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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/research/grants-2019.html
March 01, 2024 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - Overcoming Barriers and Taking Next Steps
Conclusion
References
Learning From Known Incidents … While research has examined the predictive validity of NLP algorithms for detection of safety incidents
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ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhacrate2014.html
January 01, 2018 - As a result of the reduction in the rate of HACs, we estimate that approximately 790,000 fewer incidents … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014
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ce.effectivehealthcare.ahrq.gov/teamstepps/events/webinars/dec-2016.html
July 01, 2018 - Fear and Anxiety
Slide 32: Rational Detachment
Slide 33: Scenario #1
Slide 34: 10 Ways to Defuse Incidents … Return to Contents
Slide 34
10 Ways to Defuse Incidents
Respect all individuals' personal
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
January 01, 2017 - References
Summary
Continuous or frequent intermittent suctioning of subglottic secretions, via an endotracheal tube (ETT) specially designed with a dorsal lumen to accommodate this, is associated with up to a 50 percent decreased incidence of aspiration and ventilator-associated pneumonia (VAP). Guidelines support …
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb2txt.html
December 01, 2017 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/engage/references.html
May 01, 2023 - Contributory factors to patient safety incidents in primary care: protocol for a systematic review. … The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and … Multimorbidity and patient safety incidents in primary care: a systematic review and meta-analysis. … Safety incidents in the primary care office setting. Pediatrics 2015;135(6):1027-35. … Responding to patient safety incidents: the “seven pillars.”
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-december2016.pdf
January 01, 2016 - TEAMSTEPPS 05.2Mod 1 05.2 Page 34
TeamSTEPPS®
Slide 34
Reducing Workplace
Violence
10 Ways to Defuse Incidents … Scenario #1
10 Ways to Defuse Incidents
Scenario #2
Joy and Meaning of Work
Summary
Slide Number
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ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/team-checkup.html
December 01, 2012 - the project's goals.
4
All team members can list the number of days between incidents
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ce.effectivehealthcare.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
January 01, 2021 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
January 01, 2002 - Infusion Devices
329
Relationship between studies of devices
and adverse event reports
Adverse incidents … Cook, et al.8 and Cook and Woods9 provide examples of
adverse drug infusion incidents involving these … Attempts have been
made to create adverse event reporting systems to capture and analyze incidents … Features of
infusion device related incidents revealed by
systematic analysis of an incident reporting
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-slides.html
February 01, 2017 - Development of an evidence-based framework of factors contributing to patient safety incidents in hospital … Development of an evidence-based framework of factors contributing to patient safety incidents in hospital
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ce.effectivehealthcare.ahrq.gov/teamstepps/evidence-base/anesthesiology.html
July 01, 2015 - Anesthesia crisis resource management training: Teaching anesthesiologists to handle critical incidents
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/abraham-report.pdf
January 01, 2024 - Final Progress Report: Gastrointestinal Safety of Antithrombotic Drug Regimens
1
Project Title: Gastrointestinal Safety of Antithrombotic Drug Regimens
Grant Number: 5RO1HSO25402-04
Principal Investigator: Neena S. Abraham, MD
Team Members:
Xiaoxi Yao, PhD
Nilay Shah, PhD
Peter Noseworthy, MD
Jeph Herrin, Ph…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
January 01, 2024 - Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications
R01 HS18372: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications
AHRQ Grant Final Progress Report
Title of Project: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safet…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2019-nhsops-dbreport-parti-rev091721.pdf
January 01, 2019 - Feedback and communication about
incidents
Staff discuss ways to keep residents safe, tell
someone … if they see something that might harm a
resident, and talk about ways to keep incidents from
happening … Feedback and Communication About
Incidents
85% 9.39% 54% 72% 79% 86% 92% 96% 100%
3. … Feedback and Communication About Incidents
When staff report something that could harm a resident,
someone … (B4)
83% 10.46% 46% 69% 76% 84% 91% 95% 100%
In this nursing home, we talk about ways to keep
incidents
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
January 01, 2013 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar5_falls_measuringratespractices.pdf
January 01, 2013 - Measuring Fall and Fall-Related Injury Rates and Prevention Practices
Measuring Fall and
Fall-Related Injury Rates
and Prevention Practices
Presented by
Julia Neily, RN, M.S., M.P.H.
Veterans Health Administration
National Center for Patient Safety
Welcome!
Thank you for joining this
webinar about how to…
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201904.html
June 01, 2019 - Huddles help reduce communication errors and provide debriefing opportunities to learn from incidents
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/refs.html
May 01, 2016 - Learning from patient-reported incidents. J Gen Intern Med2005 Sept; 20(9):830–6. 31.