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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - TYPE, category of event (EVENT TYPE), and INITIAL
REPORT DATE. … concern (CATEGORY ASSOCIATED WITH
EVENT OR UNSAFE CONDITION [EVENT TYPE]) as a percentage of all EVENT … (Event Types)
Report Type by Event Type
Report Type by Event Type
Report Type by Event Type (Data … Extent of Harm by Event Type (Data Table)
Event Type by Extent of Harm
Event Type by Extent of Harm … Originated
Stage Event Originiated
Stage Event Originated by Extent of Harm
Stage Event Originiated
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - Event-specific Reports
The Common Formats include event-specific modules pertaining to nine patient … (EVENT ID); and the REPORT TYPE, category of event (EVENT TYPE), and INITIAL
REPORT DATE. … of different EVENT TYPES. … concern (CATEGORY ASSOCIATED WITH
EVENT OR UNSAFE CONDITION [EVENT TYPE]) as a percentage of all EVENT … Types)
Report Type by Event Type
Extent of Harm by Event Type
Event Type by Extent of Harm
Extent
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - Event-specific Reports
The Common Formats include event-specific modules pertaining to nine patient … (EVENT ID); and the REPORT TYPE, category of event (EVENT TYPE), and INITIAL
REPORT DATE. … of different EVENT TYPES. … concern (CATEGORY ASSOCIATED WITH
EVENT OR UNSAFE CONDITION [EVENT TYPE]) as a percentage of all EVENT … Types)
Report Type by Event Type
Extent of Harm by Event Type
Event Type by Extent of Harm
Extent
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - TYPE, category of event (EVENT TYPE), and INITIAL
REPORT DATE. … concern (CATEGORY ASSOCIATED WITH
EVENT OR UNSAFE CONDITION [EVENT TYPE]) as a percentage of all EVENT … (Event Types)
Report Type by Event Type
Report Type by Event Type
Report Type by Event Type (Data … Extent of Harm by Event Type (Data Table)
Event Type by Extent of Harm
Event Type by Extent of Harm … Originated
Stage Event Originiated
Stage Event Originated by Extent of Harm
Stage Event Originiated
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
May 19, 2016 - Unsafe Condition
Near Miss
No Harm Event
CANDOR
Event
Actual harm to patient
Potential patient harm … A CANDOR event is an event that involves unexpected patient harm. … cause of a harm event. … the event. … of a CANDOR Event.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
May 01, 2011 - (s) involved in the event. … The reliving of the event is also known as a “tripping” or “triggering” event and can occur when the … The event might produce feelings of internal inadequacy, either because the event occurred or because … Responding to multiple “whys” about the event.
Interacting with many different event responders. … the post-event period.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
August 21, 2015 - and of the impact of the event on their care. … Within 60 minutes after the CANDOR event is identified. … 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?
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ce.effectivehealthcare.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.
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ce.effectivehealthcare.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
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ce.effectivehealthcare.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.
-
www.innovations.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.
-
www.cahps.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.
-
www.cpsi.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.
-
www.monahrq.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.
-
www.qualitymeasures.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.
-
www.healthcare411.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.
-
www.talkingquality.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.
-
healthcare411.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.
-
cahps.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.
-
monahrq.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.