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Total Results: 1,527 records

Showing results for "incidents".

361. 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

362. 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

363. Transforming Hospitals | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
     December 01, 2017 -   Patient Safety Evidence-based design elements can help hospitals reduce costly and avoidable incidents

364. Chapter 1. Introduction and Program Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
     December 01, 2017 - along with immediate intervention during the first 24 hours, can help identify risk and prevent future incidents

365. Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
     December 01, 2017 - safety, it is the role of the Falls Nurse Coordinator to encourage full reporting by staff of all fall incidents

366. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/nursedr-early-mobility-protocols-facguide.docx
     January 01, 2017 - the outcome measures could include the ventilator length of stay, ICU and hospital length of stay, incidents

367. Nurse-Driven Early Mobility Protocols: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/nurse-early-mobility-protocols-fac-guide.html
     January 01, 2017 - the outcome measures could include the ventilator length of stay, ICU and hospital length of stay, incidents

368. 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…

369. Tool 6 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6 (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Ra…

370. Infectionprevchcklst (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/infectionprevchcklst.doc
     June 02, 2025 - Infection Preventionist Checklist Who should use this tool? Infection preventionists. Checklist Items Leader Responsible Date Started 1. Meet with the CEO and hospital project leader to learn about the initiative and understand the infection prevention (IP) roles. 2. Introduce the project to all IP s…

371. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-intro.html
     August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Introduction Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Introduction Initia…

372. Tool 6 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6 (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Ra…

373. 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 …

374. 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…

375. 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 …

376. 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…

377. 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 …

378. 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…

379. 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 …

380. 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