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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/iomracereport/reldata2b.html
May 01, 2018 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/fax.html
February 01, 2023 - Please call the Falls Nurse Coordinator if you have any questions about the incident or suggestions for
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
April 01, 2023 - The Joint Commission proposes actions for all organizations to
take, including developing incident reporting … /13
This AHRQ primer provides background information on voluntary patient safety event
reporting (incident … The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
https://www.ahrq.gov … The Incident Decision Tree supports the aim of creating an
open culture, where employees feel able to … The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
2.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
January 01, 2023 - 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
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
January 01, 2013 - Summary Background Report on 2013 Retirement of Measures from the Child Core Set
Summary Report
Background Report on 2013 Retirement
of CHIPRA Measures from the Child
Core Set
Prepared for:
Agency for Healthcare Research and Quality
Rockville, MD
Prepared by:
RTI International
Resear…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
January 01, 2024 - of Cases and Controls
For specific aim 1, cases were identified as depression patients who had an incident … Cases
were identified as patients who had an incident diagnosis of hip or femur fractures60 after entry … Dementia cases were defined based on incident dementia diagnosis, using the CCW files, anytime between … Cumulative Use of Strong Anticholinergics and Incident Dementia: A
Prospective Cohort Study. … Anticholinergic Medication use and risk of
incident Fractures in the elderly with Depression.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module9/ts2-0ltc_module9_coaching_scenarios.pdf
April 24, 2017 - Everything is proceeding without incident until the
supervisor abruptly charges in the room and starts
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
March 15, 2004 - discharge, or both.”18 Determination of adverse events
typically involves both the finding of an adverse incident
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/tools-resources.html
January 01, 2013 - Staff Education and Training 4D—Implementing Best Practices Checklist 5A—Information To Include in Incident
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol-appendixa.pdf
October 11, 2017 - Home Mechanical Ventilators: Protocol Appendix A
Appendix A
Search Strategy 1
Ovid
Database(s): Embase 1988 to 2017 Week 41, EBM Reviews - Cochrane Central Register of
Controlled Trials September 2017, EBM Reviews - Cochrane Database of Systematic Reviews
2005 to October 11, 2017, Ovid MEDLINE(R) Epub Ahead …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - The Critical Incident Analysis Technique15—a method first employed in
aviation to examine aircraft training … The Constant Comparative Method19 provided the analytic structure for the
Critical Incident Analysis … The Critical Incident Technique. Psychol
Bull 1954;51(4):327–58.
16. … Adverse sedation
events in pediatrics: a Critical Incident Analysis of
contributing factors. … Patient safety
problems in children’s medical care: a Critical
Incident Analysis.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
January 01, 2017 - Tool: SSA
Summary
The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-associated pneumonia (VAP). The intervention is supported unanimously by all four leading guidelines, and newer publications in the field acc…
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/team-checkup-tool.html
July 01, 2023 - quality improvement skills on our team.
7
We perform a unit analysis for each incident
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/esrd-protocol.pdf
August 17, 2019 - Introduction
Over 100,000 patients (children and adults) reach end-stage renal disease (ESRD) every
year (incident … management, and almost universal attainment of dialysis adequacy
targets (Kt/Vurea), 25 percent of incident … Hemodialysis Prescription for Incident Patients: Twice Seems Nice, But
Is It Incremental? … Association of residual urine output with mortality, quality of life,
and inflammation in incident hemodialysis … Frailty and Cognitive Function in Incident
Hemodialysis Patients.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
September 26, 2019 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae
Carbapenem-Resistant Enterobacteriaceae 6-1
6. Carbapenem-Resistant Enterobacteriaceae
Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H.
Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D.
Introduction
Background
Carbapenem-resistant Enterobacteria…
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/head-bed-elevation-lit-review.html
January 01, 2017 - Skip to main content
An official website of the Department of Health and Human Services
Careers
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ce.effectivehealthcare.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
July 01, 2018 - Review/Replanning
Description: In the unfortunate event that a terrorist incident or disaster occurs … X
Obtaining a license
X
X
Medical personnel credentialing
X
X
Complaints and incident
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - The Joint Commission proposes actions for all
organizations, including developing incident reporting … Incident Decision Tree
https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety … resources/advances-in-patient-safety/vol4/Meadows.pdf
The National Patient Safety Agency has developed the Incident … The Incident Decision Tree supports the aim of creating an
open culture, where employees feel able to … Incident Decision Tree
4. Just Culture
5.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtools.docx
January 01, 2013 - An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless of … Accurate completion of fall incident report form by all staff?
2. … Files incident report for new falls and carries out postfall assessment. … How to use this tool: Review your last 10 incident reports for falls and see whether the information … Observer role
Technical assistance role
Data collection role (e.g., review charts or incident
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Infographic Summary
Findings From the 2023 Nursing Home Survey Database
62
participating
nursing homes
3,224
nursing home staff
respondents
Average Response Rate by
Survey Administration Mode
Paper 52%
Web 45%…