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talkingquality.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 …
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talkingquality.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
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March 01, 2023 - Skip to main content
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talkingquality.ahrq.gov/research/findings/studies/index.html?page=2
January 01, 2024 - 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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talkingquality.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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talkingquality.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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talkingquality.ahrq.gov/news/newsroom/case-studies/201708.html
May 01, 2017 - Skip to main content
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August 01, 2023 - Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - 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 … respondents who indicated
that near-miss incidents were “Always” or “Most of the time” documented in an incident … respondents who indicated that near-miss incidents were “Always” or “Most of the time”
documented in an incident … respondents who indicated that near-miss incidents were “Always” or “Most of the time”
documented in an incident
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
November 15, 2019 - .
· An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar6_falls_sustainingpractices.pdf
January 01, 2013 - Sustaining Fall Prevention Practices at Your Hospital
Sustaining Fall Prevention
Practices at Your Hospital
Presented by
Pat Quigley, Ph.D., M.P.H., ARNP, CRRN, FAAN, FAANP
Associate Director, VISN 8 Patient Safety Center
Associate Chief for Nursing Service/Research
Welcome!
Thank you for joining this
webin…
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talkingquality.ahrq.gov/research/findings/studies/index.html?page=484
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/881.html
September 01, 2023 - Intensive care unit critical incident analysis as an objective tool to select content for a simulation
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - • A “patient safety event” is defined as any type of healthcare-related error,
mistake, or incident
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talkingquality.ahrq.gov/data/ushik.html
July 01, 2022 - The scope of Common Formats applies to all patient safety concerns, including: incident - patient safety
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - Preventing Pressure Injuries in Hospitals
Preventing Pressure Injuries in Hospitals
ADD Name of Hospital Here
Module 1 – Understanding Why Change Is Needed
1
Ice Breaker
Describe an interesting fact about yourself.
2
Compelling Reasons To Implement Program
Pressure injury rates continue to escalate.
The inci…
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - may suggest
high-risk situations
Peer review
Morbidity and
mortality conferences
Adverse event or
incident … Most healthcare organizations have incident reporting systems, although
reporting has included few diagnostic … Review of autopsy reports Mature Low Large
Review of malpractice claims Mature High Medium
Review of incident … Integrating incident data from five reporting systems to
assess patient safety: making sense of the … A systematic review of natural language processing for classification tasks
in the field of incident
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talkingquality.ahrq.gov/teamstepps/instructor/fundamentals/module3/ebcommunication.html
October 01, 2014 - Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis