Results

Total Results: 1,450 records

Showing results for "incidents".

101. 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?

102. 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.

103. 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

104. 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

105. 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

106. Appendix B2: Tracking Record for Improving Patient Safety TRIPS (Text Description) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb2txt.html
     December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B2: Tracking Record for Improving Patient Safety TRIPS (Text Description) Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities C…

107. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
     January 01, 2024 - as well as the ability to accurately capture potential occurrences or near misses, and why actual incidents … the information provided by the quarterly reports helps to accurately organize various categories of incidents

108. References | Agency for Healthcare Research and Quality
     www.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.

109. 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

110. 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

111. 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

112. 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

113. 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

114. Dashboard Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/data/dashboard/info.html
     June 01, 2019 - Dashboard Information NPSD Dashboards display data that follow the Common Formats for Event Reporting – Hospital Version (CFER-H) definitions of Adverse Events, i.e., the Common Formats Event Descriptions. There are 10 CFER-H modules: one Generic module applies to all reported events, and nine event-specific mo…

115. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/guides/implguide-refs.html
     October 01, 2015 - A nurse-driven Foley catheter removal protocol proves clinically effective to reduce the incidents of

116. Learndefects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
     June 02, 2025 - This could include incidents that you believe caused patient harm or put patients at risk for significant

117. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
     October 01, 2014 - Preventing Pressure Ulcers in Hospitals 5. How do we measure our pressure ulcer rates and practices? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are …

118. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
     October 01, 2014 - Preventing Pressure Ulcers in Hospitals 5. How do we measure our pressure ulcer rates and practices? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are …

119. Diagnostic Safety Grants Awarded in FY 2019 | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/research/grants-2019.html
     March 01, 2024 - Diagnostic Safety Grants Awarded in FY 2019 Congress authorized $2 million in fiscal year 2019 for AHRQ to initiate a research agenda to understand and solve the problem of diagnostic errors. In 2019, AHRQ awarded the four grants below that will more precisely define the scope of diagnostic errors. Utility o…

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