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Showing results for "incident".

461. Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
     January 01, 2024 - Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery Program Director/Principal Investigator (Last, First, Middle): Martinez, Elizabeth A. Final Progress Report Title of Project: Organization of Care and Outcomes in Cardiac Surgery Principal Investigator: Elizabeth A. Martinez, MD, MHS T…

462. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
     June 01, 2023 - family reports identified five times as many errors and three times as many other adverse events as incident

463. Resident And Family Engagement: What is my role as a leader? | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/engage/leader.html
     March 01, 2017 - Resident And Family Engagement: What is my role as a leader? AHRQ Safety Program for Long-Term Care: HAIs/CAUTI What is resident and family engagement? Resident and family engagement is one component of person-centered care, a philosophy that recognizes residents as individuals and as partners…

464. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-factsheet.docx
     January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Did You Know? Continuous subglottic suctioning and frequent intermittent subglottic suctioning drainage of subglottic secretions, via a cuffed endotracheal tube, are associated with up to a 50 percent decrease in the incidence of gastric aspiration, a potential cause…

465. Overview (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/overview.docx
     March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Toolkit Modules Overview of the Long-Term Care Safety Toolkit Modules and Nursing Home Survey on Patient Safety Culture The Long-Term Care (LTC) Safety Toolkit is designed to support learning and implementation efforts to improve safety cult…

466. Community-Acquired Pneumonia in the Emergency Department Setting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_ed-pamphlet.pdf
     January 01, 2018 - Community-Acquired Pneumonia in the Emergency Department Setting Community-Acquired Pneumonia in the Emergency Department Setting Background on Community-Acquired Pneumonia Community-acquired pneumonia (CAP) is the eighth leading cause of death in the United States.1 Approximately 6 million cases are reported annua…

467. Diagnostic Stewardship in Action | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship6.html
     August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Diagnostic Stewardship in Action Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testing…

468. Final Progress Report: Weekend Effects and the July Phenomenon in Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdf
     January 01, 2024 - Final Progress Report: Weekend Effects and the July Phenomenon in Patient Safety --------------------------------------- Weekend Effects and the July Phenomenon in Patient Safety Final Research Report to AHRQ Principal Investigator: Joel S. Weissman, PhD February 6, 2006 Co-Investigators and Study Staff (i…

469. Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
     January 01, 2024 - Exposure to cockroach allergen in the home is associated with incident doctor-diagnosed asthma and recurrent

470. Nursing Home Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/infotransNHSOPS.pdf
     January 01, 2010 - Nursing Home Survey on Patient Safety Culture: Background and Information for Translators Agency for Healthcare Research and Quality (AHRQ) Nursing Home Survey on Patient Safety Culture Background and Information for Translators January 2010 Purpose and Use of This Document In this docum…

471. Preventing Pressure Injuries in Hospitals
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
     June 16, 2017 - Preventing Pressure Injuries in Hospitals Preventing Pressure Injuries in Hospitals ADD Name of Hospital Here Module 1 – Understanding Why Change Is Needed 1 Ice Breaker Describe an interesting fact about yourself. 2 Compelling Reasons To Implement Program Pressure injury rates continue to escalate. The inci…

472. Nursing Home SOPS Translation Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/international/nursing-home/translators.html
     October 01, 2014 - Nursing Home SOPS Translation Information This document provides information about the Agency for Healthcare Research and Quality (AHRQ) Nursing Home Survey on Patient Safety Culture to help translation team members develop a translation that conveys the same meaning as the original U.S. English version. Back…

473. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
     January 01, 2024 - participants generally recognized them, identified them as errors, indicated they should be documented via incident … kind of error, such diagnoses or treatment errors, there was no agreement about the nature of the incident

474. Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022 (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/castro-report.pdf
     January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022 Title Page – Final Progress Report Title: Diagnostic Error in Medicine Conference 2020-2022 Principal Investigator: Gerry Castro, PhD, MPH Team Members: 2022 Conference Chairs, Co-chairs and Planning Commitee members Andrew Olson…

475. Sustaining Pressure Ulcer Prevention Practices at Your Hospital (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar8_pu_sustainingpractices.pdf
     April 01, 2011 - Sustaining Pressure Ulcer Prevention Practices at Your Hospital Sustaining Pressure Ulcer Prevention Practices at Your Hospital Presented by Dan Berlowitz, M.D., M.P.H. Bedford VA Medical Center Boston University School of Public Health 2 Welcome! Thank you for joining this webinar about how to sustain pr…

476. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
     July 01, 2018 - Understand the Science of Safety Presentation Slides The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will …

477. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
     January 01, 2024 - visible processes that were faulty or failed,” domain is “the characteristics of the setting in which an incident … occurred and the type of individuals involved,” and cause is “the factors and agents that led to an incident … The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice.

478. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
     January 01, 2003 - Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations 259 Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations Robert R. Campbell, Douglas D. Bradham, Aurora S…

479. Final Progress Report: NYU Patient Imaging, Quality and Safety Laboratory (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/horwitz-report.pdf
     January 01, 2025 - Final Progress Report: NYU Patient Imaging, Quality and Safety Laboratory Final Progress Report to AHRQ Project Title: NYU Patient Imaging, Quality and Safety Laboratory Principal Investigator: Leora Horwitz, MD, MHS Team members: Project PIs Soterios Gyftopoulos, MD Danil Makarov, MD Eric Aaltonen, MD Saul Bleck…

480. Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
     January 01, 2024 - Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis Title: Topical Vancomycin for Neurosurgery Wound Prophylaxis Principal Investigator: Connolly, Edward Sander Team Members: Jared Knopman, MD - Site PI (Cornell) Emilia Bagiella, PhD - Site PI (Mount Sinai) Franklin Lowy, MD - Co-Investigato…