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Showing results for "incident".

21. 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

22. Pf-Engagement-Facilitator-Guide (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
    May 01, 2017 - hospital’s incident-reporting policy. … as a result of the incident. … A hospital committed to transparency offers an apology that the incident happened. … Slide 20 SAY: When an incident occurs, the hospital will investigate and analyze it (e.g., a root … Health care workers hold themselves to very high standards, and when an incident happens, they should

23. 114-Mrsa-Prevention-Learning-From-Defects (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
    October 01, 2024 - Review the list of factors that contributed to the incident and check off those that negatively and positively … contributed to the outcome of the incident. … Rate the most important contributing factors that relate to the incident. III. … Survey frontline staff involved in the incident to determine whether the intervention has been used effectively

24. Final Progress Report: RCT to Reduce Prescribing Errors in Hypertension (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/soumerai-report.pdf
    January 01, 2024 - Study Patients All patients with hypertension (either incident or prevalent) receiving primary care … Thus, each analytic time period had a different cohort of incident patients. … We estimated the average per-person cost of antihypertensive medications for incident patients. … Each model included all patients with incident treated hypertension in each study period. … Intervention Outcomes: Incident Patients.

25. Final Progress Report: Developing Metrics for Measuring Hospital Response Capability for Mass Casualty Incidents (pdf file)
    www.ahrq.gov/sites/default/files/2024-11/mccarthy2-report.pdf
    January 01, 2024 - on a readiness framework that consisted of six dimensions: (1) emergency management program; (2) incident … MD Director, Medical Preparedness Policy Homeland Security Council Zach Goldfarb, EMT-P President Incident … The second important dimension is an Incident Command System (ICS)-based structure and process that … management team and key response resources, incident operations, action guidance, demobilization, and … Review of hospital preparedness instruments for National Incident Management System compliance.

26. Final Progress Report: Gastrointestinal Safety of Antithrombotic Drug Regimens (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/abraham-report.pdf
    January 01, 2024 - We quantified the risk of total-, lower- and upper-GIB in an incident cohort of patients prescribed … Scientific Meeting of the American College of Gastroenterology, we quantified mortality following incident … We sought to address this knowledge gap by quantifying mortality following incident GIB in patients … The risk of early mortality following incident antithrombotic-related GIB is significant (8.8% in the … first year following incident GIB) and more than a “nuisance side effect” of antithrombotic drug

27. Facilities/Surge Capacity Potential | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/shuttered/toolkitchecklist/facsurge.html
    July 01, 2018 - Non-critical medical/surgical patients are moved to this facility to create space for critical patients/incident … for the shuttered facility to be brought up to active status within 3 to 7 days of a major terrorist incident

28. Supplies/Surge Capacity Potential | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/shuttered/toolkitchecklist/supplsurge.html
    July 01, 2018 - Non-critical medical/surgical patients are moved to this facility to create space for critical patients/incident … for the shuttered facility to be brought up to active status within 3 to 7 days of a major terrorist incident

29. Gas and Ventilation/Surge Capacity Potential | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/shuttered/toolkitchecklist/gasvsurge.html
    July 01, 2018 - Non-critical medical/surgical patients are moved to this facility to create space for critical patients/incident … for the shuttered facility to be brought up to active status within 3 to 7 days of a major terrorist incident

30. Administration/Surge Capacity Potential | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/shuttered/toolkitchecklist/adminsurge.html
    July 01, 2018 - Non-critical medical/surgical patients are moved to this facility to create space for critical patients/incident … for the shuttered facility to be brought up to active status within 3 to 7 days of a major terrorist incident

31. Security/Surge Capacity Potential | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/shuttered/toolkitchecklist/secsurge.html
    July 01, 2018 - Non-critical medical/surgical patients are moved to this facility to create space for critical patients/incident … for the shuttered facility to be brought up to active status within 3 to 7 days of a major terrorist incident

32. Medical/Surge Capacity Potential | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/shuttered/toolkitchecklist/medsurge.html
    July 01, 2018 - Non-critical medical/surgical patients are moved to this facility to create space for critical patients/incident … for the shuttered facility to be brought up to active status within 3 to 7 days of a major terrorist incident

33. Learndefects (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
    June 02, 2025 - Review the list of factors that contributed to the incident and check off those that negatively and positively … contributed to the outcome of the incident. … Rate the most important contributing factors that relate to the incident. III. … Survey frontline staff involved in the incident to determine whether the intervention has been used effectively … did it negatively contribute (increase harm) or positively contribute (reduce impact of harm) to the incident

34. Teamcheckup (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/teamcheckup.doc
    June 02, 2025 - lack of quality improvement skills on our team. 7 We perform a unit analysis for each incident … ownership from nursing staff in this unit. 4 Staff in this unit do not believe that <incident

35. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
    April 09, 2004 - Panzer Abstract New York State has had a mandatory incident reporting system in place since 1985 … Critical elements for success of a mandatory incident reporting system include collaborative system … Statutory basis for NYPORTS Public Health Law §2805-l, Incident Reporting,12 mandates incident reporting … An incident reporting system must remain open for continual improvement. … Public Health Law §2805-1, Incident Reporting (Added L. 1986, c.266). 13.

36. Improving the Value of Patient Safety Reporting Systems (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
    June 12, 2008 - As reporting systems proliferate nationwide, so will the costs of incident reporting. … They must also commit sufficient time to review each incident, understand what happened and why, and … Building a better incident reporting system: Perspectives from a multisite project. … Using incident reporting to improve patient safety: A conceptual model. … Analysing medical incident reports by use of a human error taxonomy.

37. Engage Patients and Families for Perinatal Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
    May 01, 2017 - Providers report the incident to the unit manager and the risk- management department, according to the … hospital’s incident-reporting policy … as a result of the incident. … A hospital committed to transparency offers an apology that the incident happened. … Slide 20 SAY: When an incident occurs, the hospital will investigate and analyze it (e.g., a root

38. Cusp Patient Family Engagement Facilitator Notes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
    June 02, 2025 - Providers report the incident to the unit manager and the risk management department according to the … hospital’s incident reporting policy … as a result of the incident. … Slide 23 SAY: When an incident occurs, the hospital will investigate and analyze it (e.g., a root … A hospital committed to transparency offers an apology that the incident happened.

39. Team Check-up Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/team-checkup.html
    December 01, 2012 - quality improvement skills on our team.           7 We perform a unit analysis for each incident … from nursing staff in this unit.           4 Staff in this unit do not believe that <incident

40. 129-Ss-Blank-Lfd (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
    April 01, 2025 - Review the list of factors that contributed to the incident and check off those that negatively and positively … contributed to the outcome of the incident. … Rate the most important contributing factors that relate to the incident. III. … Survey frontline staff involved in the incident to determine whether the intervention has been used effectively … did it negatively contribute (increase harm) or positively contribute (reduce impact of harm) to the incident