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Showing results for "incidents".

81. Team Checkup Tool | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/team-checkup-tool.html
    July 01, 2023 - the project’s goals.           4 All team members can list the number of days between incidents

82. Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
    January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety Title: VTE Safety Toolkit: A Systems Approach to Patient Safety Principal Investigator: Brenda K. Zierler, PhD1 Team Members: Ann Wittkowsky, PharmD2 Robb Glenny, MD3 Seth Wolpin, PhD1 Jung-Ah Lee, MN1 Gene Peterson, MD, PhD3 Fre…

83. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
    April 21, 2008 - The main method used to report incidents consists of a paper incident report, which is completed by the … Incident types include medication errors, falls, procedure-related incidents, patient care-related incidents … , treatment-related incidents, equipment- related incidents, lost/broken patient articles, and other. … reported that, although labeling near misses in the pharmacy as “interventions” rather than as reportable incidents

84. Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
    August 01, 2022 - These projects sought to understand how health care providers can best communicate medical errors and incidents

85. Learn from Defects Tool | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/learn-defects.html
    December 01, 2012 - This could include incidents that you believe caused patient harm or put patients at risk for significant

86. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
    January 01, 2017 - SAY: Industries and companies that have higher levels of staff engagement have fewer safety incidents … meta-analysis conducted in 2012 by Gallup, the same New York Times article reported 48 percent fewer safety incidents

87. Appendix III (continued) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiid.html
    June 01, 2010 - by State Respondent: N/A Mode of Data Collection: N/A Total Items/indicators: Six categories of incidents … Testing: Field tested only Summary: Participating States provide information concerning the number of incidents … States may provide required data via NCI form titled "NCI Protocol for Reporting Incidents: Abuse and … *States are NOT identified in the final Incidents report, which is used for internal project purposes

88. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
    January 01, 2004 - Critical incident studies in anesthesia have found that around 80 percent of reported incidents involve … assessment and giving feedback; only if video recordings are available; to debrief/discuss critical incidents … Errors, incidents and accidents in anaesthetic practice. An analysis of 2,000 incident reports. … Anesthesia crisis resource management training: teaching anesthesiologists to handle critical incidents

89. Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
    January 01, 2004 - The issues discussed included what types of incidents were of concern (e.g., any spontaneous mention … personnel includes a clearly defined chain of responsibility,” “follow-up procedures are defined,” and “incidents … incident 2.4 3.5 A documentation form is individually created by the site/program 3.2 2.875 Incidents … are documented in the progress note 5 4.625 Incidents are documented in a computer system designed

90. Pf-Engagement-Facilitator-Guide (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Engage Patients and Families for Perinatal Safety Engage Patients and Families for Perinatal Safety SAY: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand what is happening during the patient’s hospi…

91. Section 5.A, Table 4 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-5a.pdf
    December 01, 2013 - Section 5.A, Table 4                                                                                                 Q‐METRIC Sickle Cell Disease Measure 3: Appropriate Antibiotic Prophylaxis for Children with Sickle Cell Disease Graphics for Section V. …

92. AHRQ Information Security and Privacy Program | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policy/electronic/privacy/infosecurity.html
    August 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

93. Ten Considerations for Easing the Transition to a Web-based Patient Safety 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/Ulep.pdf
    January 01, 2004 - After 1 year of use, HFHS executives saw a 200 percent sustained increase in reported incidents across … management education for management-level staff who will be reviewing and investigating reported incidents

94. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
    ce.effectivehealthcare.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 - In 1998, Bhasale, et al.,9 found that of 805 incidents reported in general practice settings in Australia … In practice, many incidents included aspects of both, and the distinction was difficult to make based

95. Toolkit for Engaging Patients To Improve Diagnostic Safety  | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
    July 01, 2022 - Step 1: Prepare Your Organization Toolkit Infographic  (PDF, 743 KB) provides statistics about incidents

96. Mod03-Gap-Analysis-Guide (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
    April 01, 2016 - Reporting of incidents, occurrences, or complaints b. Complaint/grievance management c. … Is a risk manager available at all times to respond to patient safety incidents? … Is a risk manager available at all times to respond to patient safety incidents?

97. Module 5: How To Measure Fall Rates and Fall Prevention Practices (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
    June 30, 2017 - Module 5: How To Measure Fall Rates and Fall Prevention Practices Module 5: How To Measure Fall Rates and Fall Prevention Practices Module Aim The aim of this module is to support your efforts to measure and monitor fall rates and fall prevention practices. Module Goals The goals of Module 5 are to have the Implementa…

98. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
    January 01, 2016 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices Module 5: How To Measure Pressure Injury Rates and Prevention Practices Module Aim The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices. Module Goals The goals of …

99. Generic Dashboard Data 2023 (xls file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
    January 01, 2023 - conditions reported by PSOs, and the extent of residual harm in patients who have experienced patient safety incidents … by Event Type, Age, and Gender Event Type Age Group (condensed) Gender Extent of Harm Count Total Incidents

100. Making Healthcare Safer Practices: 16. Venous Thromboembolism (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
     March 01, 2020 - Making Healthcare Safer Practices: 16. Venous Thromboembolism Venous Thromboembolism 16-1 16. Venous Thromboembolism Eleanor Fitall, M.P.H., and Kendall K. Hall, M.D., M.S. Introduction Background Venous thromboembolism (VTE) is a disorder that includes deep vein thrombosis (DVT) and pulmonary embolism (PE). …