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Showing results for "event".

341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73291/psn-pdf
     May 19, 2021 - How can never event data be used to reflect or improve hospital safety performance? … How can never event data be used to reflect or improve hospital safety performance? … https://psnet.ahrq.gov/issue/how-can-never-event-data-be-used-reflect-or-improve-hospital-safety- performance … The authors suggest that regulators focus on reducing the national never event rate through shared learning … https://psnet.ahrq.gov/issue/how-can-never-event-data-be-used-reflect-or-improve-hospital-safety-performance

342. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
     August 01, 2022 - actually compounded the injury from the event itself. … An event report is completed, which will trigger analysis of the event. … The Investigation: to determine how the event occurred, and how to mitigate that event or even prevent … analysis of an adverse event.  … Host event analysis training using tools from CANDOR.

343. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
     August 01, 2022 - actually compounded the injury from the event itself. … An event report is completed, which will trigger analysis of the event. … The Investigation: to determine how the event occurred, and how to mitigate that event or even prevent … analysis of an adverse event.  … Host event analysis training using tools from CANDOR.

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74172/psn-pdf
     December 08, 2021 - Differences in safety report event types submitted by graduate medical education trainees compared with … Differences in Safety Report Event Types Submitted by Graduate Medical Education Trainees Compared With … https://psnet.ahrq.gov/issue/differences-safety-report-event-types-submitted-graduate-medical-education … - trainees-compared Adverse event reporting by health care providers, including medical trainees, is … https://psnet.ahrq.gov/issue/differences-safety-report-event-types-submitted-graduate-medical-education-trainees-compared

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846760/psn-pdf
     March 29, 2023 - Electronic health record-based prediction models for in- hospital adverse drug event diagnosis or prognosis … Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis … https://psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event … several challenges related to electronic health record (EHR)-based prediction models for adverse drug event … https://psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event-diagnosis-or

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842770/psn-pdf
     January 18, 2023 - A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic … A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic … https://psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease … but they did observe a relationship between staffing levels during the pandemic and patient safety event … https://psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841144/psn-pdf
     December 07, 2022 - Using community detection techniques to identify themes in COVID-19-related patient safety event reports … Using community detection techniques to identify themes in COVID-19-related patient safety event reports … psnet.ahrq.gov/issue/using-community-detection-techniques-identify-themes-covid-19-related- patient-safety-event … This study used machine learning to group of more than 2,000 patient safety event (PSE) reports into … https://psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837307/psn-pdf
     June 01, 2022 - Adverse event reviews in healthcare: what matters to patients and their family? … Adverse event reviews in healthcare: what matters to patients and their family? … https://psnet.ahrq.gov/issue/adverse-event-reviews-healthcare-what-matters-patients-and-their-family- … This qualitative study explored the experiences of patients and family members involved in adverse event … outline eight key recommendations to address these themes by involving patients and families in adverse event

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74751/psn-pdf
     February 09, 2022 - A quality improvement initiative to improve patient safety event reporting by residents. … A quality improvement initiative to improve patient safety event reporting by residents. … https://psnet.ahrq.gov/issue/quality-improvement-initiative-improve-patient-safety-event-reporting-residents … Prior research has shown low rates of voluntary safety event reporting by resident physicians. … The QI team identified barriers to reporting (e.g., lack of awareness of the organization’s event reporting

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853071/psn-pdf
     August 30, 2023 - A natural language processing approach to categorise contributing factors from patient safety event … psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient- safety-event … This study found that natural language processing can be used to process unstructured patient safety event … reports and reduce the burden of manually identifying and extracting factors contributing to the event … psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-safety-event

351. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
     August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … 32 U N C H E A L T H C A R E U N C H E A L T H C A R E Perceived barriers to event … reporting software • Double event report submissions by 100% within three years • Increase SOPS scores … in Feedback, Nonpunitive response and Event Reporting by 2021 35 U N C H E A L T H C … Reporting Platform Goal: To develop optimized interface for our event reporting software for event

