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Total Results: 1,527 records

Showing results for "incidents".

101. Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies (pdf file)
     www.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

102. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)
     www.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

103. 114-Mrsa-Prevention-Learning-From-Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
     October 01, 2024 - This could include incidents that you believe caused patient harm or put patients at risk for significant

104. Diagnostic Stewardship in Action | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship6.html
     August 01, 2024 - While inappropriate transfusion may reflect mismanagement of a correctly diagnosed patient, such incidents

105. Artificial Intelligence Tool Shows Strong Performance in Predicting Patient Deterioration During Pandemic | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/922.html
     July 01, 2024 - Systematic review of types of safety incidents and the processes and systems used for safety incident

106. Physician and Staff Engagement: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
     March 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

107. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.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

108. Mercy Health Uses AHRQ's Patient Safety Culture Survey and TeamSTEPPS® to Enhance Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201411.html
     August 01, 2014 - Mercy also replaced patient beds to reduce incidents of pressure ulcers and to promote patient and staff

109. Learn from Defects Tool | Agency for Healthcare Research and Quality
     www.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

110. National Action Alliance Webinar June 18, 2024: Empowering Patient Voice in Safety Strategies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-june-2024.pdf
     January 01, 2024 - Children’s Snapshot Simplified View of our Journey Key Factors Serious Safety Event Rate Rate of DART Incidents

111. Mod03-Gap-Analysis-Guide (pdf file)
     www.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?

112. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
     January 01, 2025 - new online reporting system, Safety Event System (SES), was developed to collect medication-related incidents … Event System Methods: The Safety Event System (SES) was developed to collect medication related incidents … , with the plan to enhance it for all types of patient safety incidents in the future. … • Integrate SES with the risk management tools: SES will become the data collection tool for all incidents

113. Ambulatory Procedure/Surgery Center Survey on Patient Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.docx
     June 02, 2025 - Such prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient

114. Resource List - AHRQ Nursing Home Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - Feedback and Communication About Incidents ....................................... 3 Composite Measures … Feedback and Communication About Incidents 1. … Feedback and Communication About Incidents, #2, Safety Briefings and Safety Huddles SOPS Nursing Home … Tree supports the aim of creating an open culture, where employees feel able to report patient safety incidents … Feedback and Communication About Incidents 1. Provide Feedback to Frontline Staff 2.

115. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4a_pdi01-lacerationpuncture-bestpractices.pdf
     May 31, 2016 - puncture or laceration to patients.1 • Rates in children are high, ranging anywhere from 0.64 to 2.2 incidents

116. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4o_combo_pdi01-lacerationpuncture-bestpractices.pdf
     May 31, 2016 - puncture or laceration to patients.1 • Rates in children are high, ranging anywhere from 0.64 to 2.2 incidents

117. TeamSTEPPS Research/Evidence Base: Teams in Health Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/evidence-base/teams.html
     June 01, 2023 - Learning from safety incidents in high-reliability organizations: A systematic review of learning tools

118. Final Progress Report: Center for Safety In Emergency Care (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
     January 01, 2025 - direct observation, audio recordings, unstructured interviews, and analysis of accidents and critical incidents … served as a resource in cognitive psychology, with special interest in analysis and learning from incidents … turnovers in all four sites, supplemented by audio recordings in three sites, investigations of critical incidents

119. Chapter 5 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
     August 01, 2022 - will analyze trends and conduct aggregate causal analysis, but may also evaluate selected individual incidents … development of any public reporting program will include decisions regarding reporting of individuals incidents

120. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
     www.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