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Showing results for "incident".

241. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
     May 17, 2016 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4i Selected Best Practices and Suggestions for Improvement PDI 11: Postoperative Wound Dehiscence Why focus on postoperative wound dehiscence in…

242. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
     May 17, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4w Selected Best Practices and Suggestions for Improvement PDI 11: Postoperative Wound Dehiscence Why focus on postoperative wound dehiscence in children?…

243. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
     March 01, 2020 - 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…

244. Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
     January 01, 2024 - Each Failures incident is connected with one or many possible Health Threats. … Each Building/Facility incident has a relationship with one or many incidents of the Failures class.

245. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-6 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-6.pdf
     December 14, 2010 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-6 Completed by: Page 1 12/14/2010 MEASURE SUMMARY CHIPRA Core Set Candidate Measures A. Control #: PHP-6 B. Measure Name: Adolescent Immunization C. Measure Definition a. Numerator: Number of adolescents 13 years of age who had one…

246. SOPS Nursing Home Survey: What You Need To Know - Theresa Famolaro, MPS, MS, MBA (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-nh_webcast-famolaro.pdf
     September 21, 2022 - SOPS Nursing Home Survey: What You Need To Know - Theresa Famolaro, MPS, MS, MBA The SOPS Nursing Home Survey and Database Theresa Famolaro, MPS, MS, MBA Senior Study Director and Database Manager User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat Survey User’s Guide • On the AHRQ SOPS W…

247. Community Pharmacy Survey on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.pdf
     June 02, 2025 - A mistake is any type of medication error, mistake, incident, or quality-related event, regardless of

248. Community Pharmacy Survey on Patient Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.docx
     June 02, 2025 - ► A mistake is any type of medication error, mistake, incident, or quality-related event, regardless

249. Methods | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirement3.html
     February 01, 2014 - Background Report on 2013 Retirement of Measures from the Child Core Set Methods 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. A…

250. Appendix | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-appendix.html
     October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix Previous Page Next Page Table of Contents 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix References …

251. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
     January 01, 2017 - sepsis Postoperative hemorrhages Respiratory failure Patient injury Treatment errors Clinician outcomes Incident

252. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
     February 01, 2025 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Slide 2: Learning Obj…

253. Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
     January 01, 2004 - While investigating this incident and the ongoing anesthesiology shortage, a multidisciplinary team … In addition, a summary of incident reports is provided to infection control to track any trends in infectious … of surgical procedures that may not be identified through the usual monitoring mechanisms, e.g., of incident

254. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
     January 01, 2005 - Additionally, FDA staff may have further questions about an incident after receiving the report from … Clinicians report that it is not unusual for staff to receive training on the facility’s incident reporting … required for an outside agency (such as FDA) to understand what happened during a medical device related incident

255. Pf-Engagement-Facnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
     May 01, 2017 - Document the event in the medical record – Providers must document in the medical record the facts of the incident … and any care the patient received as a result of the incident. … SAY: When an incident occurs, it will be investigated and analyzed (e.g., a root cause analysis may

256. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-refs.html
     October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 References Previous Page   Table of Contents 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix References …

257. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ref.html
     December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms References Previous Page   Table of Contents Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Appendix References Adverse Drug Events Aspden P, Wolcott J, Bootman JL, et al. P…

258. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
     January 01, 2024 - transcribing and administering errors Intervention & control nursing units RCT Directed chart and incident

259. Appendix A. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraaparef.html
     September 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix A. References 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 Dev…

260. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
     May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4k Selected Best Practices and Suggestions for Improvement PSI 14: Postoperative Wound Dehiscence Why Focus on Postoperative Wound Dehiscence? • Postop…