352. PSOPPC: Supporting Documents - Version 1.2

     Research Study
     www.psoppc.org/psoppc_web/publicpages/supportingDocsV1.2
     November 18, 2022 - For Developers/Vendors Provide Feedback Supporting Documents - Common Formats for Event … Reporting - Hospital Version 1.2 AHRQ's Common Formats for Event Reporting - Hospital Version 1.2 … (CFER-H V1.2) was released as three generic and nine event-specific forms. … For the most commonly occurring patient safety concerns, event specific-forms collect clinical structured … The PIF also collects demographic information and additional information about the impact of the event

353. Lazarus, Ross | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/lazarus-ross
     January 01, 2023 - Investigator Lazarus, Ross Project Name Electronic Support for Public Health - Vaccine Adverse Event … Reporting System (ESP:VAERS) Electronic Support for Public Health - Vaccine Adverse Event … Electronic Support for Public Health - Vaccine Adverse Event Reporting System (ESP:VAERS) - Final Report … Reporting System (ESP:VAERS) Electronic Support for Public Health - Vaccine Adverse Event … Reporting System (ESP:VAERS) Electronic Support for Public Health - Vaccine Adverse Event

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74694/psn-pdf
     January 26, 2022 - This study used 2018 mortality data and ICD-10-CM codes to characterize adverse event deaths in the … United States compared to non-adverse event deaths. … The author estimates that 0.16-1.13% of deaths are attributed to an adverse event. … Procedure-related complications contributed to the majority of adverse event deaths. … The risk of death due to adverse event was higher for younger patients and Black patients.

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60669/psn-pdf
     July 08, 2020 - Participation in a system-thinking simulation experience changes adverse event reporting. … Participation in a system-thinking simulation experience changes adverse event reporting. … https://psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event … - reporting This study found that improvements in systems thinking increase adverse event (AE) reporting … https://psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47090/psn-pdf
     January 01, 2019 - 10,000 good catches: increasing safety event reporting in a pediatric health care system. … June 27, 2018 Crandall KM, Almuhanna A, Cady R, et al. 10,000 Good Catches: Increasing Safety Event … https://psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care … This study describes a quality improvement initiative to increase event reporting across a pediatric … https://psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45992/psn-pdf
     January 01, 2020 - Barriers and facilitators of adverse event reporting by adolescent patients and their families. … Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. … https://psnet.ahrq.gov/issue/barriers-and-facilitators-adverse-event-reporting-adolescent-patients-and-their … This qualitative study explored perceptions of adolescent patients and their parents about adverse event … Positive perceptions of care led to participants being more willing to report an adverse event; whereas

358. Training
     psnet.ahrq.gov/training
     October 06, 2007 - Event Location: Online Date: October 6-7, 2021 Event Fee: CE or CME Offered? … Event Location: Online Date: On demand Event Fee: Fee Associated CE or CME Offered? … Event Location: Online Date: On demand Event Fee: Fee Associated CE or CME Offered? … Event Location: Online Date: October 25-27, 2021 Event Fee: CE or CME Offered? … Event Location: Online Date: On Demand Event Fee: Free CE or CME Offered?

359. Training Catalog | PSNet
     psnet.ahrq.gov/taxonomy/term/5371
     October 06, 2007 - Event Date October 28-31, 2021 Event Fee Fee Associated CE or CME Offered? … Event Date On demand Event Fee Fee Associated CE or CME Offered? … Event Date On demand Event Fee Fee Associated CE or CME Offered? … Event Date On demand Event Fee Fee Associated CE or CME Offered? … Event Date Fall 2021 Event Fee Fee Associated CE or CME Offered?

360. Disclosure Checklist | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
     August 01, 2022 - 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.   … Explain your role in the event to the patient/family; avoid blaming others or "the system" for the event … Consider ways to involve patients in post-event learning.