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Total Results: 1,162 records

Showing results for "incidents".

21. Addressing Violence in the Workplace Chat Conversation: NAA June 2023 Webinar (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-chat-062723.pdf
    June 27, 2023 - My #1 takeaway from Cammie's portoin was WPV incidents increased during the pandemic, which we have … Harrison to everyone: 2:53 PM When there is a WPV Program manager, do they also oversee the Type 3 incidents … Did reporting increase or violent incidents change? … efforts, the lost days are decreased, hence worker comp costs But still promoting more reporinig of all incidents … and others that addressed some of these concepts as well as planning for significant and critical incidents

22. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
    January 01, 2001 - Similarly, the severity of incidents shows an overall decline approaching statistical significance. … routine component of continuous quality improvement (CQI), most medical facilities track errors and incidents … information made available by increased reporting, it is subsequently believed that the severity of incidents … reports from the Multi- Service Inpatient Unit, the total number of reports filed, the severity of incidents … Evaluation of the severity of incidents reported showed 172 near misses (no impact on patient) among

23. Fall Dashboard Data 2023 (xls file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2023.xlsx
    January 01, 2023 - 64.5% 157,075 243,449 NOTE: The 'Injury' and 'No Injury' cells are calculated as the percentage of all incidents … 64.5% 157,075 243,449 NOTE: The 'Injury' and 'No Injury' cells are calculated as the percentage of all incidents … 25.8% 27,366 106,186 NOTE: The Activity Prior to Fall cells are calculated as the percentage of all incidents … NOTE: The Type of Injury cells are calculated as the percentage of all incidents within the Age Group … NOTE: The Type of Injury cells are calculated as the percentage of all incidents within the Age Group

24. AHRQ Safety Program for Perinatal Care: Team Check-Up Tool (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/team-checkup-tool.docx
    May 01, 2017 - communicate the project’s goals. 4 All team members can list the number of days between incidents

25. Engaging Patients To Improve Diagnostic Safety Toolkit Roadmap (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/02-pfe-road-map.pdf
    August 01, 2021 - Prepare Your Organization Orient leaders to the change Toolkit Infographic provides statistics about incidents

26. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
    January 01, 2024 - Participants: This study involved a retrospective review of hospital reported incidents. … Conclusions: This application effectively captured incidents, actions, and follow-up of certain areas … The rate of incidents reported was relatively similar to other reports. … (PAWEs are defined as incidents that have the potential to cause serious, life- threatening, or fatal … Incidents were detected through retrospective review of nursing home records in 3- month segments,

27. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
    January 01, 2003 - Cote et al.11 published a critical incident review of 90 pediatric sedation- related critical incidents … DeAnda and Gaba23 identified 132 unplanned incidents during 19 simulations using a modified critical … incident methodology (range = 3–14 incidents, mean = 6.9 incidents per simulation exercise). … In addition, the classes of incidents were similar to those identified previously by Cooper et al. … Unplanned incidents during comprehensive anesthesia simulation.

28. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
    April 09, 2004 - and report Advances in Patient Safety: Vol. 3 136 information on negative health outcomes and incidents … New York State Public Health Law 2805-l12 requires hospitals to report and investigate incidents of … The objective of the public health law and the regulations is to ensure that incidents are identified … of the reporting process - Determine if incident reporting works with QA - Improve the models of incidents … The statute further requires an investigation of a subset of these incidents to discern their root causes

29. SOPS Nursing Home Survey Items and Composite Measures (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/sops-nurse-home-items-06-16-21.pdf
    January 01, 2000 - Feedback & Communication About Incidents (Never, Rarely, Sometimes, Most of the time, Always, Does Not … In this nursing home, we talk about ways to keep incidents from happening again. B6.

30. SOPS Nursing Home Survey: What You Need To Know - Caren Ginsberg, Ph.D. (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-nh_webcast-ginsberg.pdf
    July 01, 2018 - scoring composites measures: − Overall Perceptions of Resident Safety − Feedback and Communication About Incidents

31. AHRQ Views: Biden Administration Tackles Financial Strains on Healthcare Consumers | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/892.html
    December 01, 2023 - Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents

32. Nursing Home Survey on Patient Safety (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nh-survey-06-16-21.doc
    June 16, 2021 - In this nursing home, we talk about ways to keep incidents from happening again (1 (2 (3 (4 (5 … In this survey, “resident safety” means preventing resident injuries, incidents, and harm to residents

33. Overview (doc file)
    ce.effectivehealthcare.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 - Feedback & Communication About Incidents Applying Safety Principles Senior Leader Engagement Teamwork

34. 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part I (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt1.pdf
    January 01, 2016 - Feedback and Communication About Incidents (average 85 percent positive). … ○ Feedback and Communication About Incidents—85 percent. … Feedback and Communication About Incidents 85% 3. … Feedback and Communication About Incidents 1. … In this nursing home, we talk about ways to keep incidents from happening again.

35. Nursing Home Survey on Patient Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nh-survey-06-16-21.pdf
    June 16, 2021 - Home Survey on Patient Safety In this survey, “resident safety” means preventing resident injuries, incidents … In this nursing home, we talk about ways to keep incidents from happening again ............

36. What is the NPSD’s Role in Quality and Patient Safety? | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/npsd/quality-patient-safety/index.html
    August 01, 2020 - definitions of patient safety events), the NPSD makes available a rich source of data regarding safety incidents

37. Nursing Home Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/infotransNHSOPS.pdf
    January 01, 2010 - Feedback & Communication About Incidents (More about this dimension: Typical errors/mistakes/incidents … In this nursing home, we talk about ways to keep incidents from happening again.

38. Identifying Barriers to the Success of a Reporting System (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
    March 01, 2004 - Reasons for not reporting adverse incidents: an empirical study. J Eval Clin Pract 1999;5:13–21. … Additional responses regarding care providers’ experience and participation in the mandatory review of incidents … further evidence of limited endorsement of the current processes of reporting errors and reviewing incidents … providers see value in reporting minor events and potential precursors that could lead to more serious incidents … Reasons for not reporting adverse incidents: an empirical study.

39. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
    March 01, 2002 - an easily accessible, confidential, Web-based reporting application for reporting patient-related incidents … However, they typically report incidents to nurses who enter the information. … report directly into this system, but they may ask nurses or other health care workers to report incidents … types and reasons could not be performed due to lack of access to charts and to persons reporting the incidents

40. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
    January 29, 2008 - They include 16 classes of patient safety incidents (Table 1). … Although various patient safety incidents could be caused by a number of factors, Leape’s taxonomy reflects … A more recent report6 suggests that almost 60 percent of all patient safety incidents include: failure … This report also suggests the most lethal patient safety incidents—or those most closely associated … Two widely used taxonomies for patient-safety incidents and medical errors AHRQ PSIs Leape Typology