-
staging-meps.ahrq.gov/survey_comp/overall_p17.shtml
Ask Calendar (CA) Section and Summary of Health Care Events
Ask Provider-Probes (PP) , Event … }
BEGINLOOP
Ask Event-Driver (ED) Section [including
Context: PERSON-EVENT
LOOP_03 for each … PERSON-EVENT on Person’s-Medical-Events-Roster WHERE {event remains to be processed}
BEGINLOOP
If … {event-type is hospital-stay}
Ask Hospital-Stay (HS) Section including Charge/Payment (CP) and … including Charge/Payment (CP) and Flat Fee (FF) Sections
endif
If {event-type is outpatient}
-
staging-meps.ahrq.gov/survey_comp/overall_p19.shtml
Person
LOOP_02 for each PERSON on RU-Members-Roster WHERE {PERSON continues to have an unprocessed event … }
BEGINLOOP
Ask Event-Driver (ED) Section [including
Context: PERSON-EVENT
LOOP_03 for each … PERSON-EVENT on Person’s-Medical-Events-Roster WHERE {event remains to be processed}
BEGINLOOP
If … {event-type is hospital-stay}
Ask Hospital-Stay (HS) Section including Charge/Payment (CP) and … including Charge/Payment (CP) and Flat Fee (FF) Sections
endif
If {event-type is outpatient}
-
staging-meps.ahrq.gov/survey_comp/overall_p18.shtml
Person
LOOP_02 for each PERSON on RU-Members-Roster WHERE {PERSON continues to have an unprocessed event … }
BEGINLOOP
Ask Event-Driver (ED) Section [including
Context: PERSON-EVENT
LOOP_03 for each … PERSON-EVENT on Person’s-Medical-Events-Roster WHERE {event remains to be processed}
BEGINLOOP
If … {event-type is hospital-stay}
Ask Hospital-Stay (HS) Section including Charge/Payment (CP) and … including Charge/Payment (CP) and Flat Fee (FF) Sections
endif
If {event-type is outpatient
-
staging-meps.ahrq.gov/survey_comp/overall_p21.shtml
January 01, 2017 - Person
LOOP_02 for each PERSON on RU-Members-Roster WHERE {PERSON continues to have an unprocessed event … }
BEGINLOOP
Ask Event-Driver (ED) Section [including
Context: PERSON-EVENT
LOOP_03 for each … PERSON-EVENT on Person’s-Medical-Events-Roster WHERE {event remains to be processed}
BEGINLOOP
If … {event-type is hospital-stay}
Ask Hospital-Stay (HS) Section including Charge/Payment (CP) and … including Charge/Payment (CP) and Flat Fee (FF) Sections
endif
If {event-type is outpatient}
-
staging-meps.ahrq.gov/survey_comp/overall_p21.pdf
January 01, 2017 - Section
endif
Ask Calendar (CA) Section and Summary of Health Care Events
Ask Provider-Probes (PP), Event … Person
LOOP_02 for each PERSON on RU-Members-Roster WHERE {PERSON continues to have an unprocessed event … }
BEGINLOOP
Ask Event-Driver (ED) Section [including…
Context: PERSON-EVENT
LOOP_03 for each PERSON-EVENT … on Person’s-Medical-Events-Roster WHERE {event remains to be processed}
BEGINLOOP
If {event-type … Ask Dental-Care (DN) Section including Charge/Payment (CP) and Flat Fee (FF) Sections
endif
If {event-type
-
meps.ahrq.gov/survey_comp/overall_p21.pdf
January 01, 2017 - Section
endif
Ask Calendar (CA) Section and Summary of Health Care Events
Ask Provider-Probes (PP), Event … Person
LOOP_02 for each PERSON on RU-Members-Roster WHERE {PERSON continues to have an unprocessed event … }
BEGINLOOP
Ask Event-Driver (ED) Section [including…
Context: PERSON-EVENT
LOOP_03 for each PERSON-EVENT … on Person’s-Medical-Events-Roster WHERE {event remains to be processed}
BEGINLOOP
If {event-type … Ask Dental-Care (DN) Section including Charge/Payment (CP) and Flat Fee (FF) Sections
endif
If {event-type
-
meps.ahrq.gov/survey_comp/overall_p21.shtml
January 01, 2017 - Person
LOOP_02 for each PERSON on RU-Members-Roster WHERE {PERSON continues to have an unprocessed event … }
BEGINLOOP
Ask Event-Driver (ED) Section [including
Context: PERSON-EVENT
LOOP_03 for each … PERSON-EVENT on Person’s-Medical-Events-Roster WHERE {event remains to be processed}
BEGINLOOP
If … {event-type is hospital-stay}
Ask Hospital-Stay (HS) Section including Charge/Payment (CP) and … including Charge/Payment (CP) and Flat Fee (FF) Sections
endif
If {event-type is outpatient}
-
staging-meps.ahrq.gov/survey_comp/overall_p13.shtml
endif
Ask Calendar (CA) Section and Summary of Health Care Events
Ask Provider-Probes (PP) , Event … Person
LOOP_02 for each PERSON on RU-Members-Roster WHERE {PERSON continues to have an unprocessed event … }
BEGINLOOP
Ask Event-Driver (ED) Section [including
Context: PERSON-EVENT
LOOP_03 for … each PERSON-EVENT on Persons-Medical-Events-Roster WHERE {event remains to be processed}
BEGINLOOP … If {event-type is hospital-stay}
Ask Hospital-Stay (HS) Section including Charge/Payment
-
staging-meps.ahrq.gov/survey_comp/overall_p16.shtml
endif
Ask Calendar (CA) Section and Summary of Health Care Events
Ask Provider-Probes (PP) , Event … }
BEGINLOOP
Ask Event-Driver (ED) Section [including... … Context: PERSON-EVENT
LOOP_03 for each PERSON-EVENT on Persons-Medical-Events-Roster WHERE {event … remains to be processed}
BEGINLOOP
If {event-type is hospital-stay}
Ask Hospital-Stay (HS … ) Section including Charge/Payment (CP) and Flat Fee (FF) Sections
endif
If {event-type
-
www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraexh11.html
April 01, 2018 - Birnbaum
Fussell–
Vesely
Event 642 Fail to protect patient effectively (failure related to … , but not diabetic, patient (30 < BMI < 40)
