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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
January 01, 2017 - NO: Incident reports, occurrence screens, death
reviews, Global Trigger Tool
YES: Ask patients
Ask
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part II
Surveys on Patient Safety CultureTM (SOPS®)
Nursing Home Survey:
2023 User Database Report
Part II: Appendix A - Results by Nursing Home
Characteristics
Appendix B - Results by Respondent Characteristics
Prepared …
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - Important Communications
In the medical record, document the incident, outcome, and initial and ongoing … Notify the treating medical provider at the time of the incident, and schedule an interdisciplinary review … At handover, inform all clinical team members about the incident, any changes to the care plan, and possible … the capture of fall events in hospitals: combining a service for evaluating inpatient falls with an incident
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/sustainability.html
January 01, 2013 - You will need to decide who will calculate fall rates from incident reports and who will audit fall-related … Or the hospital may have migrated to a new incident reporting system, which improved staff adherence
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www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/focus-diagnostic-safety.html
March 01, 2023 - Skip to main content
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www.qualitymeasures.ahrq.gov/ncepcr/funding/index.html
April 01, 2024 - Skip to main content
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part I
SURVEYS ON PATIENT
SAFETY CULTURE
Nursing Home Survey:
2023 User Database Report
Surveys on
Patient Safety
Culture™
PATIENT
SAFETY
[This page intentionally left blank]
Surveys on Patient Safety CultureTM (SOPS®)…
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - EQUIPMENT DEVICE FAILURE
If applicable, was this incident reported to the FDA?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-december2016.pdf
January 01, 2016 - symptoms
RESPOND - de-escalation techniques
REPORT - how to notify, escalate, and properly document an
incident
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www.qualitymeasures.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
February 01, 2022 - Incident rates of change dropped by 11 percent for CAUTI and 10 percent for CLABSI but remained essentially
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www.qualitymeasures.ahrq.gov/teamstepps/events/webinars/dec-2016.html
July 01, 2018 - REPORT - how to notify, escalate, and properly document an incident.
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/877.html
August 01, 2023 - Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/introduction-overview.html
January 01, 2013 - Skip to main content
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/roadmap.html
January 01, 2013 - to learn about falls, fall-related injuries, and their causes
Tool 5A, Information To Include in Incident
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www.qualitymeasures.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…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report-rev091721.pdf
January 01, 2020 - When something happens that could
harm the patient, but does not, how often
is it documented in an incident … When something happens that could harm the patient, but does
not, how often is it documented in an incident … respondents who indicated that near-miss incidents were “Always” or “Most of the time”
documented in an incident … respondents who indicated that near-miss incidents were “Always” or “Most of the time”
documented in an incident … respondents who indicated that near-miss incidents were “Always” or “Most of the time”
documented in an incident
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - When something happens that could harm the patient, but
does not, how often is it documented in an
incident … When something
happens that could harm
the patient, but does not,
how often is it
documented in an incident … respondents who indicated
that near-miss incidents were “Always” or “Most of the time” documented in an incident … respondents who indicated that near-miss incidents were “Always” or “Most of the time”
documented in an incident … respondents who indicated that near-miss incidents were “Always” or “Most of the time”
documented in an incident
-
www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
April 01, 2018 - Skip to main content
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www.qualitymeasures.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
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www.qualitymeasures.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
…