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www.ahrq.gov/research/shuttered/acfselection/appendixd.html
July 01, 2018 - Yes—County Health Dept was large part of the governance of the [site] and therefore they were incident … Collective decision between the Incident Commander, the Emergency Manager, the Medical Director and the … Since in almost every major incident there are public information issues we anticipate there will be … Local EMS was coordinated through the incident command
Through the Incident Commander and appropriate … Respect, adapt
Need strong incident command to manage multiple levels of outside input.
.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
June 01, 2015 - Ranking method
3.2.3 Critical Incident Technique
The critical incident technique (CIT) was developed … Analysing potential harm in Australian general
practice: an incident-monitoring study. … Analysing potential harm in Australian general
practice: an incident-monitoring study. … The critical incident technique.
Psychol Bull 1954 Jul;51(4):327-58. PMID:
13177800. … This article discusses 18 individual interviews using
a Critical Incident Technique.
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www.ahrq.gov/research/findings/studies/index.html?page=452
January 01, 2024 - Registries
Roberts AW , Dusetzina SB , Farley JF Revisiting the washout period in the incident … this study was to describe how washout period duration affects the size and accuracy of retrospective incident … Revisiting the washout period in the incident user study design: why 6-12 months may not be sufficient
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www.ahrq.gov/priority-populations/observances/bhm/grantees.html
February 01, 2021 - The project will examine temporal trends in incident mastectomy and breast-conserving surgery and will
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16463-Gurwitz-report.pdf
January 01, 2011 - events were lower in
intervention homes, although this result was not statistically significant; the incident … For each trigger identified, the abstractors
completed an abstraction form describing the incident and … When the two reviewers disagreed on the classification of an incident, its preventability, or its
severity … The adjusted incident rate ratio (IRR) for
any preventable warfarin-related adverse event was 0.87 ( … events were lower in intervention
homes, although this result was not statistically significant: the incident
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/sustainability-tool.html
January 01, 2013 - Observer role
Technical assistance role
Data collection role (e.g., review charts or incident
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www.ahrq.gov/news/newsroom/case-studies/cquips0603.html
October 01, 2014 - The survey revealed that 76 percent of employees have never completed an incident report.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Critical incident studies in anesthesia
have found that around 80 percent of reported incidents involve … operating room, recoding a sample of the interview
transcripts, and reviewing 200 anesthesia critical-incident … System, and difficulty to use if the consultant is heavily involved in the
case or if there is an incident … The
Australian incident monitoring study. … An analysis of
2,000 incident reports. Anaesth & Int Care 1993;
21:506–19.
4.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
January 25, 2008 - The
main descriptive element is what
others might call the “incident
type,” but which we call the … “event type” – given the very specific definition for “incident” in the
MCARE law, as noted above. … We
feel that a field describing the provider-reported descriptive event type (or incident type as
understood … Alternatively, the event type (or incident type as understood by others) used by PA-PSRS is a
description … We believe a descriptive
event type, or incident type, based on process of care or clinical outcome
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
January 01, 2017 - References
Summary
Continuous or frequent intermittent suctioning of subglottic secretions, via an endotracheal tube (ETT) specially designed with a dorsal lumen to accommodate this, is associated with up to a 50 percent decreased incidence of aspiration and ventilator-associated pneumonia (VAP). Guidelines support …
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www.ahrq.gov/topics/childrenadolescents.html
January 01, 2011 - Topic: Children/Adolescents
Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
Cente…
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www.ahrq.gov/research/findings/studies/index.html?page=12
January 01, 2024 - , Cohen TN Comparing the Safety Action Feedback and Engagement (SAFE) Loop with an established incident … the Safety Action Feedback and Engagement (SAFE) Loop, an intervention designed to transform hospital incident … The investigators will look for the following outcomes: (1) incident reporting practices (rates of high-priority … reports, contributing factors described in reports), (2) nurses' attitudes toward incident reporting … Comparing the Safety Action Feedback and Engagement (SAFE) Loop with an established incident reporting
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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article13.html
June 01, 2014 - A total of 1,667 incident SSIs were identified after the 140,632 hernia surgeries, for an overall SSI … overpopulating the denominator with non-procedures) and refining the surgery date (to ensure that only incident
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www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article13.html
June 01, 2014 - A total of 1,667 incident SSIs were identified after the 140,632 hernia surgeries, for an overall SSI … overpopulating the denominator with non-procedures) and refining the surgery date (to ensure that only incident
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/152-cusp-tip-sheet-engaging-physicians.docx
October 01, 2024 - Smith to discuss this incident and see how we can address Dr.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship8.html
August 01, 2024 - For example, van Moll and colleagues described an analysis of voluntary incident reports at an academic
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence6.html
April 01, 2025 - This incident galvanized the institution’s executive leadership to take decisive action. 16 Exhibit
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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…
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www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
January 01, 2024 - Adverse sedation events in pediatrics: a critical
incident analysis of contributing factors. … The incident reporting system does not
detect adverse drug events: a problem for quality improvement.
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www.ahrq.gov/npsd/data/dashboard/medication.html
September 01, 2024 - Medication or Other Substance Dashboard
Learn more about how the dashboards are set up .
This dashboard presents information on medication or other substance-related patient safety concerns, which span incidents, near misses, and unsafe conditions. At-a-glance information on description of safety concerns, o…