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Showing results for "incident".

1. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
   December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident … The Incident Decision Tree is not a “wrongdoer’s charter.” … a patient safety incident. … The Incident Decision Tree has been seen as: • Robust, applicable, and helpful. … “I told her, it’s not me—it’s the Incident Decision Tree.”

2. Tool 5A: Information To Include in Incident Reports | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/incident-reports.html
   January 01, 2013 - Resources Preventing Falls in Hospitals Tool 5A: Information To Include in Incident … How to use this tool: Review your last 10 incident reports for falls and see whether the information … Information To Include in Incident Reports Examples of Information Reason To Collect This Information … originally created January 2013 Internet Citation: Tool 5A: Information To Include in Incident … https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/incident-reports.html

3. Dashboard Information | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/npsd/data/dashboard/info.html
   June 01, 2019 - The Generic module allows classification of all events as Incident, Near miss, or Unsafe condition as … Incident , Near miss , or Unsafe condition ). … has three Answer Values: Incident: A patient safety event that reached a patient and either resulted … in no harm (no harm incident) or harm (harm incident). … process of administering the medication to a patient (which if not discovered would have become an incident

4. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
   January 01, 2007 - Responses were coded by type of incident, consequences for the patient, responsible party, process-of-care … deficiencies, and preventability of the incident. … deficiencies, severity, and the preventability of the incident. … Physician perception of hospital safety and barriers to incident reporting. … A qualitative study of the intra-hospital variations in incident reporting.

5. Fallpxtool5A (doc file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5a.docx
   January 29, 2013 - 5A: Information To Include in Incident Reports Background: The purpose of this tool is to audit incident … How to use this tool: Review your last 10 incident reports for falls and see whether the information … Information systems staff may also use this tool to develop or update electronic templates for submitting incident … Information To Include in Incident Reports Examples of Information Reason To Collect This Information

6. Surgical Patient Experience of Care Survey Design Project (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
   November 20, 2008 - ResearchAmerican Institutes for Research Literature Review Results Focus Group Results Critical Incident … AnalysisCritical Incident Analysis  Critical Incident study was conducted to help inform development … ResultsCritical Incident Results Surgeon Incidents % Other Provider Incidents % Prob. … ResultsCritical Incident Results  In general, the critical incident taxonomic domains measured … ResultsCritical Incident Results  The following were less likely to characterize visits to a surgeon

7. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
   January 01, 2001 - Methods This study is a retrospective review of routinely filed incident reports. … Rate of near misses and adverse events per 100 incident Table 2. … Comparison of reporting rates and incident severity Figure 1. … Rate of incident reports filed per 100 hospital admissions in 1998 and 2001 Figure 2. … Total number of incident reports and number categorized as “near miss,” Figure 3.

8. Appendix B2: Tracking Record for Improving Patient Safety TRIPS (Text Description) | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb2txt.html
   December 01, 2017 - ________________________           Time of Incident ______________  __  AM  __  PM Day of … __ Yes      __ No The footwear at the time of the incident was: __ Shoes __ Slippers And … Was a restraint in use at the time of the incident? … What was the incident outcome?   __ Injury (complete Part B) __ Noninjury Part B. … If necessary, please provide a brief narrative of this incident: ___________________________________

9. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
   March 01, 2002 - Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System 145 Reporting … of Adverse Drug Events: Examination of a Hospital Incident Reporting System Radhika Desikan, Melissa … Methods: A retrospective analysis of received incident reports of potential and preventable adverse … Severity- indexed, incident report-based medication error- reporting program. … Incident reporting. In: Shojania KG, Duncan BW, McDonald KM, Wachter RM.

10. 5. How do you measure fall rates and fall prevention practices? | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
    January 01, 2013 - Finding mechanisms to communicate fall incident report information to the Implementation Team. … The incident report will need to contain, at a minimum: The fact that the incident being reported was … Learn more about your hospital's incident reporting system. … Therefore, consider reviewing completed incident reports with staff on a monthly basis. … Tool 5A, "Information To Include in Incident Reports" .

11. AHRQ Information Security and Privacy Program | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policy/electronic/privacy/infosecurity.html
    August 01, 2018 - Incident Reporting . Points of Contact . Policy, Guidance, and Legislation Links . … Incident Reporting AHRQ defines a computer security incident as "a violation or imminent threat of … security practices," in accordance with NIST Special Publication 800-61 Rev. 2, Computer Security Incident … If you suspect an information security or privacy related incident has occurred, send an Email immediately … NIST SP 800-61 Rev. 2, Computer Security Incident Handling Guide [PDF File, 1.5 MB].

12. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
    January 01, 2019 - Incident, Near miss, or Unsafe condition). … has three Answer Values: Incident, Near miss, and Unsafe condition. … In addition, Incident reports must provide PATIENT GENDER and/or NEONATE GENDER, and PATIENT DATE OF … Incidents can be reported for any EVENT TYPE, but Incident is the only REPORT TYPE possible for Fall … Extent of Harm This figure displays Incident events associated with residual harm to patients.

13. Final Progress Report: Gastrointestinal Safety of Antithrombotic Drug Regimens (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/abraham-report.pdf
    January 01, 2024 - We quantified the risk of total-, lower- and upper-GIB in an incident cohort of patients prescribed … Scientific Meeting of the American College of Gastroenterology, we quantified mortality following incident … We sought to address this knowledge gap by quantifying mortality following incident GIB in patients … The risk of early mortality following incident antithrombotic-related GIB is significant (8.8% in the … first year following incident GIB) and more than a “nuisance side effect” of antithrombotic drug

14. Table 4.1. Number of Incident Cases and Average Annual Age-Adjusted Incidence Rates for Invasive Colorectal Cancer in Lehigh Valley, Pennsylvania, by County and Sex, 2002-2006 | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-1.html
    April 01, 2018 - Number of Incident Cases and Average Annual Age-Adjusted Incidence Rates for Invasive Colorectal Cancer … Number of Incident Cases and Average Annual Age-Adjusted Incidence Rates for Invasive Colorectal Cancer … Number of Incident Cases and Average Annual Age-Adjusted Incidence Rates for Invasive Colorectal Cancer

15. Measuring Fall and Fall-Related Injury Rates and Prevention Practices (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar5_falls_measuringratespractices.pdf
    January 01, 2013 - Data Needed for Fall and Fall-Related Injury Rates For each fall, create an incident report that tells … — • Fact that the incident being reported is a fall • Name of the patient who fell • Where the patient … the fall (in detail) • Injury level of the fall 13 Refer to Tool 5A: Information to Include in Incident … Using incident reports, figure out the total number of falls on your unit during April. 2. … staff • Making sure the data gathered with the assessment tool include those needed to file an incident

16. Chartbook on Patient Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
    January 01, 2020 - Incident, Near miss, or Unsafe condition). … has three Answer Values: Incident, Near miss, and Unsafe condition. … In addition, Incident reports must provide PATIENT GENDER and/or NEONATE GENDER, and PATIENT DATE OF … Incidents can be reported for any EVENT TYPE, but Incident is the only REPORT TYPE possible for Fall … This figure displays Incident events associated with residual harm to patients.

17. Generic Dashboard Data 2023 (xls file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
    January 01, 2023 - Other location 55,618 1,269,364 4.4% Incident Outpatient care area 62,488 1,269,364 4.9% Incident … 1,269,364 34.7% Incident Special care area (e.g., ICU, CCU, NICU) 166,412 1,269,364 13.1% Incident … Mulitple 33,045 627,843 5.3% Incident Communication 28,714 627,843 4.6% Incident Data 5,930 627,843 … 0.9% Incident Environment 3,988 627,843 0.6% Incident Human Factors 38,631 627,843 6.2% Incident … 80.2% Incident Supervisor/Support 679 627,843 0.1% Incident Staff qualifications 10,628 627,843 1.7%

18. 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 - Incident, Near miss, or Unsafe condition). … ■ The data presented above indicate Incident events in each harm category as a percentage of all Incident … ■ The data presented above indicate Incident events in each harm category as a percentage of all Incident … ■ The data presented above indicate Incident events in each harm category as a percentage of all Incident … ■ The data presented above indicate Incident events in each harm category as a percentage of all Incident

19. Fall Prevention Toolkit (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
    August 03, 2017 - Fall Prevention Toolkit Fall Prevention Toolkit Module 5 Tools Tool 5A: Information to Include in Incident … Action Plan Tool to Measure Fall Rates and Fall Prevention Practices 5A: Information To Include in Incident … Reports Background: The purpose of this tool is to audit incident reports of falls to see if the reports … How to use this tool: Review your last 10 incident reports for falls and see whether the information … Information To Include in Incident Reports Examples of Information Reason To Collect This Information

20. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
    January 01, 2021 - Incident, Near miss, or Unsafe condition). … has three Answer Values: Incident, Near miss, and Unsafe condition. … In addition, Incident reports must provide PATIENT GENDER and/or NEONATE GENDER, and PATIENT DATE OF … Incidents can be reported for any EVENT TYPE, but Incident is the only REPORT TYPE possible for Fall … This figure displays Incident events associated with residual harm to patients.