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Total Results: over 10,000 records

Showing results for "event".

401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42326/psn-pdf
     June 05, 2013 - Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors … Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors … https://psnet.ahrq.gov/issue/patient-safety-event-reporting-expectation-does-it-influence-residents- … https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ https … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44120/psn-pdf
     November 06, 2015 - Designing highly reliable adverse-event detection systems to predict subsequent claims. … Designing highly reliable adverse-event detection systems to predict subsequent claims. … https://psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict- subsequent-claims … This study demonstrated that modeling based on automated data mining of event reports could identify … disclosure programs, could be deployed more efficiently using an automated algorithm to detect high-risk event

403. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
     August 01, 2022 - and of the impact of the event on their care. … What are the implications of the event for the patient's health? Why did the event happen? … the system" for the event. … Can I see a copy of the event analysis? … It is rarely helpful to share all event analysis findings.

404. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
     August 01, 2022 - and of the impact of the event on their care. … What are the implications of the event for the patient's health? Why did the event happen? … the system" for the event. … Can I see a copy of the event analysis? … It is rarely helpful to share all event analysis findings.

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43678/psn-pdf
     April 22, 2015 - 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. … 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. … https://psnet.ahrq.gov/issue/connecting-dots-leveraging-visual-analytics-make-sense-patient-safety-event … and development of hospital-level and system-level dashboards representing data from patient safety event … as a way to reduce the burden of analyzing internal incident reports, increase awareness of adverse event

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43257/psn-pdf
     August 14, 2014 - Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance … Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance … //psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse- event-surveillance … study examined leadership, clinician, and administrator perspectives on implementation of an adverse event … A trained clinical observer assessed triggers designed to indicate a possible adverse event in general

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45180/psn-pdf
     May 05, 2017 - Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. … Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. … https://psnet.ahrq.gov/issue/investigating-adverse-event-free-admissions-medicare-inpatients-patient- … This study proposes adverse event–free admissions as a potential measure of safety, defining the term … as any hospitalization in which the patient does not experience a preventable adverse event.

408. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
     January 01, 2023 - event types. … OF EVENT OR UNSAFE CONDITION by EVENT TYPE. … to the event?” … event? … (EVENT ID); and the REPORT TYPE, category of event (EVENT TYPE), and INITIAL REPORT DATE.

409. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
     January 01, 2023 - event types. … OF EVENT OR UNSAFE CONDITION by EVENT TYPE. … to the event?” … event? … (EVENT ID); and the REPORT TYPE, category of event (EVENT TYPE), and INITIAL REPORT DATE.

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44215/psn-pdf
     November 03, 2015 - Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000 … Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000 … https://psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers … - united-states-2000 Vaccination-related errors reported to the National Vaccine Adverse Event Reporting … One-fourth of reported errors caused an adverse health event, with 8% of these resulting in serious

411. PSOPPC: Acute Care Hospitals

     Research Study
     www.psoppc.org/psoppc_web/publicpages/acutecarehospitals
     Based on the expert panel feedback, AHRQ further revised and refined the Common Formats for Event Reporting … - Hospital that are now available as Common Formats for Event Reporting - Hospital Version 1.2 (CFER-H … V1.2) and Common Formats for Event Reporting - Hospital Version 2.0 (CFER-H V2.0). … Common Formats for Event Reporting - Hospital Version 2.0 Common Formats for Event Reporting - Hospital … Version 2.0 Common Formats for Event Reporting - Hospital Version 1.2 Common Formats for Event

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44727/psn-pdf
     December 02, 2015 - Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students … Virginia Tech as a Sentinel Event: The Role of Psychiatry in Managing Emotionally Troubled Students … https://psnet.ahrq.gov/issue/virginia-tech-sentinel-event-role-psychiatry-managing-emotionally-troubled … - students-college Exploring a sentinel event at a college involving a student with mental health issues … https://psnet.ahrq.gov/issue/virginia-tech-sentinel-event-role-psychiatry-managing-emotionally-troubled-students-college

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38521/psn-pdf
     September 19, 2016 - Inpatient suicide: preventing a common sentinel event. September 19, 2016 Tishler CL, Reiss NS. … Inpatient suicide: preventing a common sentinel event. … https://psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event Suicide attempts by … inpatients are considered a never event, and, as such, are also considered reportable sentinel events … https://psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event https://psnet.ahrq.gov

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40791/psn-pdf
     February 09, 2012 - Adverse event rates as measures of hospital performance. … Adverse event rates as measures of hospital performance. … https://psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance This study concluded … that adverse event rates in themselves are a poor marker of hospital performance, largely because of … https://psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance https://psnet.ahrq.gov

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35114/psn-pdf
     April 06, 2011 - A qualitative study of why general practitioners may participate in significant event analysis and educational … A qualitative study of why general practitioners may participate in significant event analysis and educational … https://psnet.ahrq.gov/issue/qualitative-study-why-general-practitioners-may-participate-significant-event … Scottish practitioners in a focus group setting to explore the perceived benefits of participating in event … https://psnet.ahrq.gov/issue/qualitative-study-why-general-practitioners-may-participate-significant-event-analysis-and

416. An Overview of the CANDOR Process
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
     September 10, 2015 - Reporting, Event Investigation and Analysis Module 4 of the CANDOR Toolkit covers the Event Reporting … Identify the key components of an effective event analysis. 2 CANDOR Event Reporting, Investigation, … of the event are imperative.   … information on the event. … in event reporting, including; How the event was reported.

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41394/psn-pdf
     December 29, 2014 - An adverse event screening tool based on routinely collected hospital-acquired diagnoses. … An adverse event screening tool based on routinely collected hospital-acquired diagnoses. … https://psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired … - diagnoses This study found high levels of physician agreement using an adverse event screening tool … https://psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired-diagnoses

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42036/psn-pdf
     March 18, 2013 - Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review … Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review … https://psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective … - patient-record A random sampling of hospitals in the Netherlands found that adverse event rates increased … https://psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective-patient-record

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38964/psn-pdf
     November 27, 2009 - Development of a measure of patient safety event learning responses. … Development of a measure of patient safety event learning responses. … https://psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses Voluntary error … The authors defined a set of indicators that evaluate the analysis of the event and the dissemination … of learnings from the event.

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44000/psn-pdf
     July 18, 2016 - Elucidating reasons for resident underutilization of electronic adverse event reporting. … Elucidating Reasons for Resident Underutilization of Electronic Adverse Event Reporting. … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event- … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting