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Showing results for "incident".

61. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
    March 01, 2017 - department according to the facility's incident reporting policy. … And remember, communication is an ongoing process that occurs from initial reporting of the incident … Document in the medical record the facts of the incident and any care the resident received as a result … of the incident. … When an incident occurs, the facility should investigate and analyze it (for example, conduct a root

62. Addressing Violence in the Workplace Chat Conversation: NAA June 2023 Webinar (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-chat-062723.pdf
    June 27, 2023 - There seems to be an increasing incident of violence in the ambulatory care areas. … to everyone: 2:49 PM Have you examined opportunities to partner with law enforcement Critical Incident … mike to everyone: 2:56 PM May I suggest that the CISM programs be the complete program of pre-incident … from Bobby Hawkins to everyone: 2:56 PM We recently provided Critical Incident Mitigation for Healthcare … They discussed how to identify certain threatening characteristic traits prior to the onset of a WPV incident

63. References | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/refs.html
    May 01, 2016 - Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant … Report a safety incident (Web site). London: National Health Service; 2015. … Available at www.nrls.npsa.nhs.uk/report-a-patient-safety-incident/ . Accessed April 5, 2016. 40.

64. Making It Work Tip Sheet: Engaging Physicians in Preventing CLABSI and CAUTI (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-physicians.pdf
    April 01, 2022 - • When an unprofessional incident occurs, identify a peer (e.g., attending to attending, resident … Smith about this incident?

65. How To Measure Fall Rates and Fall Prevention Practices
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_slides_fallprev.pptx
    December 03, 2012 - Incident reports. Root cause analyses/huddles. … measurement approach consistently throughout the hospital. ‹#› Needed for Fall Rate Calculation Use incident … Some hospitals have electronic incident reporting systems, making it easier to count falls. … ‹#› 17 Incident Report Information Tool 5A ‹#› Needed for Fall Rate Calculation Average daily census

66. 2021 National Healthcare Quality and Disparities Report: Executive Summary (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
    January 01, 2021 -  From 2001 to 2018, the incident rates of end stage renal disease due to diabetes decreased 48% … among non-Hispanic American Indian and Alaska Native, Black, and White populations, with respective incident … Executive Summary  Similarly, the incident … Despite these gains, incident rates in 2018 in Hispanic communities were still more than double the

67. Development and Implementation of The University of Texas Close Call Reporting System (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
    March 01, 2004 - The ASAP form asks the reporter to categorize the incident by human-factors categories, as opposed … Anderson’s incident reports, as well as the background and demographic questions included in the reports … An incident reporting system: documented at the point of service. … Confidential incident reporting systems create vital awareness of safety problems. … Supporting the analysis of human error in national and international incident reporting schemes.

68. TeamSTEPPS for Office-Based Care Knowledge Assessment (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/knowledge.pdf
    December 02, 2015 - Forget about the incident because the physician knows best. b. … Arrange a meeting with the physician's supervisor to report the incident. 14.

69. Involving Patients and Families in Safety: Slide Presentation (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/action-alliance/involving-patients-families-in-safety-slides.pdf
    July 25, 2023 - Stakeholders sharing and reporting to: • National and state regulatory bodies • National patient safety incident … Events A longstanding Minnesota project in partnership with MDH and with MN Hospital Association Incident … Stakeholders sharing and reporting to: National and state regulatory bodies National patient safety incident

70. AHRQ Safety Program for Perinatal Care: Team Check-Up Tool (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/team-checkup-tool.docx
    May 01, 2017 - of quality improvement skills on our team. 7 We perform a unit analysis for each incident

71. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - This could include an incident that caused patient harm or put patients at risk for harm, such as a patient … Create a list of factors that contributed to the incident and identify whether they harmed or protected … Survey frontline staff involved in the incident to determine whether the plan has been implemented effectively … Create a list of factors that contributed to the incident and identify whether they harmed or protected … Survey frontline staff involved in the incident to determine whether the plan has been implemented effectively

72. Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
    January 01, 2024 - specificity (0.92) and negative predictive value (0.99) but low sensitivity (0.68) and PPV (0.02) for incident … indicating that decreasing platelet count and increasing total bilirubin were strong predictors of incident … of Hy’s Law biochemical criteria, determined at recognition of drug-induced hepatitis, to predict incident … practice, clinicians would be unlikely to embrace a prognostic score that leads to a high rate of missed incident … Incident liver aminotransferases >200 U/L occurred in 2% of the 10,083 HIV-infected patients in the

73. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
    January 01, 2007 - Fischer, et al.,10 reviewed incident reports from eight primary care clinics affiliated with an academic … Reporters were asked to describe in free text the concern or incident and any actions taken. … After each incident had been analyzed and peer review completed, the QI director assigned a primary … of the type of error according to the new classification, in addition to describing the concern or incident … Analysing potential harm in Australian general practice: An incident-monitoring study.

74. TeamSTEPPS for Office-Based Care Knowledge Assessment | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/handouts/knowledge.html
    December 01, 2015 - Forget about the incident because the physician knows best. … Arrange a meeting with the physician's supervisor to report the incident.

75. Facilities | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit2.html
    July 01, 2018 - Orientation, Training, and Support Provide training on Incident Command System (or another organization … Identify Sources for Staffing Notify Incident Command (or Management Team Leader) of staffing needs … Updating Sources for Staffing (Based on Patient Population at the End of Opening Day) Update Incident … Daily Update Sources for Staffing Update Incident Command (or Management Team Leader) of any changes … Action Checklist Informing All Staffing Sources and Vendors of Closure Update Incident Command (or

76. Data Submission Dashboard (xls file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2023.xlsx
    January 01, 2023 - 2,617,691 DS_4 DS_4: Percentage of Total Reports by Report Type Report Type Percentage Frequency Total Incident

77. Sensemakingnotes (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
    August 08, 2012 - discovered, · Determine the number of barriers or critical control points that were breached before the incident … involved in the occurrence, and · Document (a) the actions taken to reduce the unfavorable outcome of the incident … and (b) the recovery actions staff took following the discovery of the incident. … Staff members are responsible for investigating the causes of an incident or near-miss event, generally … When the Eindhoven Model of analysis is completed, there should be three to seven root causes for each incident

78. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
    April 04, 2008 - By reducing an incident to a series of codes, the flavor of the event is lost. … For example, perceptions of contributing factors will likely vary among reporters for the same incident … Incident reporting systems in medicine and experience with the Aviation Safety Reporting System. … Integrating incident reporting into an electronic patient record system. … Rates and types of events reported to establish incident reporting systems in two U.S. hospitals.

79. TeamSTEPPS 2.0: Coaching Scenario 1 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/coachscenarios.pdf
    March 20, 2014 - Everything is proceeding without incident until the attending surgeon abruptly charges into the room … the anesthesiologist, he tells you that he has performed this procedure many times before without incident

80. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
    June 30, 2004 - inform the development of interventions to improve patient safety, but only if the data contained in incident … One component of these efforts is the use of incident reporting systems that collect information about … As McGreevy explains, “[T]he large numbers of incident reports and the many details they contain can … Adopting or adapting the protocol we describe in this paper to incident reporting systems in ambulatory … A practical guide to interpretation of large collections of incident narratives using the QUORUM method