Results

Total Results: 1,527 records

Showing results for "incident".

141. Windows of Opportunity | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence6.html
     April 01, 2025 - This incident galvanized the institution’s executive leadership to take decisive action. 16   Exhibit

142. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
     January 01, 2020 - 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

143. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
     December 01, 2021 - 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

144. Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities (pdf file)
     www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
     March 09, 2008 - Facilities in the pilot study were able to report their falls data by using an online incident reporting … Fall-reporting section of the Quantros online incident reporting tool. 3 acute care hospital … When a patient experienced a fall, the facilities collected data using either the Web-based incident-reporting

145. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     www.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.

146. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
     January 01, 2025 - patient safety events, including root cause analytical techniques, human factors analysis, critical incident … The system is collecting data from other incident reporting systems as well as supporting direct data … patient safety events, including root cause analytical techniques, human factor analysis, critical incident … Reporting of adverse drug events: Examination of a hospital incident reporting system. … Reliable safety event severity scoring by incident reporters.

147. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
     www.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?      

148. Module 5: Visual Management - Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-fac-notes.html
     June 01, 2017 - of near misses may vary from facility to facility, but many facilities have a process for recording incident … Who accepts incident reports, for example, and who monitors them over time?

149. Module 5: Script and Slides (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-facnotes.docx
     May 01, 2017 - of near misses may vary from facility to facility, but many facilities have a process for recording incident … Who accepts incident reports, for example, and who monitors them over time?

150. SOPS Nursing Home Survey Version 2.0 Items and Composite Measures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-items-composite-measures-english-2.0.pdf
     June 05, 2025 - Staff are supported when they are involved in a resident safety incident.

151. 144-Cusp-Tip-Sheet-Engaging-Surgeons (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/144-cusp-tip-sheet-engaging-surgeons.docx
     April 01, 2025 - Smith to discuss this incident and see how we can address Dr.

152. National Quality Strategy Priority: Effective Treatment | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs5.html
     October 01, 2015 - The cohorts include incident hemodialysis patients.

153. Appendix A: References and Available Abstracts | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/acfselection/appendixa.html
     July 01, 2018 - The aim of this study was to analyse the prehospital and in-hospital response to the incident and identify … INTERPRETATION: Critical mortality was reduced by rapid advanced major incident management and seems … The incident command system provides an organizational structure at the agency, discipline, or jurisdiction … Incident management systems and cooperative planning processes will facilitate maximal use of available … A recognized incident command system should be used.

154. How to Use This Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
     July 01, 2018 - Review/Replanning Description: In the unfortunate event that a terrorist incident or disaster occurs … Obtaining a license X   X Medical personnel credentialing X   X Complaints and incident

155. Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/composite-measures-english.pdf
     January 01, 2015 - When something happens that could harm the patient, but does not, how often is it documented in an incident

156. Learning from Errors in Ambulatory Pediatrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
     February 01, 2004 - The Critical Incident Analysis Technique15—a method first employed in aviation to examine aircraft training … The Constant Comparative Method19 provided the analytic structure for the Critical Incident Analysis … The Critical Incident Technique. Psychol Bull 1954;51(4):327–58. 16. … Adverse sedation events in pediatrics: a Critical Incident Analysis of contributing factors. … Patient safety problems in children’s medical care: a Critical Incident Analysis.

157. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
     January 01, 2025 - Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting Project Title: Factors that Enhance Diagnostic Imaging Safety in the Ambulatory Setting Principal Investigator: Ronilda Lacson, MD, PHD Team Members: Ramin Khorasani, MD, MPH Ivan Ip, MD, MPH Sonali Desai, MD Allen Ka…

158. Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications (pdf file)
     www.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

159. Children/Adolescents | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/childrenadolescents.html
     January 01, 2011 - Topic: Children/Adolescents Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs CAHPS Child Hospital Survey (Child HCAHPS) Toolkit Cente…

160. 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results.pdf
     January 01, 2025 - Mistakes (e.g., feel safe reporting mistakes, are treated fairly, and are supported when involved in an incident … Mistakes (e.g., feel safe reporting mistakes, are treated fairly, and are supported when involved in an incident … are treated fairly when they make mistakes, and are supported when involved in a resident safety incident … (Item A11) Staff are supported when they are involved in a resident safety incident.