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Showing results for "incident".

221. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
     September 26, 2019 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae Carbapenem-Resistant Enterobacteriaceae 6-1 6. Carbapenem-Resistant Enterobacteriaceae Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H. Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D. Introduction Background Carbapenem-resistant Enterobacteria…

222. NICU Family Information Packet, Appendix B, Vision Screening and Retinopathy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-vision.pdf
     June 02, 2025 - NICU Family Information Packet, Appendix B, Vision Screening and Retinopathy Vision Screening and Retinopathy of Prematurity Visual Deficits Seen in Preterm Infants ■ High-risk infants are more likely to have permanent visual deficits and/or show a delay in visual development that persists until adolescence. ■ …

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

224. Ambulatory Procedure/Surgery Center Survey on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.pdf
     June 02, 2025 - When something happens that could harm the patient, but does not, how often is it documented in an incident

225. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
     January 01, 2024 - Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies Final Report: Using Risk Models to Improve Safety with Dispensing High-Alert Medications in Community Pharmacies Principal Investigator: Michael R. Cohen, RPh, MS, ScD Team Members: Judy L. Smetzer, R…

226. Ambulatory Surgery Center Survey on Patient Safety Pilot Study Results (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
     April 01, 2015 - 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 … When something happens that could harm the patient, but does not, how often is it documented in an incident

227. Summary Background Report on 2013 Retirement of Measures from the Child Core Set (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
     January 01, 2013 - Summary Background Report on 2013 Retirement of Measures from the Child Core Set Summary Report Background Report on 2013 Retirement of CHIPRA Measures from the Child Core Set Prepared for: Agency for Healthcare Research and Quality Rockville, MD Prepared by: RTI International Resear…

228. 2025 SOPS Nursing Home Database Report Executive Summary Overview Infographic (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-summary.pdf
     January 01, 2025 - 2025 SOPS Nursing Home Database Report Executive Summary Overview Infographic Surveys on Patient Safety Culture® Findings From the 2025 SOPS Nursing Home Survey Database 107 Participating Nursing Homes 4,411 Nursing Home Staff Respondents 63% Composite Measure Average Highest Scoring Composite Meas…

229. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
     October 01, 2017 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices Slide Presentation Slide 1: How To Measure Pressure Injury Rates and Prevention Practices ADD Hospital Name Here Module 5 Slide 2: Basic Quality Improvement  Principle If you can’t measure it, you can’t improve it. Image: Pu…

230. Final Progress Report: MammoTutor: An Internet-Based Computer Tutoring System to Teach General Radiologists the Early Signs of Breast Cancer (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/mello-thoms-report.pdf
     January 01, 2025 - Final Progress Report: MammoTutor: An Internet-Based Computer Tutoring System to Teach General Radiologists the Early Signs of Breast Cancer Title of Project: MammoTutor: An Internet-Based Computer Tutoring System to Teach General Radiologists the Early Signs of Breast Cancer Principal Investigator and Team Member…

231. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
     May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 6. Track Performance with Metrics Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery …

232. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide6.html
     May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 6. Track Performance with Metrics Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery …

233. Appendix A, Pt. 3 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
     April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix A, Pt. 3 Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA Developm…

234. Appendix D. | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirementapd.html
     July 01, 2018 - Background Report on 2013 Retirement of Measures from the Child Core Set Appendix D. Previous Page Next Page Table of Contents Background Report on 2013 Retirement of Measures from the Child Core Set Abstract Background Methods Results Conclusions References Appendix A. Appendix B.…

235. Final progress Report: Anticholinergics and Cognitive Decline in the Elderly with Depression (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
     January 01, 2024 - of Cases and Controls For specific aim 1, cases were identified as depression patients who had an incident … Cases were identified as patients who had an incident diagnosis of hip or femur fractures60 after entry … Dementia cases were defined based on incident dementia diagnosis, using the CCW files, anytime between … Cumulative Use of Strong Anticholinergics and Incident Dementia: A Prospective Cohort Study. … Anticholinergic Medication use and risk of incident Fractures in the elderly with Depression.

236. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Infographic Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
     January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Infographic Summary Findings From the 2023 Nursing Home Survey Database 62 participating nursing homes 3,224 nursing home staff respondents Average Response Rate by Survey Administration Mode Paper 52% Web 45%…

237. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
     April 23, 2008 - reported in the percentage of hospitals that used systematic post-fall analysis as part of the fall incident … post-coaching intervention FRA = fall risk assessment Similarly, hospital responses to a fall incident … Impact of the coaching intervention on hospital response to a fall incident Data collected for a … an administrative database that includes falls data 79 93 Fall reporting data gathering using Incident

238. Final Progress Report: Illinois Surgical Quality Improvement Collaboration Conference: Venous Thromboembolism (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/eskandari-raval-report.pdf
     January 01, 2024 - Final Progress Report: Illinois Surgical Quality Improvement Collaboration Conference: Venous Thromboembolism FINAL PROGRESS REPORT Title of Project: Illinois Surgical Quality Improvement Collaboration Conference: Venous Thromboembolism Principal Investigator and Team Members: Mark Eskandari, MD Mehul Raval, M…

239. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - involve four basic steps: (1) error recognition; (2) assessment of the need to report the error; (3) incident … the clinician must also assess the effort and potential personal cost associated with completing an incident … Almost universally, managers proclaim that data gathered through incident reporting systems are not … Reporting effort • Filling out an incident report for a medication error takes too much time.

240. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
     January 01, 2004 - One, an Australian study, used incident reports to describe events that resulted, or could have resulted … Physicians were encouraged to identify an incident “that should not happen in my practice and I don’ … AHRQ grant to the DCERPS supported a study of testing processes (laboratory, radiology) that included incident … Analysing potential harm in Australian general practice: an incident-monitoring study.