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Showing results for "incidents".

121. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
     March 10, 2008 - depressants and anesthetics, numerator inclusion Y70.0 Anesthesiology devices associated with adverse incidents … , diagnostic and monitoring devices Y70.1 Anesthesiology devices associated with adverse incidents … therapeutic (nonsurgical) and rehabilitative devices Y70.2 Anesthesiology devices associated with adverse incidents … implants, materials, and accessory devices Y70.3 Anesthesiology devices associated with adverse incidents … , materials and devices (including sutures) Y70.8 Anesthesiology devices associated with adverse incidents

122. Chapter 3. Data Collection and Analysis Using TRIPS | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
     December 01, 2017 - Even in "found on floor" incidents, staff should brainstorm together to determine likely causes.

123. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/ref.html
     June 01, 2010 - The term is used broadly to encompass the terms "critical incidents," "sentinel events," and "adverse

124. Cover slide
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
     May 01, 2013 - Responding to patient safety incidents: the ‘seven pillars.’ Qual Saf Health Care 2010;19:e11. 

125. 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results.pdf
     January 01, 2025 - Learning (e.g., the nursing home looks for ways to improve resident safety and makes changes to prevent incidents … There is a learning culture that actively looks for ways to improve resident safety and prevent incidents … (Item A8) This nursing home makes changes to prevent the same incidents from happening again.

126. References (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
     January 01, 2017 - References Summary Continuous or frequent intermittent suctioning of subglottic secretions, via an endotracheal tube (ETT) specially designed with a dorsal lumen to accommodate this, is associated with up to a 50 percent decreased incidence of aspiration and ventilator-associated pneumonia (VAP). Guidelines support …

127. Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
     January 01, 2024 - Methods: We improved the existing mechanism for data collection on incidents of medication use variance … Methods In keeping with AHRQ’s goals, our study design included the following: (1) Data collection on incidents

128. 129-Ss-Blank-Lfd (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
     April 01, 2025 - This could include incidents, such as a surgical site infection (SSI), that you believe caused patient

129. Understand the Science of Safety Module Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
     July 01, 2018 - Understand the Science of Safety Module Alternate Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The "Understand the Science of Safety" module of the CUSP Toolkit. The CUSP toolkit is a modular approach to pat…

130. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
     January 01, 2024 - The response of anesthesia trainees to simulated critical incidents. … Critical incidents associated with intraoperative exchanges of anesthesia personnel. … The impact of minor perioperative anesthesia-related incidents, events, and complications on post-anesthesia … The role of experience in the response to simulated critical incidents. … Errors, incidents, and accidents in anaesthetic practice.

131. AHRQ Information Security and Privacy Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/policy/electronic/privacy/infosecurity.html
     August 01, 2018 - AHRQ Information Security and Privacy Program This page provides an overview of AHRQ's Information Security and Privacy Program and requirements for protecting against information technology threats and vulnerabilities. The AHRQ Information Security and Privacy Program fosters an enterprise-wide secure and tr…

132. Measuring Pressure Ulcer Rates and Prevention Practices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar7_pu_measuringrates.pdf
     April 01, 2011 - Measuring Pressure Ulcer Rates and Prevention Practices Measuring Pressure Ulcer Rates and Prevention Practices Presented by Karen Zulkowski, D.N.S., RN Montana State University 2 Welcome! Thank you for joining this webinar about how to measure pressure ulcer rates and prevention practices. A Little…

133. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
     April 04, 2008 - form for reporting and a taxonomy that encourages feedback on solutions to specific patient safety incidents … human beings who have their own unique viewpoints and past experiences that color their perception of incidents … incident reporting system into an electronic patient record significantly increased the number of incidents

134. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
     May 06, 2008 - Too few incidents make it through the paper-based reporting process, and it is nearly impossible to … Also, incidents tended to be viewed as a means of determining fault, rather than as a way to uncover … This will allow us to review incidents by clinical condition and to pull in full patient demographic

135. Final Progress Report: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
     January 01, 2024 - Common symptoms reported via PCONES include Pain (89 incidents reported), Difficulty swallowing (34 … incidents), Nausea (23 incidents), and Fatigue (20 incidents). … during their enrollment period. 10 CaPSLL Final Report December 27, 2023 Additionally, 18 incidents

136. 162-Example-Completed-Learning-Defects-Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
     October 01, 2024 - This could include incidents that you believe caused patient harm or put patients at risk for significant

137. IV. Evaluation Aims, Methods, and Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/eval4.html
     May 01, 2016 - scheme for event type, harm, and duration of harm. o Of the 37 reported events, 23 were classified as “incidents … ,” that is, patient safety events that reached a patient. p   Some incidents result in patient harm, … and some do not. q As shown in Table 4.4 , about half of the reported incidents (n=12) resulted in … quarter (n=5) resulted in moderate harm, s as classified by the physician reviewers. t None of the incidents

138. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
     December 01, 2017 - progress and offer assistance CAUTI Team Unit Meetings: Quarterly Perform analysis of CAUTI incidents … Catheter alternatives are used on a regular basis Infection Control reports less investigation of CAUTI incidents

139. Final Progress Report: Reducing the Risk of Preventable Postpartum Lower Extremity Nerve Injuries (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/toledo-report.pdf
     January 01, 2025 - Final Progress Report: Reducing the Risk of Preventable Postpartum Lower Extremity Nerve Injuries Title Page Title of Project: Reducing the risk of preventable postpartum lower extremity nerve injuries Principal Investigator and Team Members: Paloma Toledo, MD, MPH; William A. Grobman, MD, MBA; Julia Lee, PhD; …

140. Table 4.1. Number of Incident Cases and Average Annual Age-Adjusted Incidence Rates for Invasive Colorectal Cancer in Lehigh Valley, Pennsylvania, by County and Sex, 2002-2006 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-1.html
     April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests Table 4.1. Number of Incident Cases and Average Annual Age-Adjusted Incidence Rates for Invasive Colorectal Cancer in Lehigh Valley, Pennsylvania, by County and Sex, 2002-2006 Previous Page Next Page Table of Contents Health Care Sys…