Results

Total Results: 1,527 records

Showing results for "incidents".

121. 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

122. 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…

123. 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

124. 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

125. 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.

126. Children/Adolescents | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/childrenadolescents.html
     January 01, 2011 - Topic: Children/Adolescents Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs CAHPS Child Hospital Survey (Child HCAHPS) Toolkit Cente…

127. 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…

128. 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

129. 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

130. 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…

131. 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 …

132. 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 …

133. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/2014-final.html
     January 01, 2018 - As a result of the reduction in the rate of HACs, we estimate that approximately 798,000 fewer incidents … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014

134. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
     September 01, 2023 - medication or other substance eventsii – along with applicable interventions intended to prevent these incidents … judgement due to reporters’ different experiences and backgrounds; e.g., physicians tend to report incidents … that result in more severe harm to patients, such as death, while nurses are more likely to report incidents … small number of reports using the Common Formats for Event Reporting-Hospitals (CFER-H) that describe incidents

135. Grants to Enable Diagnostic Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
     January 01, 2021 - Grants to Enable Diagnostic Excellence 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 of Pre…

136. 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.

137. 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

138. 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. 

139. 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.

140. 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 …