Results

Total Results: 1,450 records

Showing results for "incidents".

341. Appendix B3: Fax Alert | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/fax.html
     February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B3: Fax Alert Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapter 2. Fal…

342. CEO and Senior Leader Checklist | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/ceo-snr-leader-chcklst.html
     December 01, 2012 - CEO and Senior Leader Checklist CUSP Toolkit Checklists for senior leadership Who should use this tool? Senior leaders. Checklist items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science of Safety training.     2. Assign a senior executive …

343. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
     January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System Principal Investigator: David G. Bundy, MD, MPH Team Members: Marlene R. Miller, MD, MSc Michael L. Rinke, M…

344. Final Progress Report: Developing a patient-centered model of the risk of perioperative complications in spine surgery (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
     January 01, 2024 - Final Progress Report: Developing a patient-centered model of the risk of perioperative complications in spine surgery Developing a patient-centered model of the risk of perioperative complications in spine surgery John Ratliff, MD, PI Team members: Summer Han, PhD Richard Olshen, PhD Lu Tian, PhD Paola Suarez …

345. Conducting a Comprehensive Skin Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar4_pu_skinassesst_final.pdf
     April 01, 2011 - Conducting a Comprehensive Skin Assessment Conducting a Comprehensive Skin Assessment Presented by Dr. Karen Zulkowski, D.N.S., RN Montana State University Welcome! Thank you for joining this webinar about how to conduct a comprehensive skin assessment. 2 A Little About Myself… • An associate professo…

346. Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2a.html
     May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary …

347. Partnering-Executive-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
     June 01, 2021 - There have been several incidents where we have not gotten results from the lab in a timely manner.

348. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
     June 01, 2023 - of patient safety experiences during hospitalizations in the United Kingdom, about one-third of the “incidents

349. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
     January 01, 2005 - produced that depicts a device-related adverse event and demonstrates why it is important to report such incidents … They will be asked to report all device related incidents, including “close-calls” through the facilities

350. Sensemakingnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
     June 02, 2025 - SAY: The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients. Slide 1 SAY: Some of the tools that will help…

351. AHRQ Safety Program for Perinatal Care: CEO/Senior Leader Checklist (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/senior-leader-checklist.docx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care: CEO/Senior Leader Checklist AHRQ Safety Program for Perinatal Care CEO/Senior Leader Checklist CEO/Senior Leader Checklist Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science o…

352. 2021 National Healthcare Quality and Disparities Report: Executive Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
     January 01, 2021 - 2021 National Healthcare Quality and Disparities Report: Executive Summary …

353. AHRQ-Supported Publications and Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/coronavirus/ahrq-publications.html
     July 01, 2023 - AHRQ-Supported Publications and Resources AHRQ has a robust collection of research findings and analyses published by AHRQ-supported grantees. Patient Adverse Financial Outcomes Before and After COVID-19 Infection  (May 2023) Primary Care's Challenges and Responses in the Face of the COVID-19 Pandemic: In…

354. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
     January 01, 2024 - Weinger MB: Anesthesia incidents and accidents. … Gaba D, DeAnda A: The response of anesthesia trainees to simulated critical incidents. … Bothner U, Georgieff M, Schwilk B: The impact of minor perioperative anesthesia-related incidents, events

355. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreenref.html
     October 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests References Previous Page   Table of Contents Health Care Systems for Tracking Colorectal Cancer Screening Tests Executive Summary 1. Introduction 2. Description of the Intervention 2. Description of the Intervention (continue…

356. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
     June 01, 2021 - PowerPoint Presentation Changing the System To Improve Patient Safety Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Changing the System 1 Objectives Use barriers as opportunities to improve systems and prevent problems from recurring. List factors that may comp…

357. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
     January 01, 2024 - The definitions used to classify incidents are provided in the following table: Medical Error Any error

358. Part 2: Trends in Priorities of the Heckler Report—Care for Cancer | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-cancer.html
     June 01, 2018 - Chartbook on Health Care for Blacks Part 2: Trends in Priorities of the Heckler Report—Care for Cancer Previous Page Next Page Table of Contents Chartbook on Health Care for Blacks Health Care for Blacks Acknowledgments Part 1: Overviews of the Report and the Black Population Part 2: Trends …

359. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
     January 01, 2004 - .32 Vanderbilt Medical Center has built a Web-based system for reporting pediatric chemotherapy incidents … medication errors was low and needed to be increased to accurately represent the actual number of incidents

360. Appendix A. Search Terms | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apa.html
     January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy Appendix A. Search Terms Previous Page Next Page Table of Contents Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction 2. Methods 3. Results 4. Discussion Ref…