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Total Results: 2,353 records

Showing results for "incident".

141. AHRQ Helps Establish Consortium Aimed at Using Data To Improve Care for COVID-19 Patients | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/749.html
     February 01, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis . … Analysis of incident reports from a Patient Safety Organization.

142. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=234
     January 01, 2024 - Sterling MR , Jannat-Khah D , Bryan J The prevalence of cognitive impairment among adults with incident … REGARDS study determined the prevalence of cognitive impairment (CI) among adults aged 45 and older with incident … Cognitive function was assessed using the Six-Item Screener, and the prevalence of CI among those with incident … The study results indicated that 14.9 percent of the adults with incident HF had CI, suggesting that … The prevalence of cognitive impairment among adults with incident heart failure: the "Reasons for Geographic

143. Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
     January 01, 2024 - inefficiencies in structures and processes for learning, and 4) limited role of senior leaders in incident … Implementing a design for continuous organizational learning based on incident reporting will remain … above, redesigning the organizational elements of hospitals to facilitate continuous learning from incident … participation (e.g., % of employees reporting incidents during a month), time (e.g., lag between when an incident … insurance premiums to healthcare organizations that demonstrably improve patient safety or making data incident

144. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
     January 01, 2007 - Fischer, et al.,10 reviewed incident reports from eight primary care clinics affiliated with an academic … Reporters were asked to describe in free text the concern or incident and any actions taken. … After each incident had been analyzed and peer review completed, the QI director assigned a primary … of the type of error according to the new classification, in addition to describing the concern or incident … Analysing potential harm in Australian general practice: An incident-monitoring study.

145. Addressing Violence in the Workplace Chat Conversation: NAA June 2023 Webinar (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-chat-062723.pdf
     June 27, 2023 - There seems to be an increasing incident of violence in the ambulatory care areas. … to everyone: 2:49 PM Have you examined opportunities to partner with law enforcement Critical Incident … mike to everyone: 2:56 PM May I suggest that the CISM programs be the complete program of pre-incident … from Bobby Hawkins to everyone: 2:56 PM We recently provided Critical Incident Mitigation for Healthcare … They discussed how to identify certain threatening characteristic traits prior to the onset of a WPV incident

146. Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
     January 01, 2025 - studied how syringes are used, stored, and moved within an operating room (OR) and the limitations of incident … Understanding the limitations of incident reporting in medication errors.

147. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=465
     January 01, 2024 - Petrov ME , Howard VJ , Kleindorfer D Over-the-counter and prescription sleep medication and incident … The authors investigated the relation between sleep medication use and incident stroke. … The authors found that over-the-counter sleep medication use was associated with increased risk of incident … Over-the-counter and prescription sleep medication and incident stroke: the REasons for Geographic and

148. Final Progress Report: Developing an HIV-Specific Prevention Index Using the Electronic Medical Record (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/meenan-report.pdf
     January 01, 2025 - Higher DMI scores for blood pressure were associated with lower incident disease and care  utilization … Days from HIV dx to 1st pneumovax Incident cases only ‐1000 ‐500 0 500 1000 1500 2000 2500 3000 …  cases occurred within 500 days of the incident HIV  diagnosis.  … Hepatitis A: Days from HIV dx to 2nd vaccination (complete) (Incident cases only) ‐500 0 500 1000 … Models used to test hypotheses for each service specified a Poisson  distribution for incident outcomes

149. 2008 R21 Exploratory and Developmental Grants on Multiple Chronic Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/chronic-care/decision/mcc/mccrn-18grants.html
     February 01, 2014 - Blaum , University of Michigan at Ann Arbor The Effect of Incident Comorbidities on Guideline-Concordant

150. Recent Research Findings Suggest Practice Recommendations for Preventing Falls in Hospitalized Patients | Agency for Healthcare Research and Quality
     www.ahrq.gov/chain/practice-tools/practice-guidelines/recent-research-findings.html
     March 01, 2017 - result in decreased mobility and loss of independence for patients, loss of time required to complete incident

151. Advancing the Science of Patient Safety and Quality Improvement to the Next Level | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article1.html
     June 01, 2014 - We researched existing reporting systems, including the Australian Incident Monitoring Study, 7 to … The Australian Incident Monitoring Study in Intensive Care: AIMS-ICU. … The development and evaluation of an incident reporting system in intensive care. … Building a better incident reporting system: perspectives from a multisite project. … Integrating the intensive care unit safety reporting system with existing incident reporting systems.

152. Advancing the Science of Patient Safety and Quality Improvement to the Next Level | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article1.html
     June 01, 2014 - We researched existing reporting systems, including the Australian Incident Monitoring Study, 7 to … The Australian Incident Monitoring Study in Intensive Care: AIMS-ICU. … The development and evaluation of an incident reporting system in intensive care. … Building a better incident reporting system: perspectives from a multisite project. … Integrating the intensive care unit safety reporting system with existing incident reporting systems.

153. Sensemakingnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
     August 08, 2012 - discovered, · Determine the number of barriers or critical control points that were breached before the incident … involved in the occurrence, and · Document (a) the actions taken to reduce the unfavorable outcome of the incident … and (b) the recovery actions staff took following the discovery of the incident. … Staff members are responsible for investigating the causes of an incident or near-miss event, generally … When the Eindhoven Model of analysis is completed, there should be three to seven root causes for each incident

154. Facilities | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit2.html
     July 01, 2018 - Orientation, Training, and Support Provide training on Incident Command System (or another organization … Identify Sources for Staffing Notify Incident Command (or Management Team Leader) of staffing needs … Updating Sources for Staffing (Based on Patient Population at the End of Opening Day) Update Incident … Daily Update Sources for Staffing Update Incident Command (or Management Team Leader) of any changes … Action Checklist Informing All Staffing Sources and Vendors of Closure Update Incident Command

155. Hospital Evacuation Decision Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/hospevac4.html
     July 01, 2018 - evacuation decision for a lengthy period of time in the aftermath of the Three Mile Island (Pennsylvania) incident … local emergency management agencies for the first 3 days after the Three Mile Island (Pennsylvania) incident

156. Data Submission Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2019.xlsx
     January 01, 2019 - 869,026 76.3% DS_4 DS_4: Percentage of Total Reports by Report Type Report Type Percentage Frequency Incident

157. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
     April 04, 2008 - By reducing an incident to a series of codes, the flavor of the event is lost. … For example, perceptions of contributing factors will likely vary among reporters for the same incident … Incident reporting systems in medicine and experience with the Aviation Safety Reporting System. … Integrating incident reporting into an electronic patient record system. … Rates and types of events reported to establish incident reporting systems in two U.S. hospitals.

158. Healthcare Safety Competencies Affinity Group | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/competencies-affinity-group/index.html
     April 01, 2025 - Worker Safety Relationship and Continuum Patient/Family Engagement Patient-Centered Care  Post Harm Incident—Care

159. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=334
     January 01, 2024 - Newton DA , DeBar L Accuracy of electronic health record-derived data for the identification of incident … assess the accuracy of electronic health record (EHR)-derived diagnoses in identifying children with incident … The authors describe their study and suggest that studies predicated on the identification of incident … Accuracy of electronic health record-derived data for the identification of incident ADHD.

160. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=358
     January 01, 2024 - Information Technology (HIT), Healthcare Delivery Herrin M , Tate JP , Akgun KM Weight gain and incident … Study to determine whether weight gain after antiretroviral therapy has a similar association with incident … Weight gain and incident diabetes among HIV-infected veterans initiating antiretroviral therapy compared … Depressive symptoms were associated with incident metabolic syndrome in white men and white women.