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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - Five EVENT TYPES can be reported as Incidents or Near misses. … Most HIT-RELATED DEVICE Incidents did not result in any harm. … (7 / 65,013) of Fall Incidents. … This figure includes Incidents where the EXTENT OF HARM was reported. … The proportion of Incidents with residual harm was highest
among Incidents originating with Purchasing
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
January 01, 2023 - Finally, while there is a recognized need to
collect data on Venous Thromboembolism Incidents, the … Four EVENT TYPES can be reported as Incidents, Near misses, or Unsafe conditions. … Surgery or Anesthesia event types can be reported as Incidents or Near misses. … (21,967 / 95,918) and 23.8% (7,335 / 30,843) of Incidents and Near misses, respectively. … Both near misses and unsafe conditions may occur more commonly in practice
than incidents.
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preventiveservices.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - including description of substance event, stage event originated, and type of substance involved for incidents … , near misses, and unsafe conditions, then further examines incidents and near misses along with their … including description of substance event, stage event originated, and type of substance involved for incidents … analyses that examine their contributing factors and preventability, as well as distribution by age group (incidents
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preventiveservices.ahrq.gov/npsd/data/dashboard/medication-supplement.html
September 01, 2023 - including description of substance event, stage event originated, and type of substance involved for incidents … , near misses, and unsafe conditions, then further examines incidents and near misses along with their
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
January 01, 2023 - harm)
3
FALLS
The Fall event type in CFER-H V1.2 is designed to collect information on Incidents … Among Fall Incidents, the majority of falls were experienced by adults aged 18-64 years (44.3%;
47,131 … For all 243,449 reported Fall Incidents: 7,523 (3.1%) indicated injury and residual harm to the
patient … For all 243,449 reported Fall Incidents: 7,523 (3.1%) indicated injury and harm to the patient
and … In the following analyses,
frequent combinations (patterns) of interventions for Fall Incidents with
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preventiveservices.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
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preventiveservices.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
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preventiveservices.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
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preventiveservices.ahrq.gov/npsd/data/dashboard/info.html
June 01, 2019 - Skip to main content
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preventiveservices.ahrq.gov/npsd/data/chartbook/index.html
September 01, 2023 - blood products, falls, devices and medical/surgical supply, medication and other substances, perinatal incidents
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preventiveservices.ahrq.gov/npsd/how-does-npsd-work/index.html
February 01, 2024 - Event Reporting can be used to report patient safety concerns, a term that includes patient safety incidents
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preventiveservices.ahrq.gov/diagnostic-safety/research/grants-2019.html
March 01, 2024 - Skip to main content
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preventiveservices.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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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
January 01, 2013 - Skip to main content
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preventiveservices.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
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preventiveservices.ahrq.gov/policy/electronic/privacy/infosecurity.html
August 01, 2018 - Skip to main content
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preventiveservices.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
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preventiveservices.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…
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preventiveservices.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 …
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
August 03, 2017 - Fall Prevention Toolkit
Fall Prevention Toolkit
Module 5 Tools
Tool 5A: Information to Include in Incident Reports
Tool 5B: Assessing Fall Prevention Care Processes
Action Plan Tool to Measure Fall Rates and Fall Prevention Practices
5A: Information To Include in Incident Reports
Background: The purpose of this tool…