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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/staff-roles.html
January 01, 2013 - Files incident report for new falls and carries out postfall assessment.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/assessing-current-policies.html
January 01, 2013 - Accurate completion of fall incident report form by all staff?
2.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-d.html
September 01, 2017 - Measuring fall rates
QIS/Instructor—facilitated group discussion
5A: Information to Include in Incident
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs5.html
October 01, 2015 - The cohorts include incident hemodialysis patients.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/state-key-drive-diagram.pdf
January 29, 2021 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: State Medicaid Program - Key Driver Diagram
Transcranial Doppler Screening for Children with Sickle Cell Anemia
State Medicaid Program - Key Driver Diagram
Global Aim
To reduce the
incidence of
stroke in children
wi…
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201411.html
August 01, 2014 - The program demonstrated a 49 percent annual reduction in acute care patient handling incident reports
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System
Pediatric Medication Safety:
Analyses from the MEDMARX
Medication Error Reporting System
Principal Investigator:
David G. Bundy, MD, MPH
Team Members:
Marlene R. Miller, MD, MSc
Michael L. Rinke, M…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
June 06, 2018 - When something happens that could harm the patient, but does not, how often is it documented in an
incident
-
ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/eval4.html
May 01, 2016 - When they did find a match, however, they were able to identify the patient and the incident with a high … exposes a patient to harm.” q An “adverse event” in the IOM classification system is equivalent to an “incident … A “near miss” that reaches a patient but does not cause harm is equivalent to an incident with no harm
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc1.pdf
September 01, 2014 - Supplemental Document No. 1
The findings and conclusions in this document are those of the author(s), who are responsible for its
content, and do not necessarily represent the views of AHRQ and the Centers for Medicare &
Medicaid Services (CMS). No statement in this report should be construed as an official positio…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
March 01, 2016 - Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation
Producing Accurate Clinical Quality
Reports for Population Health:
A Delivery System-Oriented
Approach to Report Validation
March 2016
Authored by:
Jeff Hummel, MD, MPH
Peggy C. Evans, Ph…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
January 01, 2017 - sepsis
Postoperative hemorrhages
Respiratory failure
Patient injury
Treatment errors
Clinician outcomes
Incident
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_it2.pdf
January 01, 2024 - Identify, Teach and Treat (IT2): Automating Clinical Decision Pathways for the Care of Women
-
Illinois
Identify, Teach and Treat (IT2):
Automating Clinical Decision
Pathways for the Care of Women
Project Overview
This intervention implem…
-
ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - Most healthcare organizations have incident reporting systems, although reporting has included few diagnostic
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-nhsops-dbreport-partii.pdf
January 01, 2019 - Nursing Home Survey on Patient Safety Culture: 2019 User Database Report Part II
Nursing Home Survey on Patient Safety Culture:
2019 User Database Report
Part II
Appendix A—Overall Results by Nursing Home Characteristics
Appendix B—Overall Results by Respondent Characteristics
Prepared for:
Agency for Healt…
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - 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 … When something happens that could harm the
patient, but does not, how often is it documented
in an incident
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
January 01, 2014 - Only 4% of the
identified adverse events were also
identified via incident reports.
3181d8e405.12 … data, (3) phone interviews with Medicare
beneficiaries or their family members, (4)
hospital incident … events (78%), POA
analysis identified 61 events (51%),
interviews identified 22 events (18%),
incident
-
ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-transcript.html
December 01, 2017 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - Among the device or medical/surgical device concerns (n = 14; 4.7%), the most commonly described
incident