel Event Alert. | PSNet
    psnet.ahrq.gov/issue/sentinel-event-alert
    May 30, 2012 - Newsletter/Journal Sentinel Event Alert. … Citation Text: Sentinel Event Alert. Oakbrook Terrace, IL: The Joint Commission. … The Joint Commission issues these sentinel event alerts to review selected incidents, determine the root … Copy URL Cite Citation Citation Text: Sentinel Event … December 23, 2016 Sentinel Event.

28. Innovations-Improve-Cr-Event-Summary (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/innovations-improve-cr-event-summary.pdf
    May 20, 2021 - EVENT SUMMARY LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1 AFFINITY GROUP DETAILS … Format • A moderated panel discussion with four panelists, with additional input from the 131 event … EVENT SUMMARY LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 2 OVERALL EVENT THEMES … Additional Details Event slides and a recording of the event provide additional details that complement … The event slides and recording are available online at: TAKEheart.ahrq.gov

29. Diagnostic safety event reporting. | PSNet
    psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
    August 05, 2020 - Newspaper/Magazine Article Diagnostic safety event reporting. … Citation Text: Diagnostic safety event reporting. Carr S. ImproveDx. July 2021;8(4). … Adverse event reporting can clarify when mistakes happen and what reduction strategies to apply. … Copy URL Cite Citation Citation Text: Diagnostic safety event … Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event

30. Identifying health information technology related safety event reports from patient safety event report databases. | PSNet
    psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event
    July 07, 2021 - Study Identifying health information technology related safety event reports from … patient safety event report databases. … Identifying health information technology related safety event reports from patient safety event report … Identifying health information technology related safety event reports from patient safety event report … March 1, 2017 Electronic approaches to making sense of the text in the adverse event

31. Mod4-System-Focused-Event-Guide (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
    April 01, 2016 - The sole objective of the event investigation and analysis of an adverse event or near miss is the … Principles of an Event Review In other safety critical industries, event reviews are highly routinized … event Occurs at: ■ 30 days ■ 60 days ■ 90 days 6 – System-Focused Event Investigation and Analysis … that led up to the event. 6. … Culture ■ Was this event placed in the patient safety event reporting system?

32. Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting. | PSNet
    psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event
    July 03, 2016 - Study Introduction of a mobile adverse event reporting system is associated with … participation in adverse event reporting. … Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse Event … Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse Event … used in daily workflow increases adverse event reporting by physicians.

33. Defending a "never event." | PSNet
    psnet.ahrq.gov/issue/defending-never-event
    February 14, 2017 - Commentary Defending a "never event." Citation Text: Shepperd JR. … Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277. … Surgical fires are considered a never event . … Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277. … November 6, 2024 Sentinel Event Alert 68: updated surgical fire prevention for the 21st

34. Sentinel Event Data Summary. | PSNet
    psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
    February 28, 2018 - Measurement Tool/Indicator Sentinel Event Data Summary. … Citation Text: Sentinel Event Data Summary. Joint Commission. … This website provides sentinel event data reported to The Joint Commission, which includes information … Copy URL Cite Citation Citation Text: Sentinel Event … May 10, 2023 Common general surgical never events: analysis of NHS England never event

35. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - of the event are imperative. … information on the event. … all the steps involved in event reporting, including; How the event was reported. … After initial reporting of the event, the CANDOR Response Team responds to the location of the event … Providing guidance on how to report an event, including requested patient information, where the event

36. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - of the event are imperative. … information on the event. … all the steps involved in event reporting, including; How the event was reported. … After initial reporting of the event, the CANDOR Response Team responds to the location of the event … Providing guidance on how to report an event, including requested patient information, where the event

37. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - of the event are imperative. … information on the event. … all the steps involved in event reporting, including; How the event was reported. … After initial reporting of the event, the CANDOR Response Team responds to the location of the event … Providing guidance on how to report an event, including requested patient information, where the event

38. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - of the event are imperative. … information on the event. … all the steps involved in event reporting, including; How the event was reported. … After initial reporting of the event, the CANDOR Response Team responds to the location of the event … Providing guidance on how to report an event, including requested patient information, where the event

39. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - of the event are imperative. … information on the event. … all the steps involved in event reporting, including; How the event was reported. … After initial reporting of the event, the CANDOR Response Team responds to the location of the event … Providing guidance on how to report an event, including requested patient information, where the event

40. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - of the event are imperative. … information on the event. … all the steps involved in event reporting, including; How the event was reported. … After initial reporting of the event, the CANDOR Response Team responds to the location of the event … Providing guidance on how to report an event, including requested patient information, where the event