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  1. www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
    July 01, 2018 - Understand the Science of Safety Module Alternate Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The "Understand the Science of Safety" module of the CUSP Toolkit. The CUSP toolkit is a modular approach to pat…
  2. www.ahrq.gov/news/newsletters/e-newsletter/922.html
    July 01, 2024 - Systematic review of types of safety incidents and the processes and systems used for safety incident
  3. www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
    January 01, 2024 - evaluation of ICU errors was an Israeli study that collected data by both direct observation and stimulated incident … rated by two physician investigators blinded to the identity of those involved and to whether the incident … Reviewers categorized each incident as an adverse event, nonintercepted serious error, intercepted serious … independent investigators who were blinded to study condition and who made final determinations of incident
  4. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
    October 01, 2017 - The hospital’s Incident Report, if available.
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar7_pu_measuringrates.pdf
    April 01, 2011 - Measuring Pressure Ulcer Rates and Prevention Practices Measuring Pressure Ulcer Rates and Prevention Practices Presented by Karen Zulkowski, D.N.S., RN Montana State University 2 Welcome! Thank you for joining this webinar about how to measure pressure ulcer rates and prevention practices. A Little…
  6. www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs5.html
    June 01, 2018 - The cohorts include incident hemodialysis patients.
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
    January 01, 2016 - participants: · Module 5 PowerPoint slide presentation handout, 3 slides to a page · The hospital’s Incident
  8. www.ahrq.gov/sites/default/files/2025-03/toledo-report.pdf
    January 01, 2025 - Final Progress Report: Reducing the Risk of Preventable Postpartum Lower Extremity Nerve Injuries Title Page Title of Project: Reducing the risk of preventable postpartum lower extremity nerve injuries Principal Investigator and Team Members: Paloma Toledo, MD, MPH; William A. Grobman, MD, MBA; Julia Lee, PhD; …
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
    April 01, 2025 - The Joint Commission proposes actions for all organizations to take, including developing incident reporting … Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents https://www.ahrq.gov … resources/advances-in-patient-safety/vol4/Meadows.pdf The National Patient Safety Agency has developed the Incident … The Incident Decision Tree supports the aim of creating an open culture, where employees feel able to … Improve Staff Stability Improving Patient Safety in Long-Term Care Facilities: Training Modules Incident
  10. www.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2024.xlsx
    January 01, 2024 - Blood Dashboard Data Introduction Introduction-Blood or Blood Product The tables in this workbook present data on Blood or Blood Product reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2023. They include the relative frequen…
  11. www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
    January 01, 2025 - Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases Title of Project: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infect…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
    January 10, 2005 - Reduction in injury incidence and severity Injury data included a description of the incident (equipment … used and task performed), time and date of incident, unit where incident occurred, days of work lost
  13. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.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 … Ulcers Improve Staff Stability Improving Patient Safety in Long-Term Care Facilities: Training Modules IncidentIncident Decision Tree 3.
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 16. Venous Thromboembolism Venous Thromboembolism 16-1 16. Venous Thromboembolism Eleanor Fitall, M.P.H., and Kendall K. Hall, M.D., M.S. Introduction Background Venous thromboembolism (VTE) is a disorder that includes deep vein thrombosis (DVT) and pulmonary embolism (PE). …
  15. www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2024.xlsx
    January 01, 2024 - Device or Medical/Surgical Supply including Health Information Technology Dashboard Introduction Introduction-Device or Medical/Surgical Supply including Health Information Technology The tables in this workbook present data on Device or Medical/Surgical Supply including Health Information Technology (HIT) reports …
  16. www.ahrq.gov/npsd/data/dashboard/perinatal.html
    September 01, 2025 - Perinatal Dashboard Learn more about how the dashboards are set up . This dashboard presents the distribution of incidents by the final mode of delivery. Selecting one of the options in the top table below will display a related figure and table. This information can also be downloaded as an Excel file from t…
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-5a.pdf
    December 01, 2013 - Section 5.A, Table 4                                                                                                 Q‐METRIC Sickle Cell Disease Measure 3: Appropriate Antibiotic Prophylaxis for Children with Sickle Cell Disease Graphics for Section V. …
  18. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp6.pdf
    May 01, 2013 - Calcium and vitamin D intake and risk of incident premenstrual syndrome. … Folate intake and the risk of incident hypertension among US women. … Plasma 25-hydroxyvitamin D levels and risk of incident hypertension. … A prospective study of calcium intake and incident and fatal prostate cancer. … Carbohydrates, dietary fiber, and incident type 2 diabetes in older women.
  19. www.ahrq.gov/npsd/data/dashboard/blood.html
    September 01, 2025 - Blood and Blood Product Dashboard Learn more about how the dashboards are set up . This dashboard details the report type (i.e., Incidents, Near misses, and Unsafe conditions), type of blood product involved, report type by blood product, reported contributing factor to the event, the incorrect action, and the…
  20. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking4.html
    September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis Future Vision for Probabilistic Diagnostic Decisions Previous Page Next Page Table of Contents Improved Diagnostic Accuracy Through Probability-Based Diagnosis Introduction Fundamental Concepts for Understanding Probability Proba…

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