Results

Total Results: 1,527 records

Showing results for "incidents".

141. 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

142. 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

143. 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

144. 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.

145. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/2015-interim.html
     December 01, 2016 - As a result of the reduction in the rate of HACs, we estimate that approximately 980,000 fewer incidents … Cumulatively, approximately 3.1 million fewer incidents of harm occurred in 2011, 2012, 2013, 2014, and

146. 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…

147. 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

148. 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

149. 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…

150. 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…

151. 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

152. 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

153. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
     April 01, 2025 - Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents https://www.ahrq.gov … United Kingdom determine a fair and consistent course of action toward staff involved in patient safety incidents … Tree supports the aim of creating an open culture, where employees feel able to report patient safety incidents … Facilities: Training Modules Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents

154. 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

155. 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; …

156. A System to Describe and Reduce Medical Errors in Primary 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-Kaprielian_9.pdf
     January 01, 2007 - In 1998, Bhasale, et al.,9 found that of 805 incidents reported in general practice settings in Australia … In practice, many incidents included aspects of both, and the distinction was difficult to make based

157. 110-Ss-Lfd-Sample (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
     April 01, 2025 - This could include incidents, such as a surgical site infection (SSI), that you believe caused patient

158. Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
     January 01, 2025 - Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases Title of Project: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infect…

159. 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…

160. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
     January 01, 2004 - After 1 year of use, HFHS executives saw a 200 percent sustained increase in reported incidents across … management education for management-level staff who will be reviewing and investigating reported incidents