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Showing results for "event".

61. Event Tree Analysis | Digital Healthcare Research
    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.

62. CANDOR Event Checklist | Agency for Healthcare Research and Quality
    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.

63. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
    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.

64. Redesigning Event Review with RCA2. | PSNet
    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

65. Event Investigation and Analysis Guide: Appendix I | Agency for Healthcare Research and Quality
    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,

66. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? | PSNet
    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

67. Webinar and Event Calendar | PSNet
    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

68. The attributes of medical event reporting systems. | PSNet
    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

69. MHA/AHRQ Kick-Off Event
    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.

70. Adverse Event During Intrahospital Transport | PSNet
    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].

71. Innovations-Improve-Cr-Event-Summary (pdf file)
    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

72. Innovations-Improve-Cr-Event-Summary (pdf file)
    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

73. Identifying health information technology related safety event reports from patient safety event report databases. | Digital Healthcare Research
    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

74. E-Perscribing Event Transcript Final (pdf file)
    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

75. Sepsis: recognizing the next event. | PSNet
    psnet.ahrq.gov/issue/sepsis-recognizing-next-event
    July 13, 2010 - Commentary Sepsis: recognizing the next event. … Sepsis: recognizing the next event. … Sepsis: recognizing the next event.

76. Voluntary Adverse Event Reporting in Rural Hospitals (pdf file)
    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.

77. Adverse event reporting priorities: an integrative review. | PSNet
    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.

78. Adverse event rates as measures of hospital performance. | PSNet
    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!"

79. Exhibit 13. Probability of intervention reducing risk of surgical site infection (SSI) by multiple concurrent interventions at various reductions of noncompliance rates (25, 5 | Agency for Healthcare Research and Quality
    www.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 … puncture – – – 0.0042 0.0041 Event 138 Fail to remove watch/jewelry/fake nails – … puncture – – – 0.0040 0.0037 Event 138 Fail to remove watch/jewelry/fake nails – … puncture – – – 0.0039 0.0034 Event 138 Fail to remove watch/jewelry/fake nails –

80. Mod4-System-Focused-Event-Guide (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
    April 01, 2016 - The sole objective of the event investigation and analysis of an adverse event or near miss is the … Principles of an Event Review In other safety critical industries, event reviews are highly routinized … event Occurs at: ■ 30 days ■ 60 days ■ 90 days 6 – System-Focused Event Investigation and Analysis … that led up to the event. 6. … Culture ■ Was this event placed in the patient safety event reporting system?