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  1. 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…
  2. 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 …
  3. 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
  4. 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…
  5. 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
  6. 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
  7. 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 …
  8. 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
  9. 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…
  10. 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…
  11. www.ahrq.gov/news/newsroom/case-studies/201708.html
    May 01, 2017 - Albuquerque Police Department Uses AHRQ Resources for Crisis Intervention Team Training Search All Impact Case Studies May 2017 In 2016, Albuquerque Police Department (APD) became the first law enforcement agency in the Nation to train its officers through videoconferencing with psychiatrists, based on the …
  12. www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
    January 01, 2024 - Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications Title of Project: Improving Safety After Hospitalization in Older Persons on High-Risk Medications Principal Investigator: Jerry H. Gurwitz, MD Principal Team Members: Kathleen M. Mazor, EdD; Terry S. Field, DSc;…
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/093-universal-targeted-decolonization-one-pager.docx
    April 01, 2025 - Comparison of Decolonization Strategies This document defines the types of decolonization strategies and what is needed to implement either approach. Mid- to high-level administrative managers and clinical leaders who are interested in implementing decolonization programs at their site may use this document to compare …
  14. 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
  15. www.ahrq.gov/sites/default/files/2024-01/phillips-report.pdf
    January 01, 2024 - Final Progress Report: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges FINAL PROGRESS REPORT Project Title: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges Principal Investigator: Charles D. Phillips, PhD, MPH, Regents Professor, Texas A&M …
  16. 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
  17. 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
  18. 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
  19. www.ahrq.gov/hai/pfp/haccost2017-discuss.html
    November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussion Previous Page Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussio…
  20. www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
    June 01, 2020 - Most healthcare organizations have incident reporting systems, although reporting has included few diagnostic

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