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Total Results: 1,450 records

Showing results for "incident".

241. 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.

242. 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.

243. 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…

244. 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…

245. 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 …

246. 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

247. 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

248. 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

249. 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…

250. 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…

251. 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 …

252. 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

253. 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…

254. Probability and the Diagnostic Pathway | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking3.html
     September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis Probability and the Diagnostic Pathway Previous Page Next Page Table of Contents Improved Diagnostic Accuracy Through Probability-Based Diagnosis Introduction Fundamental Concepts for Understanding Probability Probability and the…

255. 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…

256. 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

257. 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

258. 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

259. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
     January 29, 2008 - System-Change Participation Much of the patient safety literature calls for improved incident reporting … Barriers to incident reporting in a health care system. … Beyond blame: Cultural barriers to medical incident reporting.

260. Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
     December 01, 2017 - Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use Slide presentation Slide 1 Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use David A. Pegues, MD Professor of Medicine, Division of Infectious Diseases Medical Director, Healthcare Epidemiol…