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Showing results for "incidents".

  1. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/18372-LoRe-draft-1.pdf
    October 01, 2016 - Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications R01 HS18372: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications AHRQ Grant Final Progress Report Title of Project: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safet…
  2. www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
    January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety Title: VTE Safety Toolkit: A Systems Approach to Patient Safety Principal Investigator: Brenda K. Zierler, PhD1 Team Members: Ann Wittkowsky, PharmD2 Robb Glenny, MD3 Seth Wolpin, PhD1 Jung-Ah Lee, MN1 Gene Peterson, MD, PhD3 Fre…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.docx
    June 06, 2018 - Such prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient
  4. www.ahrq.gov/hai/cauti-tools/guides/implguide-refs.html
    October 01, 2015 - A nurse-driven Foley catheter removal protocol proves clinically effective to reduce the incidents of
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
    December 01, 2016 - 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
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
    December 01, 2016 - 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
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
    May 01, 2017 - Engage Patients and Families for Perinatal Safety AHRQ Safety Program for Perinatal Care Engage Patients and Families for Perinatal Safety AHRQ Publication No. 17-0003-6-EF May 2017 SAY: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members un…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
    May 06, 2008 - Too few incidents make it through the paper-based reporting process, and it is nearly impossible to … Also, incidents tended to be viewed as a means of determining fault, rather than as a way to uncover … This will allow us to review incidents by clinical condition and to pull in full patient demographic
  9. www.ahrq.gov/news/newsletters/e-newsletter/872.html
    July 01, 2023 - factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents
  10. www.ahrq.gov/news/newsletters/e-newsletter/884.html
    October 01, 2023 - Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for
  11. www.ahrq.gov/hai/pfp/interimhac2014-ap1.html
    November 01, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact Previous Page   Table of Contents Saving Lives and Saving Money: Hospital-Acquired Conditions Update …
  12. www.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Supplement_Dashboard_Data_2022.xlsx
    January 01, 2022 - NOTE: The 'No Harm Percentage' and 'Harm Percentage' cells are calculated as the percentage of all incidents … 61.2% 6,031 237,305 NOTE: The 'Injury' and 'No Injury' cells are calculated as the percentage of all incidents … Unknown 15.3% 455 101,405 NOTE: The Activity Prior to Fall cells are calculated as the percentage of all incidents … 18 Other Unknown 10.0% 2 20,517 NOTE: The Risk Factor cells are calculated as the percentage of all incidents … 13,113 Unknown 28.4% 31 13,113 NOTE: The Type of Injury cells are calculated as the percentage of all incidents
  13. www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
    January 01, 2024 - Furthermore, incident reports provide the so-called numerator of incidents, with little information
  14. www.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - As a result of the reduction in the rate of HACs, we estimate that approximately 980,000 fewer incidents … Cumulatively, approximately 3.1 million fewer incidents of harm occurred in 2011, 2012, 2013, 2014, and
  15. www.ahrq.gov/news/newsletters/e-newsletter/860.html
    April 01, 2023 - Articles featured this week include: Strengthening open disclosure after incidents in maternity care
  16. www.ahrq.gov/news/newsletters/e-newsletter/813.html
    May 01, 2022 - Articles featured this week include: A 6-year thematic review of reported incidents associated with
  17. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
    November 26, 2013 - Graphics for Section 5. Evidence or Other Justification for the Focus of the Measure                                                                                                     Q‐METRIC Sickle Cell Disease Measure 2: Timeliness of Antibiotic …
  18. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2b.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued, 2) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary…
  19. www.ahrq.gov/sites/default/files/2024-01/soumerai-report.pdf
    January 01, 2024 - Final Progress Report: RCT to Reduce Prescribing Errors in Hypertension Principal Investigator: Soumerai, Stephen B. AHRQ GRANT FINAL PROGRESS REPORT RCT TO REDUCE PRESCRIBING ERRORS IN HYPERTENSION Principal Investigator: Stephen B. Soumerai, ScD Team Members: Ken Kleinman, ScD Sumit R. Majumdar, MD, MPH I…
  20. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
    September 01, 2023 - medication or other substance eventsii – along with applicable interventions intended to prevent these incidents … judgement due to reporters’ different experiences and backgrounds; e.g., physicians tend to report incidents … that result in more severe harm to patients, such as death, while nurses are more likely to report incidents … small number of reports using the Common Formats for Event Reporting-Hospitals (CFER-H) that describe incidents

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