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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2024.xlsx
January 01, 2024 - Med_4
Stage of Origin by Incorrect Action - Incidents Med_5
Contributing Factors by Incorrect … Action - Incidents Med_6
Contributing Factors Known by Patient Age - Incidents Med_7
Contributing … Factors by Patient Age - Incidents Med_8
Incident Preventability by Patient Age - Incidents … Med_4
Med_4: Extent of Residual Harm by Incorrect Action - Incidents
Incorrect Action(s) Extent of … Med_6
Med_6: Contributing Factors by Incorrect Action - Incidents
Incorrect Action(s) Contributing
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
January 01, 2023 - harm)
3
FALLS
The Fall event type in CFER-H V1.2 is designed to collect information on Incidents … Among Fall Incidents, the majority of falls were experienced by adults aged 18-64 years (44.3%;
47,131 … For all 243,449 reported Fall Incidents: 7,523 (3.1%) indicated injury and residual harm to the
patient … For all 243,449 reported Fall Incidents: 7,523 (3.1%) indicated injury and harm to the patient
and … In the following analyses,
frequent combinations (patterns) of interventions for Fall Incidents with
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www.ahrq.gov/news/newsroom/case-studies/201708.html
May 01, 2017 - Of 2,064 crisis intervention-related incidents that occurred from January through November 2016 in the … APD records show that crisis intervention-related incidents increased nearly 60 percent from 2010 to
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-items-composite-english.pdf
September 01, 2024 - Feedback & Communication About Incidents
(Never, Rarely, Sometimes, Most of the time, Always, Does Not … In this nursing home, we talk about ways to keep incidents from happening again.
B6. … Feedback & Communication About Incidents
8. Communication Openness
9.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt2.pdf
January 01, 2016 - Feedback and Communication About Incidents
1. … Feedback and Communication About Incidents
1. … Feedback and Communication About Incidents
1. … Feedback and Communication About Incidents
1. … Feedback and Communication About Incidents
1.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-nhsops-dbreport-partii.pdf
January 01, 2019 - Feedback and Communication About Incidents
1. … Feedback and Communication About Incidents
1. … Feedback and Communication About Incidents
1. … Feedback and Communication About Incidents
1. … Feedback and Communication About Incidents
1.
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www.ahrq.gov/npsd/quality-patient-safety/index.html
August 01, 2020 - definitions of patient safety events), the NPSD makes available a rich source of data regarding safety incidents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
January 01, 2007 - Nine patients experienced two
or more incidents.
3
Demographics Table 1. … based 30 50
Community health center 6 10
HMO 8 13
Resident clinic 9 15
The majority of incidents … Potential AEs accounted for the largest percentage of incidents (46 percent), a class of incidents
that … Second, those who report incidents must feel their time has been well spent,
so it is vital they know … with administrators,
we gave formal reports to the departmental Quality Improvement Committee, where incidents
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-appendix.pdf
January 01, 2025 - Feedback and Communication About Incidents 83% 84% 81%
2. … Feedback and Communication About Incidents 80% 83% 85%
2. … Feedback and Communication About Incidents 79% 82% 86%
2. … Feedback and Communication About Incidents 79% 90%
2. … Feedback and Communication About Incidents 85% 77% 78%
2.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
January 01, 2023 - Feedback and Communication About Incidents Staff discuss ways to keep residents safe, tell someone if … they see something that might harm a resident, and talk
about ways to keep incidents from happening … Highlights
HIGHEST Scoring Composite Measure
Feedback and Communication About Incidents
83%
of … (Item B4) 81%
In this nursing home, we talk about ways to keep incidents from
happening again. … Feedback and Communication About Incidents 83% 11.40% 43% 68% 77% 85% 90% 95% 100%
2.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
August 01, 2022 - Policies and procedures
Reporting of incidents, occurrences, or complaints
Complaint/grievance
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
January 01, 2023 - Feedback and Communication About Incidents 86% 81%
2. … Feedback and Communication About Incidents 78% 84%
2. … Feedback and Communication About Incidents 77% 83% 87% 81%
2. … Feedback and Communication About Incidents 80% 89%
2. … Feedback and Communication About Incidents 85% 78% 79%
2.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
March 15, 2004 - studies that have used comparison groups have focused on death as
the outcome and found that adverse incidents … Not all incidents were the result of medical treatment. … Nurses were trained to identify whether incidents occurred—not whether
the occurrences were due to medical … By adopting the approach of examining the
presence of incidents rather than attempting to discern errors … Like other studies, we found that adverse incidents increased LOS.23–25 Zhan
& Miller, 17 looking at
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
July 25, 2023 - other means of emergency communication that limit staff’s ability to appropriately respond to violent incidents … Approximately 9% of nurses, or about 1 in 10, felt reporting incidents to management was more difficult … Going through past records of incidents is advisable, but also being mindful of workplace violence that … in 10 nurses found it more challenging to report their incident are so important – already too many incidents … Then each of 5 case studies presented by video-based scenarios based on real-life incidents are their
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/teamcheckup.doc
June 02, 2025 - communicate the project’s goals.
4
All team members can list the number of days between incidents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
January 01, 2001 - Similarly, the severity of incidents shows an overall decline approaching
statistical significance. … routine component of continuous
quality improvement (CQI), most medical facilities track errors and incidents … information made available by increased reporting, it is subsequently
believed that the severity of incidents … reports from the Multi-
Service Inpatient Unit, the total number of reports filed, the severity of incidents … Evaluation of the severity of incidents reported showed 172 near misses (no
impact on patient) among
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/team-checkup-tool.html
July 01, 2023 - project’s goals.
4
All team members can list the number of days between incidents
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-pt1.pdf
January 01, 2025 - safe, tell someone if
they see something that might harm a
resident, and talk about ways to keep
incidents … Feedback and Communication About
Incidents Average % Positive Response
When staff report something … (Item B4) 82%
In this nursing home, we talk about ways to keep
incidents from happening again. … Feedback and Communication About Incidents 83% 10.47% 49% 68% 76% 84% 90% 96% 100%
2. … Feedback and Communication About Incidents % Always/Most of the time
When staff report something
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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 … Percaentage
Higher Profitability 22%
Higher Customer Ratings 10%
Less Theft 28%
Fewer Safety Incidents
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english-2.0.docx
June 05, 2025 - Definition of Resident Safety In this survey, “resident safety” means preventing injuries, incidents, … This nursing home makes changes to prevent the same incidents from happening again
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