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healthcare411.ahrq.gov/research/findings/studies/index.html?page=1
January 01, 2024 - during early adulthood with hypertension and hyperglycemia outcomes measured in mid-adulthood, including incident … Incarceration was associated with incident hypertension (ARR 2.5) among Asian subgroups. … This study’s objective was to understand the insights conveyed in hospital incident reports about how … The authors randomly selected 100 medication safety incident reports from an academic medical center … Results showed that among 35 near misses/errors, incident reports described contributing factors (mean
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - participants:
· Module 5 PowerPoint slide presentation handout, 3 slides to a page
· The hospital’s Incident
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healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module9/coachscenarios.html
March 01, 2014 - Everything is proceeding without incident until the attending surgeon abruptly charges into the room … interview the anesthesiologist, he tells you that he has performed this procedure many times before without incident
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - The Joint Commission proposes actions for all
organizations to take, including developing incident reporting … Incident Decision Tree
https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety … The Incident Decision Tree supports the aim of creating
an open culture, where employees feel able to … Laboratory Testing Process: A Step-by-Step Guide for Rapid-Cycle Patient Safety and
Quality Improvement
Incident … Incident Decision Tree
3. Just Culture
4.
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healthcare411.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
January 01, 2024 - Based
on published literature and ranking of injurious fall incident reports (n=85) from Brigham and … Data Sources/Collection: Data sources include the electronic health record (EHR) database, incident … process.1, 3
Measures: We used the following numbers to rank falls and their severity based on incident
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healthcare411.ahrq.gov/news/newsroom/case-studies/cquips0902.html
October 01, 2014 - Projects and procedures that have been developed include the following:
Method for easier incident
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healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/ape.html
August 01, 2022 - Confirmation and Consensus Meeting Announcement Template
As you may know, a patient care incident
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
April 01, 2023 - The Joint Commission proposes actions for all organizations to
take, including developing incident reporting … /13
This AHRQ primer provides background information on voluntary patient safety event
reporting (incident … The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
https://www.ahrq.gov … The Incident Decision Tree supports the aim of creating an
open culture, where employees feel able to … The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
2.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
January 01, 2023 - respondents who indicated that
near-miss incidents were “Always” or “Most of the time” 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
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol-appendixa.pdf
October 11, 2017 - Home Mechanical Ventilators: Protocol Appendix A
Appendix A
Search Strategy 1
Ovid
Database(s): Embase 1988 to 2017 Week 41, EBM Reviews - Cochrane Central Register of
Controlled Trials September 2017, EBM Reviews - Cochrane Database of Systematic Reviews
2005 to October 11, 2017, Ovid MEDLINE(R) Epub Ahead …
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healthcare411.ahrq.gov/teamstepps/lep/handouts/leputcomesasst.html
December 01, 2012 - without adding or subtracting anything
Interrupt the conversation to state his concern
Report the incident
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - The Joint Commission proposes actions for all
organizations, including developing incident reporting … Incident Decision Tree
https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety … resources/advances-in-patient-safety/vol4/Meadows.pdf
The National Patient Safety Agency has developed the Incident … The Incident Decision Tree supports the aim of creating an
open culture, where employees feel able to … Incident Decision Tree
4. Just Culture
5.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Infographic Summary
Findings From the 2023 Nursing Home Survey Database
62
participating
nursing homes
3,224
nursing home staff
respondents
Average Response Rate by
Survey Administration Mode
Paper 52%
Web 45%…
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healthcare411.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…
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/policy/eeo/eeo-complaints-process-memo-0224.pdf
March 27, 2023 - Office of Civil Rights, Diversity, and Inclusion within 45 calendar days of the date of the alleged
incident
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 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.4k
Selected Best Practices and Suggestions for Improvement
PSI 14: Postoperative Wound Dehiscence
Why Focus on Postoperative Wound Dehiscence?
• Postop…
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healthcare411.ahrq.gov/news/newsroom/case-studies/cquips1301.html
November 01, 2012 - implementation of AHRQ's "Hospital Survey on Patient Safety Culture" at Newman Memorial Hospital, only one incident
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014
December 2016
Saving Lives and Saving Money: Hospital-Acquired Conditions
Update
Final Data From National Efforts To Make Care Safer, 2010-2014
Summary
Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - Pressure Ulcer Prevention Toolkit
Pressure Ulcer Prevention Toolkit
Module 4 Tools
2G: Pieper Pressure Ulcer Knowledge Test
4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team
4B:…
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - The Joint Commission proposes actions for all
organizations to take, including developing incident reporting … Incident Decision Tree
https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety … The Incident Decision Tree supports the aim of creating an
open culture, where employees feel able to … Ulcers
Improve Staff Stability
Improving Patient Safety in Long-Term Care Facilities: Training Modules
Incident … Incident Decision Tree
3.