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Total Results: 1,162 records

Showing results for "incident".

221. Module 3 Evidence Base (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module3/ts2-0ltc_module3_comm_evbase.pdf
     August 20, 2013 - Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis

222. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module11/ts2-0ltc_module11_slides_implementation.pptx
     February 03, 2006 - Key Actions: Review unit/department/work area performance and safety data Incident reports AHRQ Nursing

223. Fallpxtool3O (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3o.docx
     January 01, 2008 - the capture of fall events in hospitals: combining a service for evaluating inpatient falls with an incident

224. newbref
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module11/slimplement.pptx
     February 03, 2006 - Key Actions: Review unit performance and safety data Incident reports AHRQ patient safety survey Clinical

225. Slide 1
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module11/11_ts_office_impplan.pptx
     January 20, 2006 - Key Actions: Review office performance and safety data Incident reports AHRQ Medical Office Survey on

226. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
     October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 www.…

227. The Timeline to Diagnostic Safety SIDM -Research as a Priority (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
     January 01, 2017 - NO: Incident reports, occurrence screens, death reviews, Global Trigger Tool YES: Ask patients Ask

228. Paul Tedrick (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-transcript.doc
     July 08, 2014 - Paul Tedrick July National Content Call July 8, 2014 11:00AM CT Operator: This is a recording of the Paul Tedrick conference, the July National Content Call, on July 8, 2014 at 11:00AM Central. Excuse me, everyone. We now have our speakers in conference. Please note the participation on this call is by express wri…

229. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part II (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
     January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part II Surveys on Patient Safety CultureTM (SOPS®) Nursing Home Survey: 2023 User Database Report Part II: Appendix A - Results by Nursing Home Characteristics Appendix B - Results by Respondent Characteristics Prepared …

230. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
     January 01, 2004 - One, an Australian study, used incident reports to describe events that resulted, or could have resulted … Physicians were encouraged to identify an incident “that should not happen in my practice and I don’ … AHRQ grant to the DCERPS supported a study of testing processes (laboratory, radiology) that included incident … Analysing potential harm in Australian general practice: an incident-monitoring study.

231. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - involve four basic steps: (1) error recognition; (2) assessment of the need to report the error; (3) incident … the clinician must also assess the effort and potential personal cost associated with completing an incident … Almost universally, managers proclaim that data gathered through incident reporting systems are not … Reporting effort • Filling out an incident report for a medication error takes too much time.

232. Fall Prevention Toolkit (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
     January 01, 2012 - Important Communications In the medical record, document the incident, outcome, and initial and ongoing … Notify the treating medical provider at the time of the incident, and schedule an interdisciplinary review … At handover, inform all clinical team members about the incident, any changes to the care plan, and possible … the capture of fall events in hospitals: combining a service for evaluating inpatient falls with an incident

233. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vae-tool.docx
     January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle AHRQ Safety Program for Mechanically Ventilated Patients Ventilator-Associated Event Data Collection Tool Date __________ Month __________ Hospital __________ Unit __________ Use this tool to track your progress i…

234. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
     January 01, 2017 - Poor safety and teamwork culture is also linked to a lower rate of incident reporting and a higher rate

235. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
     March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room Patient Identification Errors in the Operating Room 11-1 11. Patient Identification Errors in the Operating Room Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H. Introduction In the first Making Health Care Safer …

236. 6. How do you sustain an effective fall prevention program? | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/sustainability.html
     January 01, 2013 - You will need to decide who will calculate fall rates from incident reports and who will audit fall-related … Or the hospital may have migrated to a new incident reporting system, which improved staff adherence

237. In the Spirit of Patient Safety Awareness Week, AHRQ Sharpens Its Focus on Diagnostic Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/focus-diagnostic-safety.html
     March 01, 2023 - 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 …

238. Research Funding Opportunities for Primary Care Research at AHRQ | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/funding/index.html
     April 01, 2024 - 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 …

239. Chesapeake Regional Healthcare’s Success in Preventing Falls in Hospitals | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/about/chesapeake-regional-healthcare.html
     February 01, 2024 - The incident reporting system captured fall event documentation and was reviewed daily by Risk Management

240. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
     January 01, 2005 - Additionally, FDA staff may have further questions about an incident after receiving the report from … Clinicians report that it is not unusual for staff to receive training on the facility’s incident reporting … required for an outside agency (such as FDA) to understand what happened during a medical device related incident