Results

Total Results: 1,527 records

Showing results for "incidents".

261. Newman Memorial Hospital Implements AHRQ's Patient Safety Culture Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips1301.html
     November 01, 2012 - Newman Memorial Hospital Implements AHRQ's Patient Safety Culture Survey Search All Impact Case Studies November 2012 Newman Memorial Hospital, a 79-bed acute hospital in Oklahoma, first implemented AHRQ's "Hospital Survey on Patient Safety Culture" in 2006, when concern about the hospital's patient safety …

262. New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf
     December 01, 2020 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan Workforce Safety Patricia McGaffigan, RN, MS, CPPS pmcgaffigan@ihi.org; @Pmcgaffigan_IHI mailto:pmcgaffigan@ihi.org Why Workforce Safety Matters Workforce safety is essential for safe, high- quality care and is preconditional to …

263. Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
     January 25, 2008 - 2002,3 acute health care facilities in the State are required to report near-miss events (called “incidents … Results Of the 420 reports mapped into 34 PSET classifications, 79 percent were reports of incidents

264. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
     April 07, 2008 - However, establishing a link between CRM and safety was not possible due to limitations in the number of incidents … It is very difficult to link interventions to low base rate events, such as incidents and accidents, … Anesthesia crisis resource management training: Teaching anesthesiologists to handle critical incidents

265. Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
     January 01, 2025 - Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs PI: Akira Nishisaki Grant Number: R03 HS21583-01 AHRQ Grant Final Progress Report Title: Evaluating safety and quality of tracheal intubation in pediatric ICUs PI: Akira Nishisaki, MD, MSCE Team Members: Vinay …

266. Facilitator-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
     March 01, 2017 - Facilitator Notes SAY: The Teamwork and Communication module will discuss how safety teams in nursing homes can understand and practice successful teamwork and effective communication to improve the resident safety culture in their facility. SLIDE 1 SAY: In this module we will— · Describe effective communicati…

267. Appendix V (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv1b.html
     June 01, 2010 - Individuals with intellectual disabilities Incidence of serious injuries resulting from substantiated incidents

268. Using Home Visits to Understand Medication Errors in Children (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
     May 28, 2008 - Kuzel, et al 200434 38 interviews Random digit telephone dial 221 “problematic incidents” including … administer a prescribed medication is considered an error in medication administration.10 For those incidents

269. Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
     January 01, 2024 - Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids FINAL PROGRESS REPORT Risk of Acute Asthma Associated with the Pediatric Use of Opioids Principal Investigator: Hua Chen, MD, PhD1 Co-Investigator: Harold J. Farber, MD, MSPH2,3 Organization …

270. Final Progress Report: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/phillips-report.pdf
     January 01, 2024 - Final Progress Report: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges FINAL PROGRESS REPORT Project Title: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges Principal Investigator: Charles D. Phillips, PhD, MPH, Regents Professor, Texas A&M …

271. 093-Universal-Targeted-Decolonization-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/093-universal-targeted-decolonization-one-pager.docx
     April 01, 2025 - Comparison of Decolonization Strategies This document defines the types of decolonization strategies and what is needed to implement either approach. Mid- to high-level administrative managers and clinical leaders who are interested in implementing decolonization programs at their site may use this document to compare …

272. Regulation of Health Policy: Patient Safety and the States (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
     March 01, 2004 - Illinois requires institutions “to report serious preventable adverse incidents to the Department of … Florida, there is an “affirmative duty of all health care providers and all employees…to report adverse incidents … agencies to handle and/or investigate reports, and 4 States specifies agencies to study whether and how incidents … Connecticut and New York provide for disciplinary action when incidents are not reported.

273. Discussion | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-discuss.html
     November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussion Previous Page Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussio…

274. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
     February 01, 2017 - These could include incidents that you believe caused patient harm or put patients at risk for significant

275. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
     January 01, 2017 - These could include incidents that you believe caused patient harm or put patients at risk for significant

276. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families--Executive Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-exec-summary.pdf
     March 01, 2017 - Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative

277. Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
     January 01, 2024 - Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS Project Title: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (Tailoring Interventions for Patient Safety) Principal Investigator and Team Members. Patricia C. Dykes, An…

278. Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
     January 01, 2024 - Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults AHRQ Grant Final Progress Report Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid- Related Hospitalizations in Older Adults Principal Investigat…

279. Pressure Ulcer Prevention Toolkit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
     January 01, 1995 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 4 Tools 2G: Pieper Pressure Ulcer Knowledge Test 4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team 4B:…

280. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
     October 27, 2014 - As a result of the reduction in the rate of HACs, we estimate that approximately 800,000 fewer incidents … Cumulatively, approximately 1.3 million fewer incidents of harm occurred in 2011, 2012, and 2013 (compared