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Showing results for "incident".

1. 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.

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. 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: ___________________________________

4. 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

5. 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.

6. 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.

7. 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)?

8. Surgical Patient Experience of Care Survey Design Project (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
   June 02, 2025 - 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

9. 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.

10. 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.

11. 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?”

12. 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.

13. AHRQ Information Security and Privacy Program | Agency for Healthcare Research and Quality
    www.ahrq.gov/policy/electronic/privacy/infosecurity.html
    August 01, 2018 - Incident Reporting . Points of Contact . Policy, Guidance, and Legislation Links . … Incident Reporting AHRQ defines a computer security incident as "a violation or imminent threat of … security practices," in accordance with NIST Special Publication 800-61 Rev. 2, Computer Security Incident … If you suspect an information security or privacy related incident has occurred, send an Email immediately … NIST SP 800-61 Rev. 2, Computer Security Incident Handling Guide [PDF File, 1.5 MB].

14. Medication Dashboard Data 2024 (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2024.xlsx
    January 01, 2024 - Administering 27,349 25.8% Incident Prescribing (ordering) 11,990 11.3% Incident Dispensing 4,473 … 4.2% Incident Monitoring 3,459 3.3% Incident Transcribing 3,444 3.3% Incident Preparing 1,845 1.7% … Incident Storing 954 0.9% Incident Purchasing 195 0.2% Incident Other stage 3,697 3.5% Incident … Medications 75,918 71.7% Incident Biological products 1,808 1.7% Incident Nutritional products 933 … 0.9% Incident Contrast media 426 0.4% Incident Medical gases (e.g., oxygen, nitrogen, nitrous oxide

15. Chartbook on Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
    January 01, 2020 - Incident, Near miss, or Unsafe condition). … has three Answer Values: Incident, Near miss, and Unsafe condition. … In addition, Incident reports must provide PATIENT GENDER and/or NEONATE GENDER, and PATIENT DATE OF … Incidents can be reported for any EVENT TYPE, but Incident is the only REPORT TYPE possible for Fall … This figure displays Incident events associated with residual harm to patients.

16. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
    January 01, 2019 - Incident, Near miss, or Unsafe condition). … has three Answer Values: Incident, Near miss, and Unsafe condition. … In addition, Incident reports must provide PATIENT GENDER and/or NEONATE GENDER, and PATIENT DATE OF … Incidents can be reported for any EVENT TYPE, but Incident is the only REPORT TYPE possible for Fall … Extent of Harm This figure displays Incident events associated with residual harm to patients.

17. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
    July 01, 2023 - Providers report the incident tot he unit manager and the risk-management department, according tot he … hospital's incident-reporting policy. … as a result of the incident. … A hospital committed to transparency offers an apology that the incident happened. … Health care workers hold themselves to very high standards, and when an incident happens, they should

18. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
    January 01, 2023 - Incident, Near miss, or Unsafe condition). … ■ The data presented above indicate Incident events in each harm category as a percentage of all Incident … ■ The data presented above indicate Incident events in each harm category as a percentage of all Incident … ■ The data presented above indicate Incident events in each harm category as a percentage of all Incident … ■ The data presented above indicate Incident events in each harm category as a percentage of all Incident

19. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
    January 01, 2021 - Incident, Near miss, or Unsafe condition). … has three Answer Values: Incident, Near miss, and Unsafe condition. … In addition, Incident reports must provide PATIENT GENDER and/or NEONATE GENDER, and PATIENT DATE OF … Incidents can be reported for any EVENT TYPE, but Incident is the only REPORT TYPE possible for Fall … This figure displays Incident events associated with residual harm to patients.

20. Generic Dashboard Data 2024 (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
    January 01, 2024 - Incident 286,740 77.5% 2018 Near Miss 34,415 9.3% 2018 Unsafe Condition 49,048 13.3% 2019 Incident … area), including PACU or recovery area 133,842 9.9% Incident Outpatient care area 69,866 5.2% Incident … Incident Unknown 10,542 0.8% Incident Other location 57,266 4.3% Incident Radiology/imaging department … 26,087 4.0% Incident Data 2,942 0.4% Incident Environment 4,285 0.7% Incident Human Factors 35,581 … 8,590 1.3% Incident Supervisor/Support 405 0.1% Incident Multiple 30,079 4.6% Incident Other: Please