Results

Total Results: 1,513 records

Showing results for "incident".

441. How Does the NPSD Work? | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/how-does-npsd-work/index.html
     February 01, 2024 - How Does the NPSD Work? Information known as Patient Safety Work Product (PSWP) is developed by providers and AHRQ-listed Patient Safety Organizations (PSOs) . This information is submitted by PSOs to the Patient Safety Organization Privacy Protection Center (PSOPPC) using the AHRQ Common Formats for Event…

442. 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 …

443. Section 6-B, PMCoE PICU Expert Workgroup and Leadership Team Roster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-b-pmcoe-picu-expert-workgroup.pdf
     September 18, 2014 - Section 6-B, PMCoE PICU Expert Workgroup and Leadership Team Roster …

444. Section 6-B, Expert Workgroup Roster and Materials (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-b-expert-workgroup.pdf
     September 18, 2014 - Section 6-B, Expert Workgroup Roster and Materials …

445. 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…

446. Final Progress Report: Conference on Medical Error Communication and Dispute Resolution (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
     January 01, 2024 - Final Progress Report: Conference on Medical Error Communication and Dispute Resolution g/o/cbl/pew/conference/AHRQFinalReport11/19 Conference on Medical Error Communication and Dispute Resolution Carol B. Liebman, Principal Investigator Chris Stern Hyman, Co-Principal Investigator William Sage, Consultant/Adviso…

447. 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

448. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
     August 01, 2022 - Methods The key components of the Seven Pillars process include the following: Patient safety incident … The primary source of data was the UIHHSS incident reporting system, which was used to access records … comparison of means from the pre- to post-intervention period revealed increases in mean quarterly number of incident … grantee, “The crux of the program is that health care providers who injure a patient should report the incident … practical constraints arising from the liability insurer’s distance from the point of care,” “delays in incident

449. Diagnostic Safety Centers of Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
     February 01, 2025 - activities, including: Clinical programs to eliminate stroke misdiagnosis, New methods of diagnostic error incident

450. 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-…

451. 025-Ss-Why-Choose-Cusp-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/025-ss-why-choose-cusp-fg.docx
     April 01, 2025 - Clinician outcomes include incident reporting, burnout, and even staff turnover.

452. 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…

453. Recommended Infection Prevention Components of Quality Assessment and Performance Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/recommendedinfectionprev-components.pdf
     June 02, 2025 - Recommended Infection Prevention Components of Quality Assessment and Performance Improvement Recommended Infection Prevention Components of Quality Assessment and Performance Improvement The facility quality assessment and performance improvement program should implement ongoing and effective processes to …

454. Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health System - Key Driver Diagram (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/healthsystem-key-drive-diagram.pdf
     June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health System - Key Driver Diagram Transcranial Doppler Screening for Children with Sickle Cell Anemia Health System - Key Driver Diagram Key Drivers Strategies Global Aim To reduce the incidence of stroke in …

455. NPSD Chartbooks | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/data/chartbook/index.html
     February 01, 2025 - NPSD Chartbooks The Network of Patient Safety Databases (NPSD) Chartbooks provide an overview of the patient safety data captured in the NPSD through the AHRQ Common Formats for Event Reporting (CFER) and highlight patterns and trends in the data. The Chartbooks represent the results of analyses designed to c…

456. 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…

457. 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…

458. 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 …

459. 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…

460. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/references.html
     May 01, 2023 - Developing a patient safety incident classification system for primary care. … Patient safety in primary care: incident reporting and significant event reviews in British general practice