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Total Results: 1,527 records

Showing results for "incident".

261. 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…

262. Failure to Rescue Patient Safety Learning Lab (FTR PSLL) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html
     April 01, 2021 - Using incident reports to assess communication failures and patient outcomes .

263. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report-rev091721.pdf
     January 01, 2020 - 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 … respondents who indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident … respondents who indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident … respondents who indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident

264. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
     December 01, 2021 - 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 … respondents who indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident … respondents who indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident … respondents who indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident

265. 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.

266. The Timeline to Diagnostic Safety SIDM -Research as a Priority (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
     January 01, 2017 - NO: Incident reports, occurrence screens, death reviews, Global Trigger Tool YES: Ask patients Ask

267. Frequently Asked Questions About the Use of and Care for Leg Bags in the Long-Term Care Setting | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/leg-bags-faqs.html
     July 01, 2017 - In the event of a product-related incident such as infection, there may be liability issues for the user

268. 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…

269. Decolonization Strategies
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/012-ss-decolonization-strategies.pptx
     April 01, 2025 - Decolonization Strategies Decolonization Strategies Surgical Services​ For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries​ AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention | Surgical Services Decolonization Implemen…

270. Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
     February 01, 2005 - clinical department examining all eligible patient charts; voluntary reporting (often referred to as “incident … Of these events, only nine (1.2 percent) were identified using traditional incident reports. … An evaluation of adverse incident reporting. J Eval Clin Pract 1999;5(1):5–12. 5. … Barriers to incident reporting in a healthcare system. … The incident reporting system does not detect adverse drug events: a problem for quality improvement

271. Appendix C. Training and Learning Network Webinars | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apc.html
     October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix C. Training and Learning Network Webinars Previous Page Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Chart A…

272. New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf
     December 01, 2020 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan Workforce Safety Patricia McGaffigan, RN, MS, CPPS pmcgaffigan@ihi.org; @Pmcgaffigan_IHI mailto:pmcgaffigan@ihi.org Why Workforce Safety Matters Workforce safety is essential for safe, high- quality care and is preconditional to …

273. Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
     January 01, 2025 - Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs PI: Akira Nishisaki Grant Number: R03 HS21583-01 AHRQ Grant Final Progress Report Title: Evaluating safety and quality of tracheal intubation in pediatric ICUs PI: Akira Nishisaki, MD, MSCE Team Members: Vinay …

274. Snac-Final-Report-Mar2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
     January 01, 2025 - review by healthcare system boards of patient and workforce safety harm data, inclusive of internal incident … review by healthcare system boards of patient and workforce safety harm data, inclusive of internal incident … review by healthcare system boards of patient and workforce safety harm data, inclusive of internal incident

275. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
     December 01, 2016 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate December 2016 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010-2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…

276. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014 December 2016 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010-2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…

277. Survey on Patient Safety (facility version) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
     June 02, 2025 - • An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless

278. Survey on Patient Safety (facility version) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
     June 02, 2025 - . · An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless

279. AHRQ Research Priorities and Compliance Guidance | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/policies/nofoguidance/index.html
     January 01, 2025 - Establishment of strategies to sustain patient safety improvements such as just culture, incident/event

280. AHRQ Views: Taking Needed Steps To Strengthen Primary Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/933.html
     October 01, 2024 - Learner evaluation of an immersive virtual reality mass casualty incident simulator for triage training