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Showing results for "incident".

381. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
     January 01, 2020 - /www.ahrq.gov/sops/index.html 5 Mazur, Slide 22 Finally, we needed to organize a more formal incident … And when submitted, they were directed to our Risk Management Department and mostly representing incident … of occurrence don't get lost in that kind of one off report where the severity for that particular incident … What is the average time that it takes up frontline staff member to complete an incident report?

382. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/challenge-competition.html
     February 01, 2024 - Impact of AHRQ’s Patient Safety Tools: Challenge Competition AHRQ offers many practical tools and resources to help a variety of healthcare organizations, providers, and others make patient care safer in all healthcare settings. In an effort to better understand how using an AHRQ patient safety tool has resulte…

383. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
     July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism Appendix A: Tools and Resources Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter …

384. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appa.html
     July 01, 2018 - Preventing Hospital-Associated Venous Thromboembolism Appendix A: Tools and Resources Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter …

385. The Science of Improving Patient Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
     March 01, 2009 - The Science of Improving Patient Safety 1 2 Describe the historical and contemporary context of the Science of Safety Explain how system design affects system results List the principles of safe design and identify how they apply to technical work and teamwork Indicate how teams make wise decisions when the…

386. Regulation of Health Policy: Patient Safety and the States (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
     March 01, 2004 - subsequently passed a mandatory reporting statute that requires institutions to summarize and post “adverse incident … New York protects incident reports from “public disclosure”; however “the [reporting] system is nonpunitive … NASHP notes that the most frequent use of data from incident or error reports is aggregating data to … States in our analysis require health care institutions to adopt patient safety plans for reviewing incident

387. Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
     December 01, 2017 - You know, you could spend an hour debriefing that one incident but it was never discussed and we rarely … discuss when we have that kind of an incident occur. … So make sure that when you do see an incident, that something like that happens, that you either see … next steps that a nurse or (indiscernible 41:56) health care worker can utilize when they're in an incident

388. Navigating-Hierarchy-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
     December 10, 2013 - You know, you could spend an hour debriefing that one incident but it was never discussed and we rarely … discuss when we have that kind of an incident occur. … So make sure that when you do see an incident, that something like that happens, that you either see … next steps that a nurse or (indiscernible 41:56) health care worker can utilize when they’re in an incident

389. Identify Defects Module Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
     March 01, 2013 - A medication look-alike incident led to an intervention in which education was conducted, medications

390. Appendix 2-A. Application and System Development Requirements | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/pubcomguide/pcguide2apa.html
     November 01, 2018 - System configuration and administration procedures Security procedures, including virus protection Incident

391. Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-slides.html
     February 01, 2017 - Clinician outcomes: Incident reporting. Burnout and turnover. 2.

392. Part 2: Trends in Priorities of the Heckler Report—Care for Diabetes | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-diabetes.html
     May 01, 2018 - long-term complications per 100,000 population, age 18 and over Worse Narrowing Adjusted incident

393. The Science of Improving Patient Safety and Identifying Defects: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
     December 01, 2017 - A medication look-alike incident led to an intervention where education was conducted, medications were

394. 097-Ss-Normothermia-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/097-ss-normothermia-one-pager.docx
     April 01, 2025 - Normothermia Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries​ Why is maintaining normothermia during surgery important?1-4 · Mild hypothermia can increase blood loss, leading to wound hematomas or the need for transfusions, both of which can increase surgical site infection (…

395. NICU Family Information Packet, Appendix B, Bronchopulmonary Dysplasia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-bpd.pdf
     June 02, 2025 - NICU Family Information Packet, Appendix B, Bronchopulmonary Dysplasia Bronchopulmonary Dysplasia Characteristics ■ Need for supplemental oxygen at 36 weeks postmenstrual age, with radiographic changes on chest x-ray (bilateral, diffuse hazy lungs; interstitial thickening; increased lung inflation). ■ Symptoms: …

396. Healthcare Safety Competencies Affinity Group Environmental Scan (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
     March 27, 2025 - Fatigue • Moral Injury • Patient Safety/Worker Safety Relationship and Continuum • Post Harm Incident-Care … Safety Relationship and Continuum • Patient/Family Engagement • Patient-Centered Care • Post Harm Incident-Care

397. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/026-why-choose-cusp.pptx
     April 01, 2025 - outcomes8,9 Patient care experience Surgical site infection rates Treatment errors Workforce outcomes10-13 Incident

398. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/102-how-to-integrate-cusp-approach-periop.pptx
     April 01, 2025 - Other sources of defects: incident reports, SSI rates, infection control reports, M and M conferences

399. Operational Measurement of Diagnostic Safety: State of the Science | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science.html
     September 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurement of Diagnostic Safety Getting Ready for Measurement: Overcoming Barriers and Taking…

400. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology-references.html
     April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis References Previous Page   Table of Contents Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Introduction Perspectives on Diagnostic Improvement Definitions of Diagnosis Types of Evide…