Results

Total Results: 1,162 records

Showing results for "incident".

101. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
     January 01, 2004 - Critical incident studies in anesthesia have found that around 80 percent of reported incidents involve … operating room, recoding a sample of the interview transcripts, and reviewing 200 anesthesia critical-incident … System, and difficulty to use if the consultant is heavily involved in the case or if there is an incident … The Australian incident monitoring study. … An analysis of 2,000 incident reports. Anaesth & Int Care 1993; 21:506–19. 4.

102. Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy (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-Clarke_8.pdf
     January 25, 2008 - The main descriptive element is what others might call the “incident type,” but which we call the … “event type” – given the very specific definition for “incident” in the MCARE law, as noted above. … We feel that a field describing the provider-reported descriptive event type (or incident type as understood … Alternatively, the event type (or incident type as understood by others) used by PA-PSRS is a description … We believe a descriptive event type, or incident type, based on process of care or clinical outcome

103. TeamSTEPPS 2.0: Module 9 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module9/coachscenarios.html
     March 01, 2014 - Everything is proceeding without incident until the attending surgeon abruptly charges into the room … interview the anesthesiologist, he tells you that he has performed this procedure many times before without incident

104. Making Healthcare Safer Practices: 16. Venous Thromboembolism (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
     March 01, 2020 - Making Healthcare Safer Practices: 16. Venous Thromboembolism Venous Thromboembolism 16-1 16. Venous Thromboembolism Eleanor Fitall, M.P.H., and Kendall K. Hall, M.D., M.S. Introduction Background Venous thromboembolism (VTE) is a disorder that includes deep vein thrombosis (DVT) and pulmonary embolism (PE). …

105. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part II (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
     January 01, 2020 - respondents who indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident … When something happens that could harm the patient, but does not, how often is it documented in an incident … When something happens that could harm the patient, but does not, how often is it documented in an incident … When something happens that could harm the patient, but does not, how often is it documented in an incident … When something happens that could harm the patient, but does not, how often is it documented in an incident

106. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part II (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
     December 01, 2021 - respondents who indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident … When something happens that could harm the patient, but does not, how often is it documented in an incident … When something happens that could harm the patient, but does not, how often is it documented in an incident … When something happens that could harm the patient, but does not, how often is it documented in an incident … When something happens that could harm the patient, but does not, how often is it documented in an incident

107. Section 5.A, Table 4 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-5a.pdf
     December 01, 2013 - Section 5.A, Table 4                                                                                                 Q‐METRIC Sickle Cell Disease Measure 3: Appropriate Antibiotic Prophylaxis for Children with Sickle Cell Disease Graphics for Section V. …

108. Cost Effectiveness of a Multifaceted Program for Safe Patient Handling (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
     January 10, 2005 - Reduction in injury incidence and severity Injury data included a description of the incident (equipment … used and task performed), time and date of incident, unit where incident occurred, days of work lost

109. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - The Joint Commission proposes actions for all organizations to take, including developing incident reporting … Incident Decision Tree https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety … The Incident Decision Tree supports the aim of creating an open culture, where employees feel able to … Laboratory Testing Process: A Step-by-Step Guide for Rapid-Cycle Patient Safety and Quality Improvement Incident … Incident Decision Tree 3. Just Culture 4.

110. Module 5: Script and Slides (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-facnotes.docx
     May 01, 2017 - of near misses may vary from facility to facility, but many facilities have a process for recording incident … Who accepts incident reports, for example, and who monitors them over time?

111. Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
     January 01, 2024 - Based on published literature and ranking of injurious fall incident reports (n=85) from Brigham and … Data Sources/Collection: Data sources include the electronic health record (EHR) database, incident … process.1, 3 Measures: We used the following numbers to rank falls and their severity based on incident

112. Massachusetts Incorporates Technology From AHRQ-Funded Program on Emergency Preparedness | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/cp30603.html
     October 01, 2014 - patient data while automatically alerting health authorities about the potential risk level of any incident

113. CEO and Senior Leader Checklist | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/ceo-snr-leader-chcklst.html
     December 01, 2012 - disseminate it to the entire senior leadership team and board, create a process to investigate each incident

114. West Virginia University Uses AHRQ's Patient Safety Culture Survey to Improve Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/cquips0902.html
     October 01, 2014 - Projects and procedures that have been developed include the following: Method for easier incident

115. Event Investigation and Analysis Guide: Appendix E | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/ape.html
     August 01, 2022 - Confirmation and Consensus Meeting Announcement Template As you may know, a patient care incident

116. AHRQ Slide Template 2004
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/webinar/webinar_mha_falls_prevent.pptx
     January 01, 2013 - Prevention Care Processes (5B) Postfall Assessment for Root Cause Analysis (3O) Information to Include in Incident

117. Appendix D: Methods | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/lepguide/app-d.html
     September 01, 2020 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

118. Module 1: Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
     May 19, 2016 - to none Extensive and ongoing Communication with patient, family Deny/defend Transparent, ongoing Incident … In the past, incident reporting by clinicians has been delayed or often absent.

119. Graphics for Section 5. Evidence or Other Justification for the Focus of the Measure (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
     November 26, 2013 - Graphics for Section 5. Evidence or Other Justification for the Focus of the Measure                                                                                                     Q‐METRIC Sickle Cell Disease Measure 2: Timeliness of Antibiotic …

120. CEO/Senior Leader Checklist | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.html
     July 01, 2023 - disseminate it to the entire senior leadership team and board, create a process to investigate each incident