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Showing results for "incident".

1. The Effect of Incident Comorbidities on (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/bayliss_grant.pdf
   September 01, 2013 - The Effect of Incident Comorbidities on Optimizing Prevention and Healthcare Management … for the Complex Patient – Pioneer R21 Grants The Effect of Incident Comorbidities on Guideline-Concordant … Increase clinical health research The Effect of Incident Comorbidities on Guideline-Concordant … The effect of incident cancer, depression and pulmonary disease exacerbations on type 2 diabetes control … Updated 9/2013 The Effect of Incident Comorbidities onGuideline-Concordant Chronic Disease Care

2. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
   December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident … The Incident Decision Tree is not a “wrongdoer’s charter.” … a patient safety incident. … The Incident Decision Tree has been seen as: • Robust, applicable, and helpful. … “I told her, it’s not me—it’s the Incident Decision Tree.”

3. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
   www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
   January 01, 2025 - Final Progress Report: Incident Reporting Practices in Nursing Homes FINAL PROGRESS REPORT Incident … on a written narrative incident report. … In our pilot research conducted on incident reports in nursing homes, we showed wide variation of incident … Use of Incident Reports for Quality Improvement: Incident reports document clinical errors and other … only that an incident occurred.

4. Appendix B2: Tracking Record for Improving Patient Safety TRIPS (Text Description) | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb2txt.html
   December 01, 2017 - ________________________           Time of Incident ______________  __  AM  __  PM Day of … __ Yes      __ No The footwear at the time of the incident was: __ Shoes __ Slippers And … Was a restraint in use at the time of the incident? … What was the incident outcome?   __ Injury (complete Part B) __ Noninjury Part B. … If necessary, please provide a brief narrative of this incident: ___________________________________

5. Dashboard Information | Agency for Healthcare Research and Quality
   www.ahrq.gov/npsd/data/dashboard/info.html
   June 01, 2019 - The Generic module allows classification of all events as Incident, Near miss, or Unsafe condition as … Incident , Near miss , or Unsafe condition ). … has three Answer Values: Incident: A patient safety event that reached a patient and either resulted … in no harm (no harm incident) or harm (harm incident). … process of administering the medication to a patient (which if not discovered would have become an incident

6. Understanding the Bidirectional Relationship Between Depression and Heart Failure | Agency for Healthcare Research and Quality
   www.ahrq.gov/prevention/chronic-care/decision/mcc/pathak-grant.html
   September 01, 2015 - , and a few have also investigated the incidence of depression, the "temporal relationship" between incident … MDD and incident HF is undetermined and under-studied. … Main Objective Investigate the temporal relationship between MDD and HF to understand whether incident … MDD is a risk factor for incident HF, a consequence of incident HF, and/or a comorbid factor that exacerbates

7. Tool 5A: Information To Include in Incident Reports | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/incident-reports.html
   January 01, 2013 - Preventing Falls in Hospitals Tool 5A: Information To Include in Incident Reports Previous … References Word Version [30.61 KB] Background: The purpose of this tool is to audit incident … How to use this tool: Review your last 10 incident reports for falls and see whether the information … Information systems staff may also use this tool to develop or update electronic templates for submitting incident … Information To Include in Incident Reports Examples of Information Reason To Collect This Information

8. Chapter 4. Results | Agency for Healthcare Research and Quality
   www.ahrq.gov/research/shuttered/acfselection/chapter4.html
   July 01, 2018 - Incident command of an ACF is probably best done by a physician or nurse who understands both incident … May also refer to the Incident or Team Commander. Command Post: See Incident Command Post. … to the Incident Commander. … The Incident Command Post may be collocated with the Base. There is only one Base per incident. … for the management of all incident operations at the incident site.

9. Final Progress Report: Patient Safety in Hospice Care (pdf file)
   www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
   January 01, 2024 - or to increase the risk of an incident. 3. … Incident characteristics: These are selected attributes of the incident itself. … , the agents and activities related to the incident, timing, place, and other basic attributes. … each patient safety incident fit within. 3. … moderate the progression of the incident toward harming the patient” (mitigating factors)?

10. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
    www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
    January 01, 2024 - The PSET and hospital incident report data were used to develop a hospital incident reporting ontology … code and incident report number. … Incident Report Classification. … month incident report data collection period. … Information Collected by Incident Reporting Systems.

11. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
    January 01, 2007 - Responses were coded by type of incident, consequences for the patient, responsible party, process-of-care … deficiencies, and preventability of the incident. … deficiencies, severity, and the preventability of the incident. … Physician perception of hospital safety and barriers to incident reporting. … A qualitative study of the intra-hospital variations in incident reporting.

