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www.ahrq.gov/news/newsletters/e-newsletter/774.html
July 01, 2021 - Patient-safety incidents during COVID-19 health crisis in France: An exploratory sequential multi-method
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www.ahrq.gov/news/newsletters/e-newsletter/728.html
September 01, 2020 - AHRQ in the Professional Literature
Few aggressive or violent incidents are associated with the use
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www.ahrq.gov/research/findings/studies/index.html?page=154
January 01, 2024 - Shared Decision Making
Carballo-Dieguez A , Giguere R , Balan IC Few aggressive or violent incidents … or transgender women who had multiple sex partners in the prior 3 months had aggressive or violent incidents … Few aggressive or violent incidents are associated with the Use of HIV self-tests to screen sexual partners
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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…
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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article1.html
June 01, 2014 - Safety Reporting System (ICUSRS). 5,6 First, we had to develop a system that staff would use to report incidents … Our project identified factors contributing to incidents and established a network of units to share … participating sites, we discovered that local culture played a major role in whether or not staff reported incidents … Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter … A system factors analysis of "line, tube, and drain" incidents in the intensive care unit.
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www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article1.html
June 01, 2014 - Safety Reporting System (ICUSRS). 5,6 First, we had to develop a system that staff would use to report incidents … Our project identified factors contributing to incidents and established a network of units to share … participating sites, we discovered that local culture played a major role in whether or not staff reported incidents … Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter … A system factors analysis of "line, tube, and drain" incidents in the intensive care unit.
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www.ahrq.gov/news/newsletters/e-newsletter/749.html
February 01, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis .
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Reporting of incidents, occurrences, or complaints
b. Complaint/grievance management
c. … Is a risk manager available at all times to respond to patient safety incidents? … Is a risk manager available at all times to respond
to patient safety incidents?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar5_falls_measuringratespractices.pdf
January 01, 2013 - Measuring Fall and Fall-Related Injury Rates and Prevention Practices
Measuring Fall and
Fall-Related Injury Rates
and Prevention Practices
Presented by
Julia Neily, RN, M.S., M.P.H.
Veterans Health Administration
National Center for Patient Safety
Welcome!
Thank you for joining this
webinar about how to…
-
www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
January 01, 2013 - Preventing Falls in Hospitals
5. How do you measure fall rates and fall prevention practices?
Previous Page Next Page
Table of Contents
Preventing Falls in Hospitals
Roadmap
Acknowledgments
Overview
Icons
1. Are you ready for this change?
2. How will you manage change?
3. Which fall pr…
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www.ahrq.gov/news/newsroom/case-studies/cquips0608.html
October 01, 2014 - UC Irvine Uses AHRQ Program to Create Patient Safety Class for Medical Students
Search All Impact Case Studies
May 2006
The University of California (UC), Irvine, School of Medicine now requires students to complete a patient safety class that was developed based on information acquired from a program calle…
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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
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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; …
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/11923-Brown-draft-1.pdf
September 01, 2006 - 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
-
www.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 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
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4o_combo_pdi01-lacerationpuncture-bestpractices.pdf
May 31, 2016 - puncture or laceration to
patients.1
• Rates in children are high, ranging anywhere from 0.64 to 2.2 incidents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4a_pdi01-lacerationpuncture-bestpractices.pdf
May 31, 2016 - puncture or laceration to
patients.1
• Rates in children are high, ranging anywhere from 0.64 to 2.2 incidents
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.docx
July 18, 2024 - Such prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient