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Showing results for "incidents".

41. SOPS Nursing Home Survey Version 2.0 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english-2.0.pdf
    June 05, 2025 - Definition of Resident Safety In this survey, “resident safety” means preventing injuries, incidents … This nursing home makes changes to prevent the same incidents from happening again ...............

42. Join the IDEAS Project To Advance Diagnostic Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsletters/e-newsletter/966.html
    July 01, 2025 - providers from diverse roles and hospital settings, eliciting a total of 60 diagnostically challenging incidents … contributed to 58 percent, and teamwork with other healthcare providers played a role in 55 percent of the incidents

43. Operational Measurement of Diagnostic Safety: State of the Science | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science.html
    September 01, 2020 - Multifactorial Context of Diagnostic Safety     Choosing Data Sources for Measurement     Learning From Known Incidents

44. TeamSTEPPS Research/Evidence Base: Anesthesiology | Agency for Healthcare Research and Quality
    www.ahrq.gov/teamstepps-program/evidence-base/anesthesiology.html
    May 01, 2023 - Anesthesia crisis resource management training: Teaching anesthesiologists to handle critical incidents

45. Team Check-up Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/team-checkup.html
    December 01, 2012 - project's goals.           4 All team members can list the number of days between incidents

46. NPSD Chartbooks | Agency for Healthcare Research and Quality
    www.ahrq.gov/npsd/data/chartbook/index.html
    February 01, 2025 - blood products, falls, devices and medical/surgical supply, medication and other substances, perinatal incidents

47. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
    April 09, 2004 - and report Advances in Patient Safety: Vol. 3 136 information on negative health outcomes and incidents … New York State Public Health Law 2805-l12 requires hospitals to report and investigate incidents of … The objective of the public health law and the regulations is to ensure that incidents are identified … of the reporting process - Determine if incident reporting works with QA - Improve the models of incidents … The statute further requires an investigation of a subset of these incidents to discern their root causes

48. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
    January 01, 2003 - Cote et al.11 published a critical incident review of 90 pediatric sedation- related critical incidents … DeAnda and Gaba23 identified 132 unplanned incidents during 19 simulations using a modified critical … incident methodology (range = 3–14 incidents, mean = 6.9 incidents per simulation exercise). … In addition, the classes of incidents were similar to those identified previously by Cooper et al. … Unplanned incidents during comprehensive anesthesia simulation.

49. Addressing Violence in the Workplace Chat Conversation: NAA June 2023 Webinar (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-chat-062723.pdf
    June 27, 2023 - My #1 takeaway from Cammie's portoin was WPV incidents increased during the pandemic, which we have … Harrison to everyone: 2:53 PM When there is a WPV Program manager, do they also oversee the Type 3 incidents … Did reporting increase or violent incidents change? … efforts, the lost days are decreased, hence worker comp costs But still promoting more reporinig of all incidents … and others that addressed some of these concepts as well as planning for significant and critical incidents

50. AHRQ Safety Program for Perinatal Care: Team Check-Up Tool (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/team-checkup-tool.docx
    May 01, 2017 - communicate the project’s goals. 4 All team members can list the number of days between incidents

51. Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
    January 01, 2025 - Anaesthesia provider perceptions of system safety and critical incidents in non-operating theatre anaesthesia … Medication errors, critical incidents, adverse drug events, and more: examining patient safety-related

52. Engaging Patients To Improve Diagnostic Safety Toolkit Roadmap (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/02-pfe-road-map.pdf
    August 01, 2021 - Prepare Your Organization Orient leaders to the change Toolkit Infographic provides statistics about incidents

53. We Must Not Underestimate the Impacts of Gun Violence on Healthcare Workers | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/blog/ahrqviews/impacts-gun-violence.html
    March 01, 2023 - These violent incidents have been common in the United States, but we must not accept them as such.

54. How Does the NPSD Work? | Agency for Healthcare Research and Quality
    www.ahrq.gov/npsd/how-does-npsd-work/index.html
    February 01, 2024 - Event Reporting can be used to report patient safety concerns, a term that includes patient safety incidents

55. Special Considerations for Measurement of Diagnostic Safety (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
    June 01, 2020 - Overcoming Barriers and Taking Next Steps Conclusion References Learning From Known Incidents … While research has examined the predictive validity of NLP algorithms for detection of safety incidents

56. SOPS Nursing Home Survey: What You Need To Know - Caren Ginsberg, Ph.D. (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-nh_webcast-ginsberg.pdf
    July 01, 2018 - scoring composites measures: − Overall Perceptions of Resident Safety − Feedback and Communication About Incidents

57. Overview of the Long-Term Care Safety Toolkit Modules and Nursing Home Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/overview.html
    March 01, 2017 - Feedback & Communication About Incidents Applying Safety Principles Senior Leader Engagement

58. Vermont Health Clinics Promote AHRQ’s Medication Safety Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/202003.html
    June 01, 2020 - Medication errors are common patient safety incidents in primary care, with rates ranging between 1 and

59. 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part I (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt1.pdf
    January 01, 2016 - Feedback and Communication About Incidents (average 85 percent positive). … ○ Feedback and Communication About Incidents—85 percent. … Feedback and Communication About Incidents 85% 3. … Feedback and Communication About Incidents 1. … In this nursing home, we talk about ways to keep incidents from happening again.

60. SOPS® Nursing Home Survey on Patient Safety (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
    September 01, 2024 - Patient Safety (Version 1.0) In this survey, “resident safety” means preventing resident injuries, incidents … In this nursing home, we talk about ways to keep incidents from happening again 1 2 3 4 5 9