12. Understanding the Bidirectional Relationship Between Depression and Heart Failure (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/pathak-r01grant.pdf
    November 30, 2015 - and a few have also investigated the incidence of depression, the "temporal relationship" between incident … MDD and incident HF is undetermined and under-studied. … Main Objective Investigate the temporal relationship between MDD and HF to understand whether incident … MDD is a risk factor for incident HF, a consequence of incident HF, and/or a comorbid factor that

13. 2024 Network of Patient Safety Databases Chartbook (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
    January 01, 2024 - Below, determinations of preventability for an Incident are examined across patient age groups. … specified: 54,446 (91.9%) reported that the Incident Likely could have been prevented (i.e., the Incident … This suggests a slight disparity in INCIDENT PREVENTABILITY between patients Under 18 and all other … preventable was the incident?” … “How preventable was the incident?”

14. Fallpxtool5A (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5a.docx
    January 29, 2013 - 5A: Information To Include in Incident Reports Background: The purpose of this tool is to audit incident … How to use this tool: Review your last 10 incident reports for falls and see whether the information … Information systems staff may also use this tool to develop or update electronic templates for submitting incident … Information To Include in Incident Reports Examples of Information Reason To Collect This Information

15. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
    March 01, 2002 - Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System 145 Reporting … of Adverse Drug Events: Examination of a Hospital Incident Reporting System Radhika Desikan, Melissa … Methods: A retrospective analysis of received incident reports of potential and preventable adverse … Severity- indexed, incident report-based medication error- reporting program. … Incident reporting. In: Shojania KG, Duncan BW, McDonald KM, Wachter RM.

16. Surgical Patient Experience of Care Survey Design Project (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
    November 20, 2008 - ResearchAmerican Institutes for Research Literature Review Results Focus Group Results Critical Incident … AnalysisCritical Incident Analysis  Critical Incident study was conducted to help inform development … ResultsCritical Incident Results Surgeon Incidents % Other Provider Incidents % Prob. … ResultsCritical Incident Results  In general, the critical incident taxonomic domains measured … ResultsCritical Incident Results  The following were less likely to characterize visits to a surgeon

17. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
    January 01, 2001 - Methods This study is a retrospective review of routinely filed incident reports. … Rate of near misses and adverse events per 100 incident Table 2. … Comparison of reporting rates and incident severity Figure 1. … Rate of incident reports filed per 100 hospital admissions in 1998 and 2001 Figure 2. … Total number of incident reports and number categorized as “near miss,” Figure 3.

18. Patient Safety Concerns Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2022.xlsx
    January 01, 2022 - Report Type by Event Type Event Type Report Type Percentage Frequency Total Blood or Blood Product Incident … 100.0% 237,310 2,228,834 Medication or Other Substance Incident 67.0% 309,288 2,228,834 Medication … 124,078 2,228,834 Medication or Other Substance Unsafe Condition 6.1% 28,270 2,228,834 Perinatal Incident … 100.0% 30,206 2,228,834 Pressure Ulcer Incident 100.0% 81,102 2,228,834 Surgery or Anesthesia Incident … 78.8% 100,596 2,228,834 Surgery or Anesthesia Near Miss 21.2% 27,024 2,228,834 Other Incident 68.6%

19. Patient Safety Concerns Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2021.xlsx
    January 01, 2021 - Report Type by Event Type Event Type Report Type Percentage Frequency Total Blood or Blood Product Incident … 25.7% 12,814 1,760,058 Device or Medical/Surgical Supply Unsafe Condition 12.8% 6,408 1,760,058 Fall Incident … 100.0% 182,337 1,760,058 Medication or Other Substance Incident 69.0% 255,297 1,760,058 Medication … 100.0% 27,835 1,760,058 Pressure Ulcer Incident 100.0% 78,203 1,760,058 Surgery or Anesthesia Incident … 80.1% 83,713 1,760,058 Surgery or Anesthesia Near Miss 19.9% 20,735 1,760,058 Other Incident 69.8%

20. Patient Safety Concerns Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2020.xlsx
    January 01, 2020 - Report Type by Event Type Event Type Report Type Percentage Frequency Total Blood or Blood Product Incident … 28.4% 10,757 1,456,736 Device or Medical/Surgical Supply Unsafe Condition 9.0% 3,417 1,456,736 Fall Incident … 100.0% 155,696 1,456,736 Medication or Other Substance Incident 68.8% 227,000 1,456,736 Medication … 100.0% 25,976 1,456,736 Pressure Ulcer Incident 100.0% 74,681 1,456,736 Surgery or Anesthesia Incident … 80.9% 62,761 1,456,736 Surgery or Anesthesia Near Miss 19.1% 14,850 1,456,736 Other Incident 72.8%