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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part I
SURVEYS ON PATIENT
SAFETY CULTURE
Nursing Home Survey:
2023 User Database Report
Surveys on
Patient Safety
Culture™
PATIENT
SAFETY
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Surveys on Patient Safety CultureTM (SOPS®)…
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - EQUIPMENT DEVICE FAILURE
If applicable, was this incident reported to the FDA?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-december2016.pdf
January 01, 2016 - symptoms
RESPOND - de-escalation techniques
REPORT - how to notify, escalate, and properly document an
incident
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-slides.html
February 01, 2017 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
February 01, 2022 - Incident rates of change dropped by 11 percent for CAUTI and 10 percent for CLABSI but remained essentially
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-slides.pptx
January 01, 2017 - Monitoring Ventilator-Associated Events Module 2
Monitoring Ventilator-Associated Events
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-26-EF
January 2017
Monitoring VAEs ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After this sessio…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
January 01, 2004 - While investigating this incident and the ongoing anesthesiology shortage, a
multidisciplinary team … In addition, a summary of
incident reports is provided to infection control to track any trends in infectious … of surgical procedures that may not be identified through the usual
monitoring mechanisms, e.g., of incident
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
May 01, 2017 - Document the event in the medical record – Providers must document in the medical record the facts of the incident … and any care the patient received as a result of the incident. … SAY:
When an incident occurs, it will be investigated and analyzed (e.g., a root cause analysis may
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ce.effectivehealthcare.ahrq.gov/teamstepps/events/webinars/dec-2016.html
July 01, 2018 - REPORT - how to notify, escalate, and properly document an incident.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module11/ts2-0ltc_module11_slides_implementation.pdf
June 09, 2017 - LTC 2.0 Page 8
Key Actions:
■ Review unit/department/work
area performance and safety
data
■ Incident
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/toolkit/PharmSOPSform.pdf
June 06, 2018 - A mistake is any type of medication error, mistake, incident, or quality-related event, regardless of
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201708.html
May 01, 2017 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-slides.html
March 01, 2017 - Clinician outcomes:
Incident reporting.
Burnout and turnover.
3.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
December 01, 2014 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhacrate2014.html
January 01, 2018 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state4.html
January 01, 2024 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
March 01, 2017 - Poor safety and teamwork culture is also linked to a lower rate of incident reporting and a higher rate
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
January 01, 2003 - Outpatient Surgery and Patient Safety—The Patient’s Voice
445
Outpatient Surgery and Patient Safety—
The Patient’s Voice
Ann Schoofs Hundt, Pascale Carayon, Scott Springman,
Maureen Smith, Kelly Florek, Rupa Sheth, Margaret Dorshorst
Abstract
Four outpatient surgery centers from a large Midwestern communit…
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/877.html
August 01, 2023 - Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
February 01, 2005 - clinical department examining all eligible patient
charts; voluntary reporting (often referred to as “incident … Of these events, only nine (1.2 percent) were
identified using traditional incident reports. … An
evaluation of adverse incident reporting. J Eval Clin
Pract 1999;5(1):5–12.
5. … Barriers to incident reporting in a
healthcare system. … The incident
reporting system does not detect adverse drug events:
a problem for quality improvement