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Showing results for "incident".

  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-intro.html
    August 01, 2024 - The health system uses an anonymous incident reporting system, enabling employees to report potential
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt.pptx
    May 01, 2017 - Werner  111 Carletta  221 Safety training chart Date Revised Number of Procedures since last harm incident … Keep track of count of procedures since last harm incident each day update the board. … observations and any training or safety meetings HRET call 10 am Number of Procedures since last harm incident
  3. www.ahrq.gov/research/shuttered/acfselection/chapter2.html
    July 01, 2018 - Incident management structure required to integrate such facilities with the overall delivery of health … As such, these facilities must fit within the broader spectrum of medical and health care incident management … Medical and Health Incident Management System: A Comprehensive Functional System Description for Mass … Casualty Medical and Health Incident Management.
  4. www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
    January 01, 2025 - This study extends an ongoing parent study of incident primary dystonia in the Northern California Kaiser … Building on an ongoing study identifying incident cases of primary dystonia in the Northern California … Methods Overview We identified incident cases of primary dystonia and interviewed them to assess the … (1) Utilization-based Characterization of Diagnostic Error For each patient with incident dystonia, … Of these cases, 520 incident dystonia cases were contacted regarding the diagnostic error survey; 218
  5. www.ahrq.gov/prevention/chronic-care/decision/mcc/sood-grant.html
    September 01, 2015 - serum concentrations of adiponectin, a unique anti-inflammatory product of adipose tissue, predict both incident
  6. www.ahrq.gov/research/findings/studies/index.html?page=441
    January 01, 2024 - Information Technology (HIT), Quality of Care Brouwer ES , Moga DC , Eron JJ Evaluating the incident … user design in the HIV population: incident use versus naive? … HIV clinical cohort, the researchers aimed to quantify and describe the truly naïve patients in an incident … In their sample, they found that 34 percent of the Medicaid incident users were naïve based on medical … Evaluating the incident user design in the HIV population: incident use versus naive?
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-component-kit.docx
    May 01, 2017 - Werner  111 Carletta  221 Safety training chart Date Revised Number of Procedures since last harm incident … Keep track of count of procedures since last harm incident each day update the board. … observations and any training or safety meetings HRET call 10 am Number of Procedures since last harm incident
  8. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - This could include an incident that caused patient harm or put patients at risk for harm, such as a patient … Create a list of factors that contributed to the incident and identify whether they harmed or protected … Survey frontline staff involved in the incident to determine whether the plan has been implemented effectively … Create a list of factors that contributed to the incident and identify whether they harmed or protected … Survey frontline staff involved in the incident to determine whether the plan has been implemented effectively
  9. Facilitator-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
    March 01, 2017 - Providers report the incident to the unit manager, resident’s medical care provider, and the risk management … department according to the facility’s incident reporting policy … And remember, communication is an ongoing process that occurs from initial reporting of the incident … and any care the resident received as a result of the incident. … When an incident occurs, the facility should investigate and analyze it (for example, conduct a root
  10. www.ahrq.gov/news/newsroom/case-studies/ktcp316.html
    October 01, 2014 - During Suburban's drill, the Incident Command Module prompted important time parameters, such as beginning … also realized that the External Triage Zone used in the drill was much too small an area for a large incident
  11. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
    October 01, 2014 - Go beyond incident reports to help establish a revised care plan for falls that corresponds to the individual … You must go beyond an incident report to develop a revised care plan.
  12. www.ahrq.gov/patient-safety/reports/hotline/refs.html
    May 01, 2016 - Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant … Report a safety incident (Web site). London: National Health Service; 2015. … Available at www.nrls.npsa.nhs.uk/report-a-patient-safety-incident/ .
  13. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
    January 01, 2023 - Injuries were divided into three groups: No Injury where the incident did not result in physical injury … Residual harm is the extent of harm to the patient after discovery of the incident and after any attempts … For this figure, all Incident reports with EXTENT OF HARM reported are displayed as either No harm, Harm … For this figure, all Incident reports with EXTENT OF HARM reported are displayed as either No harm, Harm … For this figure, all Incident reports with EXTENT OF HARM reported are displayed as either No harm, Harm
  14. www.ahrq.gov/research/findings/studies/index.html?page=473
    January 01, 2024 - Technology (HIT), Web-Based Suri P , Boyko EJ , Goldberg J Longitudinal associations between incident … The researchers examined the association of incident lumbar MRI findings with two specific spine-related … symptom outcomes: 1) incident chronic bothersome lower back pain, and 2) incident radicular symptoms … Longitudinal associations between incident lumbar spine MRI findings and chronic low back pain or radicular
  15. www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - Providers must document in the medical record the facts of the incident and any intervention the patient … received as a result of the incident. … Next Steps in Responding to an Adverse Event 5  Say: When an incident occurs, the hospital will … A hospital committed to transparency offers an apology that the incident happened. … Health care workers hold themselves to very high standards, and when an incident happens, they should
  16. www.ahrq.gov/research/shuttered/acfselection/appendixc.html
    July 01, 2018 - Replacement (replacement of existing in-patient health care systems that have been directly affected by the incident … Did you set up an incident command system at your ACF?    ___  Yes   ___  No    1a.  … Was an Incident Action Plan (IAP) prepared?      ___  Yes   ___  No     2a.  … Did your command staff have National Incident Management System and/or Hospital Incident Command System … use as an ACF and whether or not the site is slated for other uses in the event of a mass casualty incident
  17. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
    March 01, 2017 - department according to the facility's incident reporting policy. … And remember, communication is an ongoing process that occurs from initial reporting of the incident … Document in the medical record the facts of the incident and any care the resident received as a result … of the incident. … When an incident occurs, the facility should investigate and analyze it (for example, conduct a root
  18. www.ahrq.gov/patient-safety/capacity/candor/modules/guide4/ape.html
    February 01, 2017 - Event Investigation and Analysis Guide: Appendix E As you may know, a patient care incident
  19. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.html
    July 01, 2023 - disseminate it to the entire senior leadership team and board, create a process to investigate each incident
  20. www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
    January 01, 2024 - selected from the cohort, four prescribed opioid dose trajectories during the 6 months before the incident … that, between 2006 and 2016, adults aged ≥65 years had the largest increase of all age groups in incident … agencies to define ORAEs.19,20 Consistent with prior studies,1,21 when identifying patients with incident … Conclusions for Aim 1: • Four prescribed opioid dose trajectories during 6 months before the incident … Trends in prior receipt of prescription opioid or adjuvant analgesics among patients with incident opioid

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