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Total Results: over 10,000 records

Showing results for "incident".

8881. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49819/psn-pdf
      February 01, 2018 - In the above case, a positive outcome of the incident was the decision to leverage graduate medical

8882. The Wrong Channel | PSNet
      psnet.ahrq.gov/web-mm/wrong-channel
      February 01, 2003 - compared the error rates seen under direct observation with those reported through the institution’s incident

8883. The Forgotten Line | PSNet
      psnet.ahrq.gov/web-mm/forgotten-line
      March 11, 2011 - The incident was reported and investigated, revealing several contributing factors.

8884. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet
      psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
      March 25, 2020 - The Commentary By Christian Bohringer MD This incident describes a common type of adverse drug

8885. AHRQ Safety Program for Perinatal Care: Sample Scenario for Shoulder Dystocia In Situ Simulation (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_shoulder-dystocia.docx
      May 01, 2017 - Facilitator allows the baby to be delivered without further incident.

8886. Sample Scenario for Shoulder Dystocia In Situ Simulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-shoulder-dystocia.html
      July 01, 2023 - Facilitator allows the baby to be delivered without further incident.

8887. Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
      August 01, 2023 - support or counseling) available for staff to help them work through the potentially traumatizing incident

8888. Part 2: Trends in Priorities of the Heckler Report—Care for Diabetes | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-diabetes.html
      June 01, 2018 - long-term complications per 100,000 population, age 18 and over Worse No Change Adjusted incident

8889. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
      July 01, 2022 - Using An Anonymous Web-based Incident Reporting Tool to Embed the Principles of a High Reliability Organization

8890. Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
      January 01, 2024 - Incident data report: Associated injuries, falls.

8891. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/098-cusp-why-choose-cusp-approach.pptx
      October 01, 2024 - hemorrhage Respiratory failure or puncture/laceration Treatment errors Healthcare worker outcomes12,13 Incident

8892. Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-fac-guide.html
      February 01, 2017 - The better a hospital’s safety culture, the better the incident reports tend to be.

8893. NAA National Webinar August 2024 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-august-2024.pdf
      January 01, 2024 - Safety • Fatigue • Moral Injury • Patient Safety/Worker Safety Relationship and Continuum • Post Harm Incident-Care

8894. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33881/psn-pdf
      August 01, 2019 - In most cases, we're not looking at things that fail in the sense there's an accident or an incident

8895. One Dose, Fifty Pills | PSNet
      psnet.ahrq.gov/web-mm/one-dose-fifty-pills
      January 13, 2021 - October 25, 2023 Self-Reported Learning (SRL), a voluntary incident reporting system

8896. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33626/psn-pdf
      January 01, 2006 - We also had another incident where one team member present during a surgery felt empowered to actually

8897. Haste Makes Care Unsafe | PSNet
      psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
      January 07, 2015 - The remainder of the CABG was completed without incident, and the patient was weaned off cardiopulmonary

8898. NHC Data Collection
      meps.ahrq.gov/data_stats/nhc_data_collection.shtml
      January 01, 2001 - . * HB - The HB collects information on incident conditions and hospital stays and

8899. A Seasonal Care Transition Failure | PSNet
      psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
      June 01, 2016 - Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis

8900. Ch 9-User-Guide-To-Ocer 130129 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/ch_9-user-guide-to-ocer_130129.pdf
      September 21, 2012 - new user design trades precision for a reduction in confounding bias by restricting the study to incident