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www.ahrq.gov/nursing-home/resources/vaccine-adverse-event-reporting.html
August 01, 2022 - Vaccine Adverse Event Reporting System Reporting Form
Resource: Vaccine Adverse Event Reporting … This webpage hosts a writable PDF form that provides instructions for reporting a vaccine adverse event
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/event-tree-analysis
January 01, 2023 - Event Tree Analysis
Acronym
ETA
Description
An event tree analysis (ETA) examines … The tool was originally developed for use in system reliability analysis, but event trees are also useful … Collect the necessary data to construct the event tree diagram. … Storyboards can be used when conducting an event tree analysis of a proposed system design.
3. … CONSTRUCT EVENT TREE. After completing steps 4 and 5, the event tree diagram can be constructed.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
August 01, 2022 - a checklist for the required actions that need to be taken following an event. … :
Hotline: Enter event report via the institution's event reporting system. … 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.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Principles of an Event Review
In other safety critical industries, event reviews are highly routinized … The most effective event investigation and analyses are conducted as quickly as possible after the event … that led up to the event. … stakeholders to understand the event. … No reinvestigation of the event.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix I
Glossary
Adverse safety event: a deviation … Causal factor: the suspected or confirmed factors that caused the adverse event. … Often, multiple factors must intersect for an adverse event to reach the patient. … Event review: the overall process of assessing an adverse safety event to determine contributing factors … In-depth event review: the data-gathering phase of an event review, involving conducting interviews,
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psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
February 14, 2024 - Study
Classic
The attributes of medical event reporting … The attributes of medical event-reporting systems: experience with a prototype medical event-reporting … This article describes an effort to design, develop, and implement a medical event reporting system for … The authors conclude that developing event-reporting systems can help organizations address systems … The attributes of medical event-reporting systems: experience with a prototype medical event-reporting
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psnet.ahrq.gov/training-catalog/webinar-and-event-calendar
Webinar and Event Calendar
Save
Save to your library
Print
Share … Organization:
Organization
ECRI Institute
Event … Event Location: Online
Date: On Demand and various upcoming dates
Event Fee: Free
CE or
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psnet.ahrq.gov/issue/redesigning-event-review-rca2
September 10, 2024 - United States Meeting/Conference
Redesigning Event Review with RCA2. … Citation Text:
Redesigning Event Review with RCA2. Institute for Healthcare Improvement. … Copy URL
Cite
Citation
Citation Text:
Redesigning Event
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psnet.ahrq.gov/issue/using-estimated-true-safety-event-rates-versus-flagged-safety-event-rates-does-it-change
December 15, 2011 - Study
Using estimated true safety event rates versus flagged safety event rates: … Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling … This retrospective study of hospital data found that estimated adverse event rates varied between use … Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AppendixFMHAAHQRKick-Off.jsp
July 01, 2016 - MHA/AHRQ Kick-Off Event … DATA VISUALIZATIONS
DATA QUERY TOOLS
MHA/AHRQ Kick-Off Event … Minnesota Hospital Association logo
MHA/AHRQ Kick-Off Event: Adding Clinical Lab Data to Minnesota … MHA AHQR Kick-Off Event
Jan. 15, 2008
Radisson Hotel and Conference Center, Plymouth
Name
Title … Internet Citation: MHA/AHRQ Kick-Off Event.
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-details-maximizing-physician-buy-in.pdf
June 16, 2022 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS … Format • A moderated panel discussion with three panelists, with additional input
from over 70 event … System Director, Cardiac
Rehabilitation, Lee Health
Resource Link Slides and a recording of the event … EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 2
OVERALL EVENT THEMES … EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 3
DISCUSSION HIGHLIGHTS
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-leveraging-data-enhance-cr-program.pdf
November 12, 2020 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS … Format • A moderated panel discussion with two panelists, with additional input from
the 120 event … EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 2
ASSESSING THE CURRENT … PROGRAM
OPERATION
STATUS AT-A-GLANCE
Current State Level of Uncertainty
Participants in this event … OVERALL EVENT THEMES
• Data access:
In order to maximize CR enrollment and successful completion,
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www.qualitymeasures.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
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ce.effectivehealthcare.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
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digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines/citation/identifying
January 01, 2023 - 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
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - Adverse Event During Intrahospital Transport
Citation Text:
Bergman L, Chaboyer W. … Adverse Event During Intrahospital Transport. PSNet [internet]. … Adverse Event During Intrahospital Transport. PSNet [internet]. … Adverse Event During Intrahospital Transport. PSNet [internet].
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digital.ahrq.gov/sites/default/files/docs/E-Perscribing%20Event%20Transcript%20FINAL.pdf
January 01, 2012 - They were just deterministic
simulations we didn’t try to do discrete event modeling at this point. … majority of the time what we hope E-
Prescribing looks like is that for the most part a patient has an event
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
January 01, 2007 - Voluntary Adverse Event Reporting in Rural Hospitals
Voluntary Adverse Event Reporting in Rural Hospitals … The final list of event categories with definitions resulted from combination of similar
event types … Event categories with <2 percent frequency are not
shown. … Event Rates in Participating Hospitals
Figure 1. … was not proportional to the risk of an event.
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psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
July 29, 2020 - Study
Adverse event rates as measures of hospital performance. … Adverse event rates as measures of hospital performance. … This study concluded that adverse event rates in themselves are a poor marker of hospital performance … Adverse event rates as measures of hospital performance. … July 29, 2020
When safety event reporting is seen as punitive: "I've been PSN-ed!"
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psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrative-review
March 10, 2021 - Review
Adverse event reporting priorities: an integrative review. … Adverse event reporting priorities: an integrative review. … Adverse event reporting is foundational to improving patient safety, but many events go unreported. … barriers ; improving perceptions of adverse event reporting within healthcare hierarchies; improving … Adverse event reporting priorities: an integrative review.