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Showing results for "incident".

81. 2021 National Healthcare Quality and Disparities Report: Executive Summary (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
    January 01, 2021 -  From 2001 to 2018, the incident rates of end stage renal disease due to diabetes decreased 48% … among non-Hispanic American Indian and Alaska Native, Black, and White populations, with respective incident … Executive Summary  Similarly, the incident … Despite these gains, incident rates in 2018 in Hispanic communities were still more than double the

82. Making It Work Tip Sheet: Engaging Physicians in Preventing CLABSI and CAUTI (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-physicians.pdf
    April 01, 2022 - • When an unprofessional incident occurs, identify a peer (e.g., attending to attending, resident … Smith about this incident?

83. Notification of Breach Routine Use Language | Agency for Healthcare Research and Quality
    www.ahrq.gov/policy/electronic/privacy/pii.html
    October 01, 2014 - As required by the memoranda, to comply with the "Incident Reporting and Handling Requirements," all

84. CEO and Senior Leader Checklist | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/ceo-snr-leader-chcklst.html
    December 01, 2012 - disseminate it to the entire senior leadership team and board, create a process to investigate each incident

85. Approaches to Address Health Risks for Older Adults
    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
    March 15, 2025 - department visits, more hospitalizations, higher costs, and for some subsets of the population more incident … 20154 74% increase in emergency department visits due to OUD/OD, 2010-20154 14.2-fold increase in incident … Trends in prior receipt of prescription opioid or adjuvant analgesics among patients with incident opioid … for chronic pain Key exposures Pain status Uncontrolled pain High-impact pain Outcome Risk for incident … misuse (use without a prescription or for reasons or in ways other than as prescribed), leading to incident

86. Team Checkup Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/team-checkup-tool.html
    July 01, 2023 - quality improvement skills on our team.           7 We perform a unit analysis for each incident

87. Development and Implementation of The University of Texas Close Call Reporting System (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
    March 01, 2004 - The ASAP form asks the reporter to categorize the incident by human-factors categories, as opposed … Anderson’s incident reports, as well as the background and demographic questions included in the reports … An incident reporting system: documented at the point of service. … Confidential incident reporting systems create vital awareness of safety problems. … Supporting the analysis of human error in national and international incident reporting schemes.

88. Infection Checklist | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/infection-checklist.html
    December 01, 2012 - Work with unit teams to investigate each incident and report the findings across the institution.  

89. AHRQ Safety Program for Perinatal Care: CEO/Senior Leader Checklist (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/senior-leader-checklist.docx
    May 01, 2017 - disseminate it to the entire senior leadership team and board, create a process to investigate each incident

90. Protocol - Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/sleep-apnea-protocol.pdf
    June 09, 2020 - interventions are not first line treatments, are not a direct comparator to CPAP for the majority of incident … clinical outcomes o Major clinical outcomes  Death  Cardiovascular and cerebrovascular events or incident … cardiovascular severity (categorized, not continuous measures such as intima media thickness) • Incident … hypertension (or regression to normotension) • Arrhythmias • Incident arrhythmias (or resolution of … measure(s) with outcome(s) o Patient-level association between change in measure and change or incident

91. Sensemakingnotes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
    June 02, 2025 - discovered, · Determine the number of barriers or critical control points that were breached before the incident … involved in the occurrence, and · Document (a) the actions taken to reduce the unfavorable outcome of the incident … and (b) the recovery actions staff took following the discovery of the incident. … Staff members are responsible for investigating the causes of an incident or near-miss event, generally … When the Eindhoven Model of analysis is completed, there should be three to seven root causes for each incident

92. West Virginia University Uses AHRQ's Patient Safety Culture Survey to Improve Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/cquips0902.html
    October 01, 2014 - Projects and procedures that have been developed include the following: Method for easier incident

93. Appendix C4: Fax Alert Sample | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt4.html
    December 01, 2017 - Please call the Falls Nurse Coordinator if you have any questions about the incident or suggestions for

94. Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
    January 01, 2024 - inefficiencies in structures and processes for learning, and 4) limited role of senior leaders in incident … Implementing a design for continuous organizational learning based on incident reporting will remain … above, redesigning the organizational elements of hospitals to facilitate continuous learning from incident … participation (e.g., % of employees reporting incidents during a month), time (e.g., lag between when an incident … insurance premiums to healthcare organizations that demonstrably improve patient safety or making data incident

95. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
    January 01, 2007 - Fischer, et al.,10 reviewed incident reports from eight primary care clinics affiliated with an academic … Reporters were asked to describe in free text the concern or incident and any actions taken. … After each incident had been analyzed and peer review completed, the QI director assigned a primary … of the type of error according to the new classification, in addition to describing the concern or incident … Analysing potential harm in Australian general practice: An incident-monitoring study.

96. Addressing Violence in the Workplace Chat Conversation: NAA June 2023 Webinar (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-chat-062723.pdf
    June 27, 2023 - There seems to be an increasing incident of violence in the ambulatory care areas. … to everyone: 2:49 PM Have you examined opportunities to partner with law enforcement Critical Incident … mike to everyone: 2:56 PM May I suggest that the CISM programs be the complete program of pre-incident … from Bobby Hawkins to everyone: 2:56 PM We recently provided Critical Incident Mitigation for Healthcare … They discussed how to identify certain threatening characteristic traits prior to the onset of a WPV incident

97. Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
    January 01, 2025 - studied how syringes are used, stored, and moved within an operating room (OR) and the limitations of incident … Understanding the limitations of incident reporting in medication errors.

98. Final Progress Report: Developing an HIV-Specific Prevention Index Using the Electronic Medical Record (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/meenan-report.pdf
    January 01, 2025 - Higher DMI scores for blood pressure were associated with lower incident disease and care  utilization … Days from HIV dx to 1st pneumovax Incident cases only ‐1000 ‐500 0 500 1000 1500 2000 2500 3000 …  cases occurred within 500 days of the incident HIV  diagnosis.  … Hepatitis A: Days from HIV dx to 2nd vaccination (complete) (Incident cases only) ‐500 0 500 1000 … Models used to test hypotheses for each service specified a Poisson  distribution for incident outcomes

99. AHRQ Safety Program for Perinatal Care: Team Check-Up Tool (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/team-checkup-tool.docx
    May 01, 2017 - of quality improvement skills on our team. 7 We perform a unit analysis for each incident

100. Appendix B24: Letter to Primary Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb24.html
     December 01, 2017 - coordinator" and key members of a team that will implement the program in the facility A new computerized incident