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Showing results for "incidents".

2201. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
      June 01, 2013 -  Root cause analysis—techniques for identifying sources of problems or incidents.

2202. Chartbook on Women's Health Care: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
      March 01, 2020 - Women account for between one-third and one-half more incidents ( Pretorius, et al., 2013 ).

2203. Issues Regarding Identification of Urinary Catheter Use From Medical Records | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article18.html
      August 01, 2018 - Advances in the Prevention and Control of HAIs Issues Regarding Identification of Urinary Catheter Use From Medical Records Previous Page Next Page Table of Contents Advances in the Prevention and Control of HAIs Preface Advances in the Prevention and Control of HAIs: Setting t…

2204. Developing the Capacity to Implement Antimicrobial Stewardship: Opportunities for the Future | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article10.html
      August 01, 2018 - Advances in the Prevention and Control of HAIs Developing the Capacity to Implement Antimicrobial Stewardship: Opportunities for the Future Previous Page Next Page Table of Contents Advances in the Prevention and Control of HAIs Preface Advances in the Prevention and Control of…

2205. Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/macias-report.pdf
      April 01, 2011 - Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children Title Page Application title: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children Principal investigator: Charles G. Macias, MD, MPH Co-investigator: Evaline Alessandrini, MD,…

2206. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/joseph3-report.pdf
      August 31, 2021 - Final report: Realizing Improved Patient Care through Human-centered Design in the OR Title of Project: Realizing Improved Patient Care through Human-centered Design in the OR (RIPCHD.OR) Principal Investigator and Team Members: Clemson University Anjali Joseph, PhD, EDAC - PI Sahar Mihandoust, PhD - Co-I Sara …

2207. CLABSI Investigation Process: Walk the Process (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
      April 01, 2013 - CLABSI Investigation Process: Walk the Process (Transcript) September 14, 2010 Operator: Good day, ladies and gentlemen and welcome to the CUSP content call. At this time, all participants are in a listen-only mode. Later, we will have a question-and-answer session, and instructions will be given at that tim…

2208. Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Adams-Pizarro_109.pdf
      January 08, 2008 - Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives Inga Adams-Pizarro, MHS; ZeAmma Walker, MHSA, PMP; Jan…

2209. Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
      October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Paul Hougland, MD; Jonathan Nebeker, MS, MD; Steve Pickard, MBA; Mark Van Tuinen, PhD; Carol Masheter, PhD; Su…

2210. Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
      April 28, 2008 - Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? Peter E. Rivard, PhD; Cindy L. Christiansen, PhD; Shibei Zhao, MPH; Anne Elixhauser, PhD; Amy K. Rosen, PhD Abstract Objective: W…

2211. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
      January 01, 2024 - Final report: Realizing Improved Patient Care through Human-centered Design in the OR Title of Project: Realizing Improved Patient Care through Human-centered Design in the OR (RIPCHD.OR) Principal Investigator and Team Members: Clemson University Anjali Joseph, PhD, EDAC - PI Sahar Mihandoust, PhD - Co-I Sara …

2212. Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
      January 01, 2025 - Final Progress Report: Short-term Clinical Deterioration After Acute Pulmonary Embolism Short-term Clinical Deterioration After Acute Pulmonary Embolism Anthony J. Weekes, MD, MSc (Principal Investigator), Jason T. Nomura, MD, Dasia Esener, MD, Jeremy S. Boyd, MD, Patrick M. Ockerse, MD, Stephen Leech, MD, H. J…

2213. Final Report: Embracing the PBRN Model To Improve the Medication Use Process (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lipowski-report.pdf
      January 01, 2024 - Final Report: Embracing the PBRN Model To Improve the Medication Use Process Embracing the PBRN Model to Improve the Medication Use Process Final Report for Conference Grant 1 R13 HS016844 01 Principal Investigator: Earlene E. Lipowski, PhD Grantee Institution: University of Florida Division of Sponsored Resear…

2214. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
      January 01, 2024 - Final Progress Report: Staff Nurse Fatigue and Patient Safety Staff Nurse Fatigue and Patient Safety Principal Investigator: Ann E. Rogers, PhD, RN Co-Investigators: Linda Aiken, PhD, RN David Dinges, PhD Wei-ting Hwang, PhD Linda D. Scott, PhD, RN Organization: University of Pennsylvania School of Nursi…

2215. Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
      January 01, 2024 - Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children Title Page Application title: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children Principal investigator: Charles G. Macias, MD, MPH Co-investigator: Evaline Alessandrini, MD,…

2216. Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/wakefield2-report.pdf
      January 01, 2024 - Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions Verbal Order Policies, Occurrence, and Perceptions Douglas S. Wakefield, PhD Principal Investigator Center for Health Care Quality University of Missouri Bonnie Wakefield, RN, PhD Co-Investigator Associate Research Professor Sinclair…

2217. 050-Dec-Implementation-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal Decolonization SAY: Welcome to this presentation on the implemen…

2218. CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-5.8.pdf
      January 01, 2014 - CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) Table 1: Evidence Table Type of Evidence Findings Citations Patient Experience of Care Domains Meta-analysis on: Care Coordination, Communication, Family Involvement, Hospital Environment, Pain Management Inv…

2219. Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
      September 01, 2015 - Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript 1 Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture July 15, 2015 – Webcast Transcript Speakers Jim Battles, PhD, AHRQ Center for Quality Improvement and Patient Safety, Rockville, …

2220. Ambulatory Safety and Quality Program: Health IT Portfolio (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
      July 01, 2010 - Ambulatory Safety and Quality Program: Health IT Portfolio AHRQ’s Ambulatory Safety and Quality Program: Health IT Portfolio P R O G R A M B R I E F The mission of AHRQ is to improve the quality, safety, efficiency, and effectiveness of health care by: • Using evidence to improve health care. • Improving health …