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www.ahrq.gov/research/findings/studies/index.html?page=248
January 01, 2024 - M , Budiman-Mak E Increasing SBP variability is associated with an increased risk of developing incident … evaluated the relationship between increased systolic blood pressure (SBP) variability and risk of incident … Increasing SBP variability is associated with an increased risk of developing incident diabetic foot
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2019.xlsx
January 01, 2019 - Blood Dashboard Data
Introduction
Introduction-Blood or Blood Product
The tables in this workbook present data on Blood or Blood Product reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through March 31, 2018. They include the relative frequencie…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2019.xlsx
January 01, 2019 - Device or Medical/Surgical Supply including Health Information Technology Dashboard
Introduction
Introduction-Device or Medical/Surgical Supply including Health Information Technology
The tables in this workbook present data on Device or Medical/Surgical Supply including Health Information Technology (HIT) reports …
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2023.xlsx
January 01, 2023 - Device or Medical/Surgical Supply including Health Information Technology Dashboard
Introduction
Introduction-Device or Medical/Surgical Supply including Health Information Technology
The tables in this workbook present data on Device or Medical/Surgical Supply including Health Information Technology (HIT) reports …
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www.ahrq.gov/news/newsroom/case-studies/201411.html
August 01, 2014 - The program demonstrated a 49 percent annual reduction in acute care patient handling incident reports
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www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
January 01, 2024 - maintained a log of pump-related incidents that
may or may not have been reported through this formal incident … the coordinator were summarized according
to categories of the possible or probable source of the incident … Usability testing
Schroeder et al. (2006) write of a free-flow incident attributable to the pump. … Subsequent to the
incident, usability analyses were conducted that focused on a technology upgrade aimed … at
ensuring a safe redesign that specifically addressed the free-flow incident.
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www.ahrq.gov/research/findings/studies/index.html?page=158
January 01, 2024 - Prasada S , Rivera A , Nishtala A Differential associations of chronic inflammatory diseases with incident … The purpose of this study was to compare the risks of incident heart failure (HF) among a variety of … Differential associations of chronic inflammatory diseases with incident heart failure.
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www.ahrq.gov/health-literacy/professional-training/lepguide/app-d.html
September 01, 2020 - Improving Patient Safety Systems for Patients With Limited English Proficiency
Appendix D: Methods
Previous Page Next Page
Table of Contents
Improving Patient Safety Systems for Patients With Limited English Proficiency
About This Guide
Executive Summary
Chapter 1: Background on Patient Safety…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/esrd-protocol-2019-amended.pdf
January 01, 2019 - Introduction
Over 100,000 patients (children and adults) reach end-stage renal disease (ESRD) every
year (incident … management, and almost universal attainment of dialysis adequacy
targets (Kt/Vurea), 25 percent of incident … Hemodialysis Prescription for Incident Patients: Twice Seems Nice, But
Is It Incremental? … Association of residual urine output with mortality, quality of life,
and inflammation in incident hemodialysis … Frailty and Cognitive Function in Incident
Hemodialysis Patients.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp6.pdf
May 01, 2013 - Calcium and vitamin D intake and risk of
incident premenstrual syndrome. … Folate intake and the risk of incident hypertension
among US women. … Plasma 25-hydroxyvitamin D levels and risk of
incident hypertension. … A prospective study of calcium intake and incident
and fatal prostate cancer. … Carbohydrates, dietary fiber, and incident type 2
diabetes in older women.
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www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety
Title: VTE Safety Toolkit: A Systems Approach to Patient Safety
Principal Investigator: Brenda K. Zierler, PhD1
Team Members:
Ann Wittkowsky, PharmD2
Robb Glenny, MD3
Seth Wolpin, PhD1
Jung-Ah Lee, MN1
Gene Peterson, MD, PhD3
Fre…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtools.docx
January 01, 2013 - An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless of … Accurate completion of fall incident report form by all staff?
2. … Files incident report for new falls and carries out postfall assessment. … How to use this tool: Review your last 10 incident reports for falls and see whether the information … Observer role
Technical assistance role
Data collection role (e.g., review charts or incident
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
May 28, 2008 - Field, et al
200731
Chart review,
computer-generated
signals, and incident
report review
Medicare … events among older individuals using
medical record review, computer generated signal review, and incident … The error reporting form provides space for a detailed description of the incident,
including information … Prior
research compared observation to two other commonly used methods—chart review and incident
report … Direct observation was found to be more efficient and accurate than chart review and incident
reports
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - The Joint Commission proposes actions for all
organizations, including developing incident reporting … Incident Decision Tree
https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety … resources/advances-in-patient-safety/vol4/Meadows.pdf
The National Patient Safety Agency has developed the Incident … The Incident Decision Tree supports the aim of creating an
open culture, where employees feel able to … Incident Decision Tree
4. Just Culture
5.
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www.ahrq.gov/news/newsletters/e-newsletter/922.html
July 01, 2024 - Systematic review of types of safety incidents and the processes and systems used for safety incident
-
www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2014/nhsurv14-chap5.html
November 01, 2014 - Nursing Home Survey on Patient Safety Culture
Chapter 5. Overall Results
Previous Page Next Page
Table of Contents
Nursing Home Survey on Patient Safety Culture
Executive Summary
Chapter 1. Introduction
Chapter 2. Survey Administration Statistics
Chapter 3. Characteristics …
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2020.xlsx
January 01, 2020 - Blood Dashboard Data
Introduction
Introduction-Blood or Blood Product
The tables in this workbook present data on Blood or Blood Product reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2019. They include the relative frequen…
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2021.xlsx
January 01, 2021 - Device or Medical/Surgical Supply including Health Information Technology Dashboard
Introduction
Introduction-Device or Medical/Surgical Supply including Health Information Technology
The tables in this workbook present data on Device or Medical/Surgical Supply including Health Information Technology (HIT) reports …
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2022.xlsx
January 01, 2022 - Device or Medical/Surgical Supply including Health Information Technology Dashboard
Introduction
Introduction-Device or Medical/Surgical Supply including Health Information Technology
The tables in this workbook present data on Device or Medical/Surgical Supply including Health Information Technology (HIT) reports …
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2020.xlsx
January 01, 2020 - Device or Medical/Surgical Supply including Health Information Technology Dashboard
Introduction
Introduction-Device or Medical/Surgical Supply including Health Information Technology
The tables in this workbook present data on Device or Medical/Surgical Supply including Health Information Technology (HIT) reports …