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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2019.xlsx
January 01, 2019 - 56.4% 10,544
Fall Incident 100.0% 92,588
Medication or Other Substance Unsafe Condition 3.0% 6,619 … Medication or Other Substance Near Miss 29.9% 65,815
Medication or Other Substance Incident 67.1% … 147,767
Perinatal Incident 100.0% 17,806
Pressure Ulcer Incident 100.0% 47,585
Surgery or Anesthesia … Near Miss 21.5% 10,259
Surgery or Anesthesia Incident 78.5% 37,482
Other Unsafe Condition 1.9% 7,436 … Other Near Miss 22.9% 90,857
Other Incident 75.3% 298,963
NOTE: 'Percentage' sums to 100% within
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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].
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www.ahrq.gov/news/newsroom/case-studies/cquips0608.html
October 01, 2014 - In developing the patient safety class, Cohn first expanded the use of the hospital's incident reporting … Furthermore, Cohn says, usually when a student reports an incident, it is not the first time a practice … The class requires each student to create an incident report (labeled "This is a test case") and submit … A few times, student reports have developed into actual incident reports after Cohn discusses them in … After completing the class, some students later file actual incident reports.
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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
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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.
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
January 01, 2013 - Finding mechanisms to communicate fall incident report information to the Implementation Team. … The incident report will need to contain, at a minimum:
The fact that the incident being reported … Learn more about your hospital's incident reporting system. … Therefore, consider reviewing completed incident reports with staff on a monthly basis. … Tool 5A, "Information To Include in Incident Reports" .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar5_falls_measuringratespractices.pdf
January 01, 2013 - Data Needed for Fall and
Fall-Related Injury Rates
For each fall, create an incident report that tells … —
• Fact that the incident being reported is a fall
• Name of the patient who fell
• Where the patient … the fall (in detail)
• Injury level of the fall
13
Refer to Tool 5A: Information to
Include in Incident … Using incident reports, figure out the total
number of falls on your unit during April.
2. … staff
• Making sure the data gathered with the
assessment tool include those needed to
file an incident
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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.
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
August 03, 2017 - Fall Prevention Toolkit
Fall Prevention Toolkit
Module 5 Tools
Tool 5A: Information to Include in Incident … Action Plan Tool to Measure Fall Rates and Fall Prevention Practices
5A: Information To Include in Incident … Reports
Background: The purpose of this tool is to audit incident reports of falls to see if the reports … How to use this tool: Review your last 10 incident reports for falls and see whether the information … Information To Include in Incident Reports
Examples of Information
Reason To Collect This Information
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medications_Supplement_Dashboard_Data_2023.xlsx
January 01, 2023 - Frequency Percent
Incident Administering 29,880 28.3%
Incident Dispensing 4,885 4.6%
Incident Monitoring … 4,463 4.2%
Incident Other stage 5,355 5.1%
Incident Preparing 1,993 1.9%
Incident Prescribing (ordering … ) 12,609 11.9%
Incident Purchasing 203 0.2%
Incident Storing 862 0.8%
Incident Transcribing 3,535 … Frequency Percent
Incident Biological products 1,506 1.5%
Incident Contrast media 498 0.5%
Incident … 149 0.1%
Incident Medications 76,304 75.1%
Incident Nutritional products 867 0.9%
Incident Other substance
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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
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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.
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www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
May 01, 2017 - 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
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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
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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
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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
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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
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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
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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