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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 …
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www.ahrq.gov/news/newsroom/case-studies/201411.html
August 01, 2014 - Mercy also replaced patient beds to reduce incidents of pressure ulcers and to promote patient and staff
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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…
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www.ahrq.gov/news/newsletters/e-newsletter/922.html
July 01, 2024 - Systematic review of types of safety incidents and the processes and systems used for safety incident
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship6.html
August 01, 2024 - While inappropriate transfusion may reflect mismanagement of a correctly diagnosed patient, such incidents
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
January 01, 2017 - SAY:
Industries and companies that have higher levels of staff engagement have fewer safety incidents … meta-analysis conducted in 2012 by Gallup, the same New York Times article reported 48 percent fewer safety incidents
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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
March 01, 2017 - Say:
Industries and companies that have higher levels of staff engagement have fewer safety incidents … meta-analysis conducted in 2012 by Gallup, the same New York Times article reported 48 percent fewer safety incidents
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-june-2024.pdf
January 01, 2024 - Children’s Snapshot
Simplified View of our Journey
Key Factors
Serious Safety Event Rate
Rate of DART Incidents
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqdr-data-spotlight-healthcare-workforce-covid.pdf
May 11, 2023 - COVID-19 Pandemic Led to Long Absences, Reduced Hours, and Job Exits Among the U.S. Healthcare Workforce
COVID-19 Pandemic Led to Long
Absences, Reduced Hours,
and Job Exits Among the U.S.
Healthcare Workforce
The COVID-19 pandemic affected nearly all sectors of the U.S. economy, w…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Critical incident studies in anesthesia
have found that around 80 percent of reported incidents involve … assessment and giving feedback; only if
video recordings are available; to
debrief/discuss critical incidents … Errors, incidents
and accidents in anaesthetic practice. An analysis of
2,000 incident reports. … Anesthesia crisis
resource management training: teaching
anesthesiologists to handle critical incidents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
January 01, 2004 - The issues discussed included what types of incidents were of
concern (e.g., any spontaneous mention … personnel includes a clearly defined chain of responsibility,” “follow-up
procedures are defined,” and “incidents … incident 2.4 3.5
A documentation form is individually created by the
site/program
3.2 2.875
Incidents … are documented in the progress note 5 4.625
Incidents are documented in a computer system designed
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiii.html
June 01, 2010 - Human Services
Use history: In 2005 the Division created an automated system for reporting unusual incidents … the Division created two annual reports with statistics on the aggregate data collected on types of incidents … Using: South Dakota
Psychometric Testing: Not specified
Summary: The Division monitors unusual incidents … on an ongoing basis by collecting data on incidents of unplanned medical attention sought, law enforcement
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www.ahrq.gov/news/newsletters/e-newsletter/885.html
October 01, 2023 - The tools provide data on hospital patient safety incidents reported to the NPSD through Dec. 31, 2022
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/26069-France-draft-1.pdf
March 29, 2022 - 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/26069-France-report.pdf
March 29, 2022 - 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.
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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…
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www.ahrq.gov/news/newsletters/e-newsletter/697.html
January 01, 2020 - Articles featured this week include:
Analysis of Paediatric Long-Term Ventilation Incidents in the
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www.ahrq.gov/news/newsletters/e-newsletter/865.html
May 01, 2023 - Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report