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Showing results for "incident".

421. PMCoE PICU Expert Work Group and Leadership Team Roster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-b-workgroup.pdf
     September 18, 2014 - PMCoE PICU Expert Work Group and Leadership Team Roster …

422. Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
     January 01, 2024 - Time Series Analysis Parameter Crude Incident Rate Ratio (95% CI) P Value Adjusted Incident Rate

423. Hand Hygiene (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/hand-hygiene-checklist.pdf
     January 03, 2014 - Hand Hygiene Hand Hygiene Hand hygiene is the primary measure to reduce infections in the dialysis center. Adherence to accepted guidelines for hand hygiene has been shown to decrease the incidence of infections and prevent transmission of antimicrobial-resistant organisms and bloodborne pathogens.1,2 The World H…

424. We Must Not Underestimate the Impacts of Gun Violence on Healthcare Workers | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/impacts-gun-violence.html
     March 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders We Must Not Underestimate the Impacts of Gun Violence on Healthcare Workers DEC 5 2022 By Robert Otto Valdez, Ph.D., M.H.S.A. R. Valdez, Ph.D., M.H.S.A. The recent shootings in a Colorado nightclub and a Virginia store are …

425. Exhibit 20. Estimates of the total number of SSI cases in the United States, based on the rates used | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiexh20.html
     April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibit 20. Estimates of the total number of SSI cases in the United States, based on the rates used Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratifi…

426. Engaging Patients To Improve Diagnostic Safety Toolkit Roadmap (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/02-pfe-road-map.pdf
     August 01, 2021 - Engaging Patients To Improve Diagnostic Safety Toolkit Roadmap Toolkit for Engaging Patients To Improve Diagnostic Safety Engaging Patients To Improve Diagnostic Safety Toolkit Roadmap This Implementation Roadmap provides an overview of the steps for implementation and the toolkit materials you will need to use…

427. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
     November 01, 2017 - Retrospective case-control Retrospective case-control Data Source(s) HCUP-NIS Hospital clinical data Hospital incident

428. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
     November 01, 2017 - Retrospective case-control Retrospective case-control Data Source(s) HCUP-NIS Hospital clinical data Hospital incident

429. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
     March 27, 2008 - The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures 1 The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures Lawrence L. Faltz, MD, FACP; John N. Morley, MD, FACP…

430. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
     April 02, 2020 - may suggest high-risk situations Peer review Morbidity and mortality conferences Adverse event or incident … Most healthcare organizations have incident reporting systems, although reporting has included few diagnostic … Review of autopsy reports Mature Low Large Review of malpractice claims Mature High Medium Review of incident … Integrating incident data from five reporting systems to assess patient safety: making sense of the … A systematic review of natural language processing for classification tasks in the field of incident

431. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
     April 02, 2020 - may suggest high-risk situations Peer review Morbidity and mortality conferences Adverse event or incident … Most healthcare organizations have incident reporting systems, although reporting has included few diagnostic … Review of autopsy reports Mature Low Large Review of malpractice claims Mature High Medium Review of incident … Integrating incident data from five reporting systems to assess patient safety: making sense of the … A systematic review of natural language processing for classification tasks in the field of incident

432. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-pt1.pdf
     January 01, 2025 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part I e SURVEYS ON PATIENT SAFETY CULTURE®(SOPS)® Nursing Home Survey: 2025 User Database Report Surveys on Patient Safety Culture® PATIENT SAFETY [This page intentionally left blank] Surveys on Patient Safety Cultu…

433. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
     July 01, 2023 - that occurred, teams reconstruct the timeline of the event by placing themselves in the midst of the incident

434. Special Considerations for Measurement of Diagnostic Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
     June 01, 2020 - Adverse event or incident reports. Risk management sources. Malpractice claims.

435. TeamSTEPPS Research/Evidence Base: Anesthesiology | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/evidence-base/anesthesiology.html
     May 01, 2023 - TeamSTEPPS Research/Evidence Base: Anesthesiology Chopra, V., Bovill, J., & Spierdijk, J. (1992). Reported significant observations during aneasthesia: A prospective analysis over an 18-month period.  British Medical Journal  68, 13-7. Select to access the  abstract . Fletcher, G., Flin, R., McGeorge, P., Gla…

436. Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
     January 01, 2025 - Critical incident study collected information on reported adverse events in the work setting.

437. Linking Characteristics of High-Performing Hospitals With Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/etchegaray3-report.pdf
     January 01, 2024 - Linking Characteristics of High-Performing Hospitals With Patient Safety Linking characteristics of high-performing hospitals with patient safety Principal Investigator: Jason M. Etchegaray, PhD Mentor: Eric J. Thomas, MD, MPH The University of Texas Medical School at Houston and The University of Texas H…

438. Appendix A. Literature Review | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
     April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix A. Literature Review 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-…

439. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
     January 01, 2004 - A chemotherapy incident reporting and improvement system. … Description and outcomes of the DoctorQuality incident reporting system used at Baylor Medical Center

440. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
     March 11, 2005 - In contrast to many incident reporting systems, we do not ask users to categorize the type of event, … the severity of injury, or to supply other details related to incident taxonomies.