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Showing results for "incident".

341. Patient Safety Research in Medical Group Practices: Measurement and Data Challenges (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
     December 01, 2004 - computer-generated signals; automated free-text review of electronic clinic notes; and review of administrative incident … patient safety incidents can be traced to the physician responsible for the episode of care when the incident … Self-reporting systems There is growing recognition of the potential value to health care of incident

342. Improving Patient Safety in Long-Term Care Facilities, Module 3 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
     June 01, 2012 - In most nursing centers, this involves completing an incident report. 3. … necessary to prevent falls. › Fall prevention requires active engagement. › You must go beyond an incident … Go beyond incident reports to help establish a revised care plan for falls that corresponds to the individual

343. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
     January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part II Surveys on Patient Safety CultureTM (SOPS®) Nursing Home Survey: 2023 User Database Report Part II: Appendix A - Results by Nursing Home Characteristics Appendix B - Results by Respondent Characteristics Prepared …

344. AHRQ's Safety Program for Nursing Homes | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
     December 01, 2017 - AHRQ's Safety Program for Nursing Homes Case Studies These case studies follow three nursing home facilities that implemented the On-Time Pressure Ulcer Prevention Program. Select for more AHRQ Impact Case Studies . Contents New York Nursing Facility Sees 56 Percent Drop in Pressure Ulcers with AHRQ-Fu…

345. 6. How do we sustain the redesigned prevention practices? | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
     October 01, 2014 - Preventing Pressure Ulcers in Hospitals 6. How do we sustain the redesigned prevention practices? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the…

346. 6. How do we sustain the redesigned prevention practices? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
     October 01, 2014 - Preventing Pressure Ulcers in Hospitals 6. How do we sustain the redesigned prevention practices? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the…

347. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
     March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room Patient Identification Errors in the Operating Room 11-1 11. Patient Identification Errors in the Operating Room Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H. Introduction In the first Making Health Care Safer …

348. Ventilator-Associated Event Data Collection Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/vae/tool.html
     January 01, 2017 - Ventilator-Associated Event Data Collection Tool AHRQ Safety Program for Mechanically Ventilated Patients Date __________     Month __________     Hospital __________     Unit __________ Use this tool to track your progress in reducing ventilator-associated event (VAE) rates by using this inform…

349. Background Report on 2013 Retirement of Measures from the Child Core Set | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/measure_retirement/index.html
     February 01, 2014 - Background Report on 2013 Retirement of Measures from the Child Core Set 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. Appendix C. Appendix D…

350. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
     January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part I SURVEYS ON PATIENT SAFETY CULTURE Nursing Home Survey: 2023 User Database Report Surveys on Patient Safety Culture™ PATIENT SAFETY [This page intentionally left blank] Surveys on Patient Safety CultureTM (SOPS®)…

351. Advances in Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advances/index.html
     July 01, 2022 - Janet Mannion, Ellen Flink, Ruth Leslie Reporting of Adverse Drug Events: Examination of a Hospital Incident … Jones, Shulamit Bernard The Incident Decision Tree: Guidelines for Action Following Patient Safety

352. Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
     July 01, 2023 - Response (incident level) 4. … These should take place as soon after the incident as possible. 11 Hospital AIM Team Leads

353. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
     June 01, 2023 - Diagnostic error in the emergency department: learning from national patient safety incident report analysis … Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis

354. Final Progress Report: A Multiyear Grant To Support the Diagnostic Error in Medicine (DEM) Annual Conference (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/newman-toker-report.pdf
     January 01, 2025 - Final Progress Report: A Multiyear Grant To Support the Diagnostic Error in Medicine (DEM) Annual Conference FINAL PROGRESS REPORT TITLE PAGE (R13HS019252, PI Newman-Toker) Title: A Multiyear Grant to Support the Diagnostic Error in Medicine (DEM) Annual Conference Principal Investigator: David E. Newman-Toker Tea…

355. Key Subject Area Index | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pukey.html
     October 01, 2014 - Preventing Pressure Ulcers in Hospitals Key Subject Area Index Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…

356. Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/overview.html
     July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Overview Previous Page Next Page Table of Contents Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Improvement Data Other Resour…

357. Ventilator-Associated Events and Outcome Measures Module | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/vae.html
     December 01, 2017 - Ventilator-Associated Events and Outcome Measures Module This module has tools and slide sets to help units accomplish three goals: Monitor ventilator-associated events and outcome measures. Reduce ventilator-associated events (VAE). Make evidence-based determinations about the care of ventilated patien…

358. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vae-tool.docx
     January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle AHRQ Safety Program for Mechanically Ventilated Patients Ventilator-Associated Event Data Collection Tool Date __________ Month __________ Hospital __________ Unit __________ Use this tool to track your progress i…

359. Key Subject Area Index | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pukey.html
     October 01, 2014 - Preventing Pressure Ulcers in Hospitals Key Subject Area Index Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…

360. Appendix V (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv1b.html
     June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix V (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology E…