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Total Results: 1,527 records

Showing results for "incidents".

161. Head of Bed Elevation or Semirecumbent Positioning Literature Review | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/head-bed-elevation-lit-review.html
     January 01, 2017 - Head of Bed Elevation or Semirecumbent Positioning Literature Review AHRQ Safety Program for Mechanically Ventilated Patients Summary The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-ass…

162. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-references.html
     June 01, 2023 - Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative

163. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
     December 01, 2016 - 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

164. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - 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

165. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
     January 01, 2025 - Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting Project Title: Factors that Enhance Diagnostic Imaging Safety in the Ambulatory Setting Principal Investigator: Ronilda Lacson, MD, PHD Team Members: Ramin Khorasani, MD, MPH Ivan Ip, MD, MPH Sonali Desai, MD Allen Ka…

166. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
     January 01, 2019 - 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 … cause analysis to: • Identify causes and contributing factors of a sentinel event or a cluster of incidents … Implement risk reduction strategies that decrease the likelihood of a recurrence of the event or incidents

167. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
     January 01, 2003 - for their own mistakes. 2.23 .757 Disagree 14. are willing to report near miss/close call patient incidents … error. 7. regularly report clinical errors. 14. are willing to report near miss/close call patient incidents … Hospital safety climate and its relationship with safe work practices and workplace exposure incidents

168. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
     November 19, 2015 - As a result of the reduction in the rate of HACs, we estimate that approximately 790,000 fewer incidents … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014

169. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
     November 19, 2015 - As a result of the reduction in the rate of HACs, we estimate that approximately 790,000 fewer incidents … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014

170. Pf-Engagement-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care Engage Patients and Families for Perinatal Safety Engage Patients and Families for Perinatal Safety SAY: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand what is happening during the patient’s hospi…

171. Breaking Down Barriers to Aseptic Catheter Insertion | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
     December 01, 2017 - The CAUTI rates trend downward to zero incidents in March 2015.

172. Catheter-Associated Urinary Tract Infection (CAUTI) | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/catheter-associated-urinary-tract-infection-cauti.html
     January 01, 2013 - Catheter-Associated Urinary Tract Infection (CAUTI) Catheter-associated urinary tract infections (CAUTIs) are among the most common types of healthcare-associated infections. Most cases of CAUTI are preventable. Since October 2008, the Centers for Medicare & Medicaid Services no longer reimburses…

173. Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
     January 01, 2024 - A computerized method for identifying incidents associated with adverse drug events in outpatients.

174. Section 5.A, Table 4 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-5a.pdf
     December 01, 2013 - Section 5.A, Table 4                                                                                                 Q‐METRIC Sickle Cell Disease Measure 3: Appropriate Antibiotic Prophylaxis for Children with Sickle Cell Disease Graphics for Section V. …

175. Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
     January 01, 2024 - Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications R01 HS18372: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications AHRQ Grant Final Progress Report Title of Project: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safet…

176. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
     August 01, 2022 - The analysis included 637 onsite incidents. … Successful remediation of patient safety incidents: A tale of two medication errors. … The “Seven Pillars” response to patient safety incidents: Effects on medical liability processes and … Notably, all incidents of unanticipated harm were eligible for the CRP, not only cases of serious harm … Further, incidents of shoulder dystocia and fetal distress decreased 50% (Santos, Ritter, Hefele, et

177. Final Progress Report: Gastrointestinal Safety of Antithrombotic Drug Regimens (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/abraham-report.pdf
     January 01, 2024 - Final Progress Report: Gastrointestinal Safety of Antithrombotic Drug Regimens 1 Project Title: Gastrointestinal Safety of Antithrombotic Drug Regimens Grant Number: 5RO1HSO25402-04 Principal Investigator: Neena S. Abraham, MD Team Members: Xiaoxi Yao, PhD Nilay Shah, PhD Peter Noseworthy, MD Jeph Herrin, Ph…

178. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
     October 01, 2017 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices Training Guide Module Aim The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices. Module Goals The goals of Module 5 are to have the Implementation T…

179. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
     July 01, 2023 - Patient and Family Engagement for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Patient and Family Engagement for Perinatal Safety Say: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand w…

180. Future Vision for Probabilistic Diagnostic Decisions | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking4.html
     September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis Future Vision for Probabilistic Diagnostic Decisions Previous Page Next Page Table of Contents Improved Diagnostic Accuracy Through Probability-Based Diagnosis Introduction Fundamental Concepts for Understanding Probability Proba…