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Showing results for "incident".

  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
    December 01, 2017 - Your team can identify defects from incident reports, liability claims, or sentinel events. … for Surgery What the CUSP Safety Team Needs To Do Take a defect identified in your clinical area (incident
  2. 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.
  3. www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
    April 01, 2013 - A medication look-alike incident led to an intervention in which education was conducted, medications
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
    May 01, 2017 - that occurred, teams reconstruct the timeline of the event by placing themselves in the midst of the incident
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
    November 01, 2012 - The estimated cost of a retained foreign object is estimated to be between $166,000 – $200,000 per incident
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
    October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Implementation Steps and Timeline The goal of On-Time is that a facility staff will incorporate the On-Time reports into day-to-day prevention activities and ensure multidisciplinary input into clinical intervention decisions. The Implementatio…
  7. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p007-2-ef.pdf
    November 01, 2015 - Transcranial Doppler (TCD) Ultrasonography Screening for Children with SCD; and Appropriate Antibiotic Prophylaxis Transcranial Doppler (TCD) Ultrasonography Screening for Children with Sickle Cell Disease Appropriate Antibiotic Prophylaxis for Children with Sickle Cell Disease Quality Measurement, Evaluation, …
  8. 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
  9. www.ahrq.gov/diagnostic-safety/research/index.html
    November 01, 2024 - Research on Diagnostic Safety and Quality Since 2007, AHRQ has invested in research to discover findings that advance the knowledge of diagnostic safety and to develop practical tools and resources to improve diagnostic safety. AHRQ funds research to better understand how diagnostic errors happen and what can b…
  10. www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
    January 01, 2024 - Final Progress Report: Impact of state policies on nursing home patient safety culture Title of Project: Impact of state policies on nursing home patient safety culture Principal Investigator: Yue Li, Ph.D., University of Rochester Team Members: Helena Temkin-Greener, Ph.D., University of Rochester Xueya Cai, Ph…
  11. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-nh_webcast-ginsberg.pdf
    July 01, 2018 - SOPS Nursing Home Survey: What You Need To Know - Caren Ginsberg, Ph.D. AHRQ’s Surveys on Patient Safety Culture™ (SOPS®) Program Caren Ginsberg, Ph.D. Center for Quality Improvement and Patient Safety, AHRQ Agency for Healthcare Research and Quality • AHRQ is: ► A research and science-based agency of the US De…
  12. www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-fact-sheet.html
    January 01, 2017 - Subglottic Secretion Drainage Endotracheal Tube Facts AHRQ Safety Program for Mechanically Ventilated Patients Did You Know? Continuous subglottic suctioning and frequent intermittent subglottic suctioning drainage of subglottic secretions, via a cuffed endotracheal tube, are associated with up …
  13. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/overview.html
    March 01, 2017 - Overview of the Long-Term Care Safety Toolkit Modules and Nursing Home Survey on Patient Safety Culture AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The Long-Term Care (LTC) Safety Toolkit is designed to support learning and implementation efforts to improve safety culture in LTC facilities.…
  14. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides1.html
    October 01, 2017 - Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed Slide Presentation Slide 1: Preventing Pressure Injuries in Hospitals ADD Name of Hospital Here Module 1–Understanding Why Change Is Needed Image: Cover of Preventing Pressure Ulcers in Hospitals Toolkit. Slide …
  15. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
    December 14, 2011 - Chart Abstraction Form Basic Elements Patient ID Race Ethnicity Gender Payer Preferred Language Age upon admission (YEARS) [e.g. for 12.5 year old, years = 12) Age upon admission (MONTHS) [ e.g. for 12.5 year old, months = 6] 1 White Non-Hispanic Female Medicaid English …
  16. 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
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiii.html
    June 01, 2010 - Tool or Measure Set: South Dakota Unusual Incident Reporting for People with Developmental Disabilities
  18. www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Appendix C. Article Exclusion List with Reason for Exclusion Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface Methods P…
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/healthplan-key-drive-diagram.pdf
    June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health Plan - Key Driver Diagram Transcranial Doppler Screening for Children with Sickle Cell Anemia Health Plan - Key Driver Diagram Key Drivers Strateg…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
    January 01, 2003 - Medical Injury Identification Using Hospital Discharge Data 119 Medical Injury Identification Using Hospital Discharge Data Peter M. Layde, Linda N. Meurer, Clare Guse, John R. Meurer, Hongyan Yang, Prakash Laud, Evelyn M. Kuhn, Karen J. Brasel, Stephen W. Hargarten Abstract Objective: Determine the feasi…

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