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preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Organizational Buy-in and Support
Module 3: Preparing for Implementation: Gap Analysis
Module 4: Event Reporting
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preventiveservices.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - standardized definitions and algorithms, consistent with those used by the AHRQ Common Formats for Event Reporting
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
March 01, 2013 - prevention care, a second type of infrastructure description addressed an inadequate information system, reporting … majority of studies reported the recipients of any training component (15 studies), with slightly fewer reporting … the type of training or giving a description of the training (12 studies), and even fewer studies reporting … interventions being successfully implemented.”13 Dykes and colleagues provided a strong example of adherence reporting … Definitions and methods of measuring and reporting on injurious falls in randomised controlled fall prevention
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preventiveservices.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
January 01, 2020 - Supplemental Items
Using CAHPS Surveys
CAHPS Databases
Webcasts & Recent Events
Reporting … Monitoring of front-line clinical activity through observations and the collection and reporting of process
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_it2.pdf
January 01, 2024 - Determine whether historical reporting of UI was
dependent on any provider characteristics.
3.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
July 01, 2023 - Words & Two-Challenge Rule
4 Rs
9
Readiness
Every Unit Recognition
Every Patient Response
Every Case Reporting … Finally, in the Reporting stage, these strategies and tools may be useful during problem-solving discussions … Organizations should develop guidelines for acceptable behaviors to assist staff in better identifying, reporting … to 4 Rs for Severe Hypertension
Readiness
Every Unit Recognition
Every Patient Response
Every Case Reporting … likely find the DESCR script useful in many situations, it is especially applicable to the Response and Reporting
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
July 01, 2023 - Two‐Challenge Rule
4 Rs
9
Readiness
Every Unit
Recognition
Every Patient
Response
Every Case
Reporting … signs are first
noticed and when systolic BP =/> 160 or diastolic BP =/>110.
10
Finally, in the Reporting … Organizations should
develop guidelines for acceptable behaviors to assist staff in better identifying, reporting … for Severe Hypertension
Readiness
Every Unit
Recognition
Every Patient
Response
Every Case
Reporting … likely find the DESCR script useful in many situations, it is
especially applicable to the Response and Reporting
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
January 01, 2023 - The reporting of patient safety concerns to the NPSD is voluntary
as is the reporting to PSOs by providers … • While it is believed that the Common Formats for Event Reporting-Hospitals (CFER-H) are
primarily … AHRQ developed the Common Formats, a standardized reporting format using common
language and definitions … Voluntary patient safety reporting systems are,
however, marked by variability in the rate and consistency … of reporting, and denominators are
typically unavailable.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
July 01, 2023 - Health
Readiness (unit level)
Recognition and Prevention (patient level)
Response (incident level)
Reporting … These include readiness, recognition and prevention, response, and reporting. … treatment and an escalation protocol when the protocol cannot be followed.
10
Severe Hypertension: Reporting
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preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
July 01, 2023 - patients/families regarding expected signs and symptoms related to use, and providing instructions for reporting … Uniform reporting of serum magnesium levels (e.g., mg/dL, mEq/L, or mmmol/L). … Bedside staff, providers, and lab personnel should agree on one unit for reporting and communicating
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
July 01, 2023 - Application to 4 Rs: Briefs & Huddles
Readiness
Every Unit Recognition
Every Patient Response
Every Case Reporting … Assess weaknesses in the system (Reporting & Systems Learning)
E.g., inefficient work processes; technology … Generally, these types of debriefs will be held in the Reporting and Systems Learning stage in response … Hospital AIM Team
Leads
SPPC-II
SCRIPT
Debriefs may be applicable at the Readiness, Response, and Reporting … Relatedly, unit-wide “debriefs” might be used at the Reporting stage to facilitate multidisciplinary
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
July 01, 2023 -
Application to 4 Rs: Briefs & Huddles 4 Rs
Readiness Recognition Response Reporting … o Assess weaknesses in the system (Reporting & Systems Learning)
E.g., inefficient work processes; … Generally,
these types of debriefs will be held in the Reporting and Systems Learning stage in
response … Application to 4 Rs: Debriefs
Readiness
Every Unit
Recognition
Every Patient
Response
Every Case
Reporting … Relatedly, unitwide “debriefs” might be used at the Reporting stage to facilitate
multidisciplinary
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
August 01, 2022 - Event Reporting, Investigation, and Analysis Team.
Resolution Team. … Celebrating staff for reporting CANDOR (and other) events, such as near misses and unsafe conditions.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/health-literacy-cg-cahps-adult-spanish-2357-3b.docx
December 20, 2017 - is likely to yield a sufficient number of responses to those questions for statistical analysis and reporting
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-meenan.pdf
April 01, 2015 - A data and reporting workgroup met regularly with a consultant and
senior data analyst from CareOregon
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-distribute-report.doc
December 26, 2018 - · To determine which medium or combination of media is right for your reporting project, explore your
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preventiveservices.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
August 01, 2022 - Promoting standardized data collection : In May, AHRQ released the Common Formats for Event Reporting
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preventiveservices.ahrq.gov/cahps/surveys-guidance/hp/about/Development-CAHPS-HP-Survey.html
May 01, 2022 - Supplemental Items
Using CAHPS Surveys
CAHPS Databases
Webcasts & Recent Events
Reporting
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preventiveservices.ahrq.gov/cahps/surveys-guidance/item-sets/children-chronic/index.html
April 01, 2022 - Impairments
Using CAHPS Surveys
CAHPS Databases
Webcasts & Recent Events
Reporting
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preventiveservices.ahrq.gov/news/blog/ahrqviews/hospice-care-ensure-quality.html
December 01, 2022 - teams available at the location and context of care, additional reimbursement, and required public reporting