Results

Total Results: 2,353 records

Showing results for "incidents".

101. Patient Safety Concerns Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2019.xlsx
     January 01, 2019 - conditions reported by PSOs, and the extent of residual harm in patients who have experienced patient safety incidents

102. SOPS® Nursing Home Survey on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.pdf
     September 01, 2024 - Patient Safety (Version 1.0) In this survey, “resident safety” means preventing resident injuries, incidents … In this nursing home, we talk about ways to keep incidents from happening again ....

103. Train-the-Trainer Session: Implementation Classroom Slides | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/lep/traintrainers/lepslimp.html
     December 01, 2012 - Other information: Hospital incidents. Community patterns of bias or conflict.

104. Iowa’s Waverly Health Center Uses AHRQ Tools to Improve Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201526.html
     January 01, 2018 - One CUSP tool Waverly found most useful is the "Learn From Defects Tool," which helps reduce incidents

105. 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt1.pdf
     January 01, 2016 - Feedback and Communication About Incidents (average 85 percent positive). … ○ Feedback and Communication About Incidents—85 percent. … Feedback and Communication About Incidents 85% 3. … Feedback and Communication About Incidents 1. … In this nursing home, we talk about ways to keep incidents from happening again.

106. TeamSTEPPS® Helps St. Louis Hospital Keep C-Section Rate Low | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201904.html
     June 01, 2019 - Huddles help reduce communication errors and provide debriefing opportunities to learn from incidents

107. Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality
     www.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

108. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
     January 01, 2024 - Participants: This study involved a retrospective review of hospital reported incidents. … Conclusions: This application effectively captured incidents, actions, and follow-up of certain areas … The rate of incidents reported was relatively similar to other reports. … (PAWEs are defined as incidents that have the potential to cause serious, life- threatening, or fatal … Incidents were detected through retrospective review of nursing home records in 3- month segments,

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. Toolkit for Engaging Patients To Improve Diagnostic Safety  | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
     April 01, 2025 - Step 1: Prepare Your Organization Toolkit Infographic  (PDF, 743 KB) provides statistics about incidents

111. Nursing Home Survey on Patient Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/nh-survey.doc
     June 09, 2016 - Home Survey on Patient Safety In this survey, “resident safety” means preventing resident injuries, incidents … In this nursing home, we talk about ways to keep incidents from happening again (1 (2 (3 (4 (5

112. Nursing Home Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/infotransNHSOPS.pdf
     January 01, 2010 - Feedback & Communication About Incidents (More about this dimension: Typical errors/mistakes/incidents … In this nursing home, we talk about ways to keep incidents from happening again.

113. Identifying Barriers to the Success of a Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
     March 01, 2004 - Reasons for not reporting adverse incidents: an empirical study. J Eval Clin Pract 1999;5:13–21. … Additional responses regarding care providers’ experience and participation in the mandatory review of incidents … further evidence of limited endorsement of the current processes of reporting errors and reviewing incidents … providers see value in reporting minor events and potential precursors that could lead to more serious incidents … Reasons for not reporting adverse incidents: an empirical study.

114. Fall Dashboard Data 2024 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2024.xlsx
     January 01, 2024 - 3,088 62.8% 6,828 NOTE: The 'Injury' and 'No Injury' cells are calculated as the percentage of all incidents … procedure 0.4% 504 NOTE: The Activity Prior to Fall cells are calculated as the percentage of all incidents … Under 18 Unknown None 62.5% 15 NOTE: The Risk Factor cells are calculated as the percentage of all incidents … assisted Dislocation 0.5% 23 NOTE: The Type of Injury cells are calculated as the percentage of all incidents … 80 Yes Dislocation 0.6% 24 NOTE: The Type of Injury cells are calculated as the percentage of all incidents

115. Creating Standards for Communication and Resolution When Things Go Wrong | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-gallagher.html
     May 01, 2020 - career to addressing the best way to communicate with patients when things go wrong and learn from those incidents

116. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=42
     January 01, 2024 - of Care, Risk, Policy Fan CA , Hara-Hubbard KK , Barrington WE The experience of hate incidents … This article investigated the prevalence of hate incidents across racial and ethnic groups and the relationship … between race/ethnicity and hate incidents during the first year of the COVID-19 pandemic. … The authors concluded that the health community must research and treat hate incidents as a public health … The experience of hate incidents across racial and ethnic groups during the COVID-19 pandemic.

117. Medications Supplement Dashboard Data 2023 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medications_Supplement_Dashboard_Data_2023.xlsx
     January 01, 2023 - Med_4 Stage Event Originated by Incorrect Action - Incidents Med_5 Contributing Factors by … Incorrect Action - Incidents Med_6 Contributing Factor(s) Known by Age Med_7 Contributing … Med_4 Med_4: Extent of Residual Harm by Incorrect Action - Incidents Incorrect Action(s) Harm Frequency … Med_5 Med_5: Stage Event Originated by Incorrect Action - Incidents Incorrect Action(s) Stage event … Med_6 Med_6: Contributing Factors by Incorrect Action - Incidents Incorrect Action(s) Contributing

118. Tennessee Medical Center Uses AHRQ Tools to Reduce Infections, Medical Errors | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201710.html
     June 01, 2017 - If a CUSP team is retired and incidents creep up again, the team is reactivated.

119. 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

120. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     www.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