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Showing results for "incident".

  1. 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 …
  2. 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;…
  3. www.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - 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 (HACs) since 2010. A cumulative total of 2.1 million fewer HACs were experie…
  4. www.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer Summary Preliminary 1 estimates for 2015 show a 21 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 3.1 million fewer HACs were expe…
  5. 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 …
  6. 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 …
  7. 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…
  8. 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
  9. www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-slides.html
    March 01, 2017 - Clinician outcomes: Incident reporting. Burnout and turnover. 3.
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
    January 01, 1995 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 4 Tools 2G: Pieper Pressure Ulcer Knowledge Test 4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team 4B:…
  11. www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix A, Pt. 2 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 Developm…
  12. www.ahrq.gov/news/blog/ahrqviews/focus-diagnostic-safety.html
    March 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders In the Spirit of Patient Safety Awareness Week, AHRQ Sharpens Its Focus on Diagnostic Safety MAR 15 2023 By Robert Otto Valdez, Ph.D., M.H.S.A. Robert Otto Valdez, Ph.D., M.H.S.A. In 2023, the American healthcare system rem…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
    June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Ray R. Maddox, PharmD; Harold Oglesby…
  14. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
    September 01, 2023 - studies, falls reported in the NPSD result in more harm (residual psychological or physical harm from incident … After any intervention to reduce harm, what was the degree of residual harm to the patient from the incident … In the Common Formats, harm is defined as harm to the patient after discovery of the incident and any
  15. www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
    June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality Measures to Quality Care: Examples of Quality Improvement at Work Previous Page Next Page Table of Contents The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality …
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
    December 01, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Implementation Steps and Timeline The goal of On-Time is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input into clinical intervention decisions. The Implementation Steps docu…
  17. www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
    November 19, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Interim Data From National Efforts To Make Care Safer, 2010-2014 Summary Interim estimates for 2014 show a sust…
  18. www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
    November 19, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Interim Data From National Efforts To Make Care Safer, 2010-2014 Summary Interim estimates for 2014 show a s…
  19. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appb.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Appendix B. References Previous Page   Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implementati…
  20. www.ahrq.gov/hai/cauti-tools/ena-slides/preface.html
    October 01, 2015 - The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution, Objectives, Introduction, and Main Menu Previous Page Next Page Table of Contents The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution, Objectives, …

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