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Showing results for "incidents".

221. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/summary.html
     March 01, 2017 - Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative

222. Physician and Staff Engagement: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-slides.html
     March 01, 2017 - Image: Bar graph highlighting how companies with highly engaged employees have 48 percent fewer safety incidents

223. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
     March 01, 2004 - loss of credibility has made these same professionals reluctant to report or discuss error-related incidents … introduced to facilitate the creation of a voluntary system for reporting medical errors and near- miss incidents … Safety Center Registry by quarter from October 2001 through September 2003 Of all medication-related incidents

224. Methods | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirement3.html
     February 01, 2014 - Background Report on 2013 Retirement of Measures from the Child Core Set Methods Previous Page Next Page Table of Contents Background Report on 2013 Retirement of Measures from the Child Core Set Abstract Background Methods Results Conclusions References Appendix A. Appendix B. A…

225. Use of Data and Measurement in Improving Diagnostic Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/newman-toker-summit2016.pdf
     September 28, 2016 - Use of Data and Measurement in Improving Diagnostic Safety AHRQ Research Summit, September 28, 2016 Use of Data and Measurement in Improving Diagnostic Safety David E. Newman-Toker, MD PhD Associate Professor of Neurology Johns Hopkins University School of Medicine Johns Hopkins Bloomberg School of Public Heal…

226. Appendix | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-appendix.html
     October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix Previous Page Next Page Table of Contents 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix References …

227. Learning from Errors in Ambulatory Pediatrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
     February 01, 2004 - the method used to analyze the error reports.16–18 It is a method for organizing reports of critical incidents … The physician reports provided the incidents for analysis.

228. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
     June 30, 2004 - develop a four-step analysis protocol to identify and analyze relevant reports of aviation safety incidents … the many details they contain can overwhelm analysts…As a result, critically important patterns of incidents

229. Final Progress Report: Safety Culture Research: Ways to improve existing methods (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
     January 01, 2024 - o Aviation does not use the same model for after incidents. … at the personal factors of the healthcare leaders and what contributes to handling/failing to handle incidents

230. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
     February 01, 2025 - Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation Slide 2: Learning Obj…

231. Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
     April 06, 2008 - be developed and articulated based on the answers to several key questions derived from errors or incidents … The answers to these questions are a function of the particular events or incidents, the locale of care

232. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ref.html
     December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms References Previous Page   Table of Contents Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Appendix References Adverse Drug Events Aspden P, Wolcott J, Bootman JL, et al. P…

233. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-refs.html
     October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 References Previous Page   Table of Contents 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix References …

234. Behavioral Health AI Free Text Analysis - NPSD Data Spotlight (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/npsd-spotlight_behavioral-health.pdf
     September 01, 2025 - Joint Commission's Sentinel Event Policy encourages hospitals to investigate and learn from these incidents … Violent Action Incidents characterized by aggressive or violent behavior within the healthcare

235. Appendix A. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraaparef.html
     September 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix A. References Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA Dev…

236. Probability and the Diagnostic Pathway | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking3.html
     September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis Probability and the Diagnostic Pathway Previous Page Next Page Table of Contents Improved Diagnostic Accuracy Through Probability-Based Diagnosis Introduction Fundamental Concepts for Understanding Probability Probability and the…

237. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
     May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4k Selected Best Practices and Suggestions for Improvement PSI 14: Postoperative Wound Dehiscence Why Focus on Postoperative Wound Dehiscence? • Postop…

238. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/summary.html
     August 01, 2022 - stressed that, while reporting of patient safety events may often be associated with hospital-based incidents … Although reporting of patient safety events is often associated with hospital-based incidents, these

239. Appendix III (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiig.html
     June 01, 2010 - In addition, the tool collects limited information regarding numbers of critical incidents. … injuries, allegations of abuse, allegations of neglect, medication errors, consumer behaviors, and other incidents

240. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
     February 07, 2014 - exchange progress and offer assistance CAUTI Team Unit Meetings Quarterly Perform analysis of CAUTI incidents … Catheter alternatives are used on a regular basis Infection Control reports less investigation of CAUTI incidents