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Total Results: 1,450 records

Showing results for "incidents".

381. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
     January 01, 2023 - • Mid-Atlantic ASCs had the highest average percentage of respondents who indicated that near-miss incidents … Nurse Practitioners had the highest average percentage of respondents who indicated that near-miss incidents … o Average percentage of respondents who indicated that near-miss incidents were “Always” or “Most of

382. West Virginia University Uses AHRQ's Patient Safety Culture Survey to Improve Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips0902.html
     October 01, 2014 - West Virginia University Uses AHRQ's Patient Safety Culture Survey to Improve Safety Search All Impact Case Studies March 2009 As a result of implementing AHRQ's Hospital Survey on Patient Safety Culture, West Virginia University Hospitals changed clinical practices and policies in an effort to improve the …

383. Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
     July 01, 2003 - Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis 265 Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis John A. Savino, Jane Smeland, Ellen L. Flink, Angelo Ruperto, Amanda Hines, Thomas Sullivan, Kerri Galvin, Donald A. Risucci Abstract Objective:…

384. Final Progress Report: Weekend Effects and the July Phenomenon in Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdf
     January 01, 2024 - We addressed the following study questions:  Are rates of patient safety incidents higher on weekends

385. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
     May 01, 2003 - Reasons for not reporting adverse incidents: an empirical study.

386. Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
     February 01, 2005 - to structured approaches,4, 5 with a major problem being the reluctance of individuals to report incidents … Reasons for not reporting adverse incidents: an empirical study.

387. 099-Cusp-Guide-Why-Choose-Cusp-Approach (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/099-cusp-guide-why-choose-cusp-approach.docx
     October 01, 2024 - Healthcare personnel also experience reduced incidents and burnout from improved safety culture.

388. 048-Key-Evidence-Decolonization (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/048-key-evidence-decolonization.docx
     October 01, 2024 - Vernon MO, Hayden MK, Trick WE, et al. Archives of Internal Medicine, 2006 Chlorhexidine Gluconate to Cleanse Patients in a Medical Intensive Care Unit: The Effectiveness of Source Control to Reduce the Bioburden of Vancomycin-Resistant Enterococci Purpose: To evaluate impact of daily chlorhexidine gluconate (CHG) bath…

389. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb.html
     December 01, 2013 - Transitioning Newborns from NICU to Home Appendix B. Clinical Materials to Share With Primary Care Providers Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet Cover Sheet …

390. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
     October 01, 2014 - Preventing Pressure Ulcers in Hospitals 1. Are we ready for this change? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressu…

391. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
     December 01, 2013 - Transitioning Newborns from NICU to Home Appendix B. Clinical Materials to Share With Primary Care Providers Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet Cover Sheet …

392. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
     October 01, 2014 - Preventing Pressure Ulcers in Hospitals 1. Are we ready for this change? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressu…

393. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/small_hospitals-slides/Small-and-Rural-Critical-Access-Hospitals-July-19-2011-508.ppt
     January 01, 2011 - Slide 1 Small and Rural Critical Access Hospitals July 19, 2011 Agenda Denise Flook and Lorna Martin Applying CUSP in the Small and Rural Critical Access Hospital Using CUSP Beyond CLABSI and CAUTI Critical Access Hospital Team Leaders Paul Frigoli, Grant Regional Health Center Illinois Critical Access Hos…

394. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
     January 01, 2024 - a nationwide error reporting system through structured human factors analysis of a large number of incidents … It consists of the approximately 55,000 claims, and at least as many reports of harmful incidents, received

395. Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
     January 01, 2024 - cognitive and functional limitations specific to this population.v Prior Analyses: In an analysis of incidents

396. Recommended Infection Prevention Components of Quality Assessment and Performance Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/recommendedinfectionprev-components.pdf
     June 02, 2025 - Recommended Infection Prevention Components of Quality Assessment and Performance Improvement Recommended Infection Prevention Components of Quality Assessment and Performance Improvement The facility quality assessment and performance improvement program should implement ongoing and effective processes to …

397. Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health System - Key Driver Diagram (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/healthsystem-key-drive-diagram.pdf
     June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health System - Key Driver Diagram Transcranial Doppler Screening for Children with Sickle Cell Anemia Health System - Key Driver Diagram Key Drivers Strategies Global Aim To reduce the incidence of stroke in …

398. Final Progress Report: Conference on Medical Error Communication and Dispute Resolution (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
     January 01, 2024 - Final Progress Report: Conference on Medical Error Communication and Dispute Resolution g/o/cbl/pew/conference/AHRQFinalReport11/19 Conference on Medical Error Communication and Dispute Resolution Carol B. Liebman, Principal Investigator Chris Stern Hyman, Co-Principal Investigator William Sage, Consultant/Adviso…

399. Section 6-B, Expert Workgroup Roster and Materials (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-b-expert-workgroup.pdf
     September 18, 2014 - Section 6-B, Expert Workgroup Roster and Materials …

400. Section 6-B, PMCoE PICU Expert Workgroup and Leadership Team Roster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-b-pmcoe-picu-expert-workgroup.pdf
     September 18, 2014 - Section 6-B, PMCoE PICU Expert Workgroup and Leadership Team Roster …