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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
March 05, 2008 - Improving Error Reporting in Ambulatory Pediatrics with a Team Approach
Improving Error Reporting in Ambulatory
Pediatrics with a Team Approach
Daniel R. Neuspiel, MD, MPH; Margo Guzman, RN, MSN; Cari Harewood, MPA
Abstract
Objective: We aimed to determine the effectiveness of team-based reporting, system…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
January 01, 2024 - conditions reported by PSOs, and the extent of residual harm in patients who have experienced patient safety incidents
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www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Previous Page Next Page
Table of Contents
Efforts To Improve Patient Safety Result in 1.3 Mill…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17111-Hall-report.pdf
September 01, 2007 - Furthermore, incident
reports provide the so-called numerator of incidents, with little information
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www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
November 19, 2015 - As a result of the reduction in the rate of
HACs, we estimate that approximately 790,000 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/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
November 19, 2015 - As a result of the reduction in the rate of
HACs, we estimate that approximately 790,000 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/studies/index.html?page=379
January 01, 2024 - The researchers sought to determine the frequency with which parents experience patient safety incidents … and the proportion of reported incidents that meet standard definitions of medical errors and preventable
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www.ahrq.gov/sites/default/files/2024-01/chetty-report.pdf
January 01, 2024 - Final Progress Report: Comprehensive Analysis of Data from Testing the Re-engineered Hospital Discharge
Final Progress Report
Title of Project: Comprehensive Analysis of Data from Testing the Re-engineered Hospital
Discharge
Principal Investigator and Team Members: Veerappa K. Chetty, PhD
Organization: Boston M…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
April 04, 2008 - form for reporting and a taxonomy
that encourages feedback on solutions to specific patient safety incidents … human beings who have their own unique viewpoints
and past experiences that color their perception of incidents … incident reporting system
into an electronic patient record significantly increased the number of incidents
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol-appendixa.pdf
October 11, 2017 - Home Mechanical Ventilators: Protocol Appendix A
Appendix A
Search Strategy 1
Ovid
Database(s): Embase 1988 to 2017 Week 41, EBM Reviews - Cochrane Central Register of
Controlled Trials September 2017, EBM Reviews - Cochrane Database of Systematic Reviews
2005 to October 11, 2017, Ovid MEDLINE(R) Epub Ahead …
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www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
January 01, 2024 - In particular, metrics must go beyond the reported
number of incidents and consider the level of participation … (e.g., % of employees
reporting incidents during a month), time (e.g., lag between when an incident
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
January 01, 2017 - Tool: SSA
Summary
The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-associated pneumonia (VAP). The intervention is supported unanimously by all four leading guidelines, and newer publications in the field acc…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
January 01, 2023 - conditions reported by PSOs, and the extent of residual harm in patients who have experienced patient safety incidents … by Event Type, Age, and Gender
Event Type Age Group (condensed) Gender Extent of Harm Count Total Incidents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
March 10, 2008 - depressants and anesthetics,
numerator inclusion
Y70.0 Anesthesiology devices associated with adverse incidents … , diagnostic and monitoring devices
Y70.1 Anesthesiology devices associated with adverse incidents … therapeutic (nonsurgical) and rehabilitative devices
Y70.2 Anesthesiology devices associated with adverse incidents … other implants, materials, and accessory devices
Y70.3 Anesthesiology devices associated with adverse incidents … instruments, materials and devices (including sutures)
Y70.8 Anesthesiology devices associated with adverse incidents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
September 13, 2013 - SAY:
The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit focuses on an important topic: Making sure patients and their family members understand what is happening during the patient’s hospital stay, are active participants in the patient’s care, and are prepared for…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
June 06, 2018 - Such prevention
includes reducing mistakes, errors, incidents, events, or problems that lead to patient
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/ref.html
June 01, 2010 - The term is used broadly to encompass the terms "critical incidents," "sentinel events," and "adverse
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
May 01, 2013 - Responding to patient safety incidents: the ‘seven pillars.’ Qual Saf Health Care 2010;19:e11.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.pdf
June 06, 2018 - Such prevention
includes reducing mistakes, errors, incidents, events, or problems that lead to patient
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www.ahrq.gov/sites/default/files/wysiwyg/data/AHRQ-Security-and-Privacy-Language-for-Information-and-Information-Technology-Procurements.pdf
November 07, 2023 - every device it operates and authorizes
for Government use, and can prevent, detect, and respond to incidents … requested images, log files, and event
information to facilitate rapid resolution of sensitive information incidents … learned; and
• Explanation of the mitigation steps of exploited vulnerabilities to prevent similar
incidents