Results

Total Results: 1,527 records

Showing results for "incidents".

  1. Data Measures Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
    January 01, 2017 - Data Measures Guide AHRQ Safety Program for Mechanically Ventilated Patients Data Measures Guide AHRQ Pub. No. 16(17)-0018-6-EF January 2017 Data Measures Guide Introduction ....................................................................................................................…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Summary Report AHRQ Safety Program for Perinatal Care Summary Report Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20850 www.ahrq.gov Contract No. HHSA290201000024I …
  3. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 4. How Do We Implement Best Practices in Our Organization? (continued) 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.…
  4. www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 4. How Do We Implement Best Practices in Our Organization? (continued) 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.…
  5. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
    January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 3. Results Previous Page Next Page Table of Contents Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction 2. Methods 3. Results 4. Discussion References Appe…
  6. www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
    January 01, 2024 - Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) Final Report to Agency for Healthcare Research and Quality Title of Project: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) Principal Investigator: Jeffrey L. Schnipper, MD, MPH Team Members:…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/partnering-1.pdf
    May 01, 2016 - Contributory factors to patient safety incidents in primary care: protocol for a systematic review.
  8. www.ahrq.gov/news/newsroom/case-studies/202501.html
    June 01, 2025 - Henry Ford Hospital Unit Lowers C. diff Infections by 90 Percent Using AHRQ Safety Program Search All Impact Case Studies June 2025 Using AHRQ’s Comprehensive Unit-based Safety Program (CUSP ), Henry Ford Hospital in Detroit reduced the incidence of Clostridioides difficile (C. diff) infections in its ne…
  9. www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/cps-measures.html
    June 01, 2018 - Chartbook on Healthy Living Clinical Preventive Services Previous Page Next Page Table of Contents Chartbook on Healthy Living Acknowledgments Healthy Living Summary Healthy Living Measures Maternal and Child Health Care Maternal and Child Health Care: Effectiveness Measures Maternal…
  10. Sustainability-Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Module 4: Sustainability Sustainability Tool Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should comple…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
    January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3) Guide to Patient and Family Engagement :: 1 Improving Discharge Outcomes with Patients and Families Evidence for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event within 30 days of discharge.1,2 Re…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
    March 26, 2008 - Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse…
  13. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-fac-notes.html
    June 01, 2017 - Module 5: Visual Management - Facilitator Notes Slide 1: Management Practices for Sustainability Module 5: Visual Management Say: As mentioned in the module on huddles, the frontline management system used to promote sustained, controlled standard work that ensures patient safety relies on several interlo…
  14. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
    October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Chapter 4. Choose the Model To Assess VTE and Bleeding Risk Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Anal…
  15. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 2. How will we manage change? 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 the best practices in pressure …
  16. www.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …
  17. www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals 2. How will we manage change? 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 the best practices in pressure …
  18. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
    October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Chapter 4. Choose the Model To Assess VTE and Bleeding Risk Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Anal…
  19. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary4.html
    September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program Improving service systems for youth with serious emotional disorders and their families Previous Page Next Page Table of Contents Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Gr…
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
    October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Appendix 3-A. Suggested Slides for Module 3 Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating Change in …

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

You selected to view results for the following site: