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Showing results for "incidents".

141. Module 1 Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_slides_intro.pdf
     June 12, 2017 - Incremental changes evident through reduction of nosocomial infections, falls, birth trauma, and other incidents

142. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=402
     January 01, 2024 - password-protected tool was developed by members of a quality assurance committee for ED providers to report incidents … this system in one residency program with two academic sites resulted in an increase from 81 reported incidents … in 2009, the first year of use, to 561 reported incidents in 2012.

143. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=474
     January 01, 2024 - ›› last » Last » Smucker DR , Regan S , Elder NC Patient safety incidents … The study objective was to explore the types and characteristics of patient safety incidents in home … Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members

144. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16463-Gurwitz-report.pdf
     January 01, 2011 - Data Sources/Collection Information on INR values, warfarin dosing, and warfarin-related incidents was … Abstractors identified possible warfarin-related incidents based on specified triggers: INR values of … Reviewers independently classified incidents, including whether a warfarin-related adverse event or … Nurse abstractors identified 782 possible warfarin-related incidents during the study. … We used the subsequent physician review process to cull incidents that were not found to identify a

145. Reducing Workplace Violence with TeamSTEPPS® | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/events/webinars/dec-2016.html
     July 01, 2018 - Fear and Anxiety Slide 32: Rational Detachment Slide 33: Scenario #1 Slide 34: 10 Ways to Defuse Incidents … Return to Contents   Slide 34 10 Ways to Defuse Incidents Respect all individuals' personal

146. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
     January 01, 2017 - Across varying industries, companies that have higher levels of staff engagement have fewer safety incidents … Engaged Employees Percaentage Higher Profitability Higher Customer Ratings Less Theft Fewer Safety Incidents

147. SOPS Nursing Home Survey Version 2.0 Items and Composite Measures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-items-composite-measures-english-2.0.pdf
     April 24, 2025 - This nursing home makes changes to prevent the same incidents from happening again.

148. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
     November 01, 2021 - policies and procedures, and treatment methods that may have contributed to specific pressure injury incidents … Additionally, several incidents were described where backup devices were unavailable due to use with … Blood and Blood Product Among the blood and blood product concerns (n = 10; 3.3%), there were three incidents … For incidents that involved a patient, the PSOs reported patient age and sex for 26 (8.6%) records,

149. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
     January 01, 2024 - Administration (FDA) and Institute for Safe Medication Practices (ISMP); by eliciting de-identified incidents … Sources of oral chemotherapy event reports Source Dates of Search Source Detail Number of Incidents … center 177 (25.2) 50 (25.9) 127 (25.0) Incident Reports 12/3/03 – 3/25/08 Staff-reported incidents … Incidents derived from the literature search and hospital incident reporting system included a larger … The strengths of the study include the variety of sources used to identify oral chemotherapy-related incidents

150. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
     January 01, 2024 - colleagues reviewed malpractice incident reports from primary care offices.2 Though a low number of incidents … incident reporting system such as ours, which allows a more detailed examination of error-related incidents … analysis of data from secondary sources were critical for the ASIPS project to assess the specific incidents … were tested by researchers to see if they could identify consistencies or “matches” between reported incidents … Reported incidents, alone, did not provide the full picture of errors or error-related outcomes.

151. Hospital Evacuation Decision Guide (Table 6) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/hospevactab6.html
     July 01, 2018 - Have any other incidents occurred that increase the likelihood that an evacuation order will be issued

152. 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…

153. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17123-Weingart-draft-1.pdf
     January 01, 2022 - Administration (FDA) and Institute for Safe Medication Practices (ISMP); by eliciting de-identified incidents … Sources of oral chemotherapy event reports Source Dates of Search Source Detail Number of Incidents … center 177 (25.2) 50 (25.9) 127 (25.0) Incident Reports 12/3/03 – 3/25/08 Staff-reported incidents … Incidents derived from the literature search and hospital incident reporting system included a larger … The strengths of the study include the variety of sources used to identify oral chemotherapy-related incidents

154. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
     August 01, 2022 - Is a risk manager available at all times to respond to patient safety incidents?        

155. Nevada Uses AHRQ Tool to Prepare for Health Emergencies | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cp31002.html
     October 01, 2014 - Public (HELP), developed through AHRQ's emergency preparedness program—to respond to public health incidents

156. Appendix A: References and Available Abstracts | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/acfselection/appendixa.html
     July 01, 2018 - The aim of this article is to review the characteristics of contingency plans for mass-casualty incidents … "Reduction in critical mortality in urban mass casualty incidents: analysis of triage, surge, and resource … guided missiles directed into the Pentagon and New York's Twin Towers in 2001 (9/11) and the tragic incidents … Comprehensive disaster responses include addressing the unique needs of children during mass-casualty incidents … The health care system must respond to disasters of all types, whether the incidents occur in urban or

157. 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.

158. Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
     January 01, 2024 - in practice, put only serious-harm cases through their resolution process, we decided to make all incidents … obtained through meetings and contacts with the partner sites and analysis of case-level data on incidents … at each hospital; to compare experiences across hospitals; and to identify factors associated with incidents … Its insured physicians often did not promptly notify it when incidents occurred, and hospital risk managers … Involved personnel and their managers had difficulty getting past these incidents, and the negative

159. Slide 1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-december2016.pdf
     January 01, 2016 - TEAMSTEPPS 05.2Mod 1 05.2 Page 34 TeamSTEPPS® Slide 34 Reducing Workplace Violence 10 Ways to Defuse Incidents … Scenario #1 10 Ways to Defuse Incidents Scenario #2 Joy and Meaning of Work Summary Slide Number

160. 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 …