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Showing results for "incident".

141. Using Home Visits to Understand Medication Errors in Children (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
     May 28, 2008 - Field, et al 200731 Chart review, computer-generated signals, and incident report review Medicare … events among older individuals using medical record review, computer generated signal review, and incident … The error reporting form provides space for a detailed description of the incident, including information … Prior research compared observation to two other commonly used methods—chart review and incident report … Direct observation was found to be more efficient and accurate than chart review and incident reports

142. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
     January 01, 2024 - transcribing and administering errors Intervention & control nursing units RCT Directed chart and incident

143. Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
     January 01, 2004 - spontaneous mention of suicide versus direct suicide threat); how to evaluate the severity of the incident … defined chain of responsibility 5 4.75 DOCUMENTATION A report of contact is used to document incident … is made by a clinician 4 4 A notification system is created to inform higher level personnel of incident … 4.11 3.875 In-person assistance by a mental health specialist 3.44 3 Incident reports/progress

144. How To Measure Pressure Injury Rates and Prevention Practices
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
     July 02, 2008 - How To Measure Pressure Injury Rates and Prevention Practices How To Measure Pressure Injury Rates and Prevention Practices ADD Hospital Name Here Module 5 1 Basic Quality Improvement Principle If you can’t measure it, you can’t improve it. 2 2 Quality Improvement Principle Pressure injury rates and preven…

145. Future Vision for Probabilistic Diagnostic Decisions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking4.html
     September 01, 2022 - 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 …

146. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
     May 01, 2016 - 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 …

147. Appendix A, Pt. 3 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
     April 01, 2018 - 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 …

148. Chapter 2. Fall Response | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
     December 01, 2017 - Investigate Fall Circumstances If fall circumstances are not investigated at the time of the incident … and Staff Response A written full description of all external fall circumstances at the time of the incident

149. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
     April 23, 2008 - reported in the percentage of hospitals that used systematic post-fall analysis as part of the fall incident … post-coaching intervention FRA = fall risk assessment Similarly, hospital responses to a fall incident … Impact of the coaching intervention on hospital response to a fall incident Data collected for a … an administrative database that includes falls data 79 93 Fall reporting data gathering using Incident

150. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-6 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-6.pdf
     December 14, 2010 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-6 Completed by: Page 1 12/14/2010 MEASURE SUMMARY CHIPRA Core Set Candidate Measures A. Control #: PHP-6 B. Measure Name: Adolescent Immunization C. Measure Definition a. Numerator: Number of adolescents 13 years of age who had one…

151. Selected Best Practices and Suggestions for Improvement (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
     May 17, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4w Selected Best Practices and Suggestions for Improvement PDI 11: Postoperative Wound Dehiscence Why focus on postoperative wound dehiscence in children?…

152. Appendix D. | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirementapd.html
     July 01, 2018 - 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 …

153. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
     March 01, 2020 - 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…

154. Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-items.pdf
     January 01, 2015 - When something happens that could harm the patient, but does not, how often is it documented in an incident

155. Appendix C4: Fax Alert Sample | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt4.html
     December 01, 2017 - Please call the Falls Nurse Coordinator if you have any questions about the incident or suggestions for

156. SOPS Nursing Home Survey: What You Need To Know - Theresa Famolaro, MPS, MS, MBA (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-nh_webcast-famolaro.pdf
     September 21, 2022 - SOPS Nursing Home Survey: What You Need To Know - Theresa Famolaro, MPS, MS, MBA The SOPS Nursing Home Survey and Database Theresa Famolaro, MPS, MS, MBA Senior Study Director and Database Manager User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat Survey User’s Guide • On the AHRQ SOPS W…

157. Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
     January 01, 2023 - of Health Policy, Yale School of Public Health Diagnostic experiences are poorly captured through incident … reporting in every clinical site where incident reporting has been studied. … Exhibit 3: Elements of CRP Response Response Category Traditional Response CRP Response Incident reporting … In fact, patients and families report more safety events than what is documented on internal incident

158. University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/cdom0803.html
     October 01, 2014 - 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 …

159. Fallpxtool0A (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool0a.docx
     January 01, 2011 - ØA: Introduction and Overview for Stakeholders Background: This template can serve as a letter to key players in the hospital to introduce them to the goals and purpose of a fall prevention program. Reference: Developed by Falls Toolkit Research Team. How to use this tool: Adapt this letter as needed and present it t…

160. Implementation Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module11/ts2-0ltc_module11_impguide.pdf
     June 22, 2017 - Key Actions: ■ Review unit/department/work area performance and safety data ■ Incident reports ■