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Showing results for "incident".

381. 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…

382. 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…

383. 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…

384. 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

385. 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

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. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
     March 31, 2008 - Comprehensive critical incident monitoring in a neonatal-pediatric intensive care unit: Experience … Analysing potential harm in Australian general practice: An incident-monitoring study.

388. Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2a.html
     May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary …

389. Conducting a Comprehensive Skin Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar4_pu_skinassesst_final.pdf
     April 01, 2011 - Conducting a Comprehensive Skin Assessment Conducting a Comprehensive Skin Assessment Presented by Dr. Karen Zulkowski, D.N.S., RN Montana State University Welcome! Thank you for joining this webinar about how to conduct a comprehensive skin assessment. 2 A Little About Myself… • An associate professo…

390. Tool 6 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6 (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Ra…

391. Tool 6 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6 (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Ra…

392. 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

393. 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.

394. 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

395. 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

396. 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

397. 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

398. Part 2: Trends in Priorities of the Heckler Report—Care for Cancer | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-cancer.html
     June 01, 2018 - Chartbook on Health Care for Blacks Part 2: Trends in Priorities of the Heckler Report—Care for Cancer Previous Page Next Page Table of Contents Chartbook on Health Care for Blacks Health Care for Blacks Acknowledgments Part 1: Overviews of the Report and the Black Population Part 2: Trends …

399. 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

400. 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