0.3147
0.0047
0.3147
Event 543 SSI risk for obese … 0.0070
0.2003
Event 456 Patient is a smoker and has COPD
0.1649
0.0135
0.1649
Event 659 … 0.1457
Event 138 Fail to remove watch/jewelry/fake nails
0.1291
0.0038
0.1291
Event 644 … 0.0995
0.0012
0.0995
Event 241 Tourniquet time >60min
0.0956
0.0051
0.0956
Event 660 Patient
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh11.html
April 01, 2018 - Birnbaum
Fussell–
Vesely
Event 642 Fail to protect patient effectively (failure related to … , but not diabetic, patient (30 < BMI < 40)
0.3147
0.0047
0.3147
Event 543 SSI risk for obese … 0.0070
0.2003
Event 456 Patient is a smoker and has COPD
0.1649
0.0135
0.1649
Event 659 … 0.1457
Event 138 Fail to remove watch/jewelry/fake nails
0.1291
0.0038
0.1291
Event 644 … 0.0995
0.0012
0.0995
Event 241 Tourniquet time >60min
0.0956
0.0051
0.0956
Event 660 Patient
-
effectivehealthcare.ahrq.gov/sites/default/files/s108.pdf
October 01, 2007 - That is, once the adverse event was experienced, the adverse
event status variable was set to the value … an adverse
event. … status alone; (2)
adverse event status plus baseline severity; (3) adverse event
status plus lagged … during the postadverse event follow-up at its level
before occurrence of the adverse event. … of
experiencing an adverse event.
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/s108.pdf
October 01, 2007 - That is, once the adverse event was experienced, the adverse
event status variable was set to the value … an adverse
event. … status alone; (2)
adverse event status plus baseline severity; (3) adverse event
status plus lagged … during the postadverse event follow-up at its level
before occurrence of the adverse event. … of
experiencing an adverse event.
-
www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraexh13.html
April 01, 2018 - References for Fault Tree Model Probability Estimates
References
Event
Event 30 … Gate 239
Event 142
Event 659
Event 138
25% reduction in noncompliance
Event 30 Fail to prepare … 142 Staff not well-trained in infection control
–
–
0.0041
0.0039
0.0039
Event 659 Glove … puncture
–
–
–
0.0042
0.0041
Event 138 Fail to remove watch/jewelry/fake nails
–
– … 142 Staff not well-trained in infection control
–
–
0.0038
0.0035
0.0035
Event 659 Glove
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh13.html
April 01, 2018 - References for Fault Tree Model Probability Estimates
References
Event
Event 30 … Gate 239
Event 142
Event 659
Event 138
25% reduction in noncompliance
Event 30 Fail to prepare … 142 Staff not well-trained in infection control
–
–
0.0041
0.0039
0.0039
Event 659 Glove … puncture
–
–
–
0.0042
0.0041
Event 138 Fail to remove watch/jewelry/fake nails
–
– … 142 Staff not well-trained in infection control
–
–
0.0038
0.0035
0.0035
Event 659 Glove
-
psnet.ahrq.gov/node/34117/psn-pdf
December 23, 2016 - Sentinel Event.
December 23, 2016
The Joint Commission. … https://psnet.ahrq.gov/issue/sentinel-event
Since 1998, The Joint Commission has issued sentinel event … The
Sentinel Event Alert Web site includes a complete library of previous sentinel event alerts, along … https://psnet.ahrq.gov/issue/sentinel-event
https://psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare … https://psnet.ahrq.gov/primer/root-cause-analysis
https://psnet.ahrq.gov/issue/sentinel-event-alert
-
psnet.ahrq.gov/node/34646/psn-pdf
July 01, 2015 - The attributes of medical event reporting systems. … The attributes of medical event-reporting systems:
experience with a prototype medical event-reporting … https://psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
This article describes an effort … to design, develop, and implement a medical event reporting system for
transfusion medicine-related … The authors conclude that developing event-reporting systems can help
organizations address systems
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v1.pdf
August 31, 2016 - and the harm
associated with the adverse event … These excess harm probabilities were estimated by comparing patients with
a safety-related event to … the discharge during
which the index event happened. … Ongoing need for dialysis for up to 6-months after
discharge following a PSI event. … of discharge
after a PSI 12 event, related to recurrent or
extended thrombosis.
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_V1.pdf
August 31, 2016 - and the harm
associated with the adverse event … These excess harm probabilities were estimated by comparing patients with
a safety-related event to … the discharge during
which the index event happened. … Ongoing need for dialysis for up to 6-months after
discharge following a PSI event. … of discharge
after a PSI 12 event, related to recurrent or
extended thrombosis.
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
August 31, 2016 - and the harm
associated with the adverse event … These excess harm probabilities were estimated by comparing patients with
a safety-related event to … the discharge during
which the index event happened. … Ongoing need for dialysis for up to 6-months after
discharge following a PSI event. … of discharge
after a PSI 12 event, related to recurrent or
extended thrombosis.