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Total Results: 2,353 records

Showing results for "incidents".

41. Network of Patient Safety Databases Falls Chartbook, 2023 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
    January 01, 2023 - harm) 3 FALLS The Fall event type in CFER-H V1.2 is designed to collect information on Incidents … Among Fall Incidents, the majority of falls were experienced by adults aged 18-64 years (44.3%; 47,131 … For all 243,449 reported Fall Incidents: 7,523 (3.1%) indicated injury and residual harm to the patient … For all 243,449 reported Fall Incidents: 7,523 (3.1%) indicated injury and harm to the patient and … In the following analyses, frequent combinations (patterns) of interventions for Fall Incidents with

42. Surgical Patient Experience of Care Survey Design Project (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
    November 20, 2008 - CG-CAHPS – Interviews conducted with 168 patients and 39 providers – Collected 2,997 critical incidents … – 294 of these incidents were either patient reports of office visits to a surgeon or were surgeon … reports about an office visit Critical Incident ResultsCritical Incident Results Surgeon Incidents … % Other Provider Incidents % Prob.

43. Albuquerque Police Department Uses AHRQ Resources for Crisis Intervention Team Training | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201708.html
    May 01, 2017 - Of 2,064 crisis intervention-related incidents that occurred from January through November 2016 in the … APD records show that crisis intervention-related incidents increased nearly 60 percent from 2010 to

44. SOPS® Nursing Home Survey Items and Composite Measures (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-items-composite-english.pdf
    September 01, 2024 - Feedback & Communication About Incidents (Never, Rarely, Sometimes, Most of the time, Always, Does Not … In this nursing home, we talk about ways to keep incidents from happening again. B6. … Feedback & Communication About Incidents 8. Communication Openness 9.

45. New Patient Safety Network Cases Offer Commentaries on Avoiding Severe Medical Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/avoiding-severe-medical-errors.html
    January 01, 2022 - and tools related to patient safety, features a new set of articles including: Potentially severe incidents

46. What is the NPSD’s Role in Quality and Patient Safety? | Agency for Healthcare Research and Quality
    www.ahrq.gov/npsd/quality-patient-safety/index.html
    August 01, 2020 - definitions of patient safety events), the NPSD makes available a rich source of data regarding safety incidents

47. Nursing Home Survey on Patient Safety Culture: 2019 User Database Report Part II (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-nhsops-dbreport-partii.pdf
    January 01, 2019 - Feedback and Communication About Incidents 1. … Feedback and Communication About Incidents 1. … Feedback and Communication About Incidents 1. … Feedback and Communication About Incidents 1. … Feedback and Communication About Incidents 1.

48. 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part II (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt2.pdf
    January 01, 2016 - Feedback and Communication About Incidents 1. … Feedback and Communication About Incidents 1. … Feedback and Communication About Incidents 1. … Feedback and Communication About Incidents 1. … Feedback and Communication About Incidents 1.

49. Gap Analysis Facilitator's Guide: Appendix A | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
    August 01, 2022 - Policies and procedures Reporting of incidents, occurrences, or complaints Complaint/grievance

50. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
    January 01, 2007 - Nine patients experienced two or more incidents. 3 Demographics Table 1. … based 30 50 Community health center 6 10 HMO 8 13 Resident clinic 9 15 The majority of incidents … Potential AEs accounted for the largest percentage of incidents (46 percent), a class of incidents that … Second, those who report incidents must feel their time has been well spent, so it is vital they know … with administrators, we gave formal reports to the departmental Quality Improvement Committee, where incidents

51. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part II (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-appendix.pdf
    January 01, 2025 - Feedback and Communication About Incidents 83% 84% 81% 2. … Feedback and Communication About Incidents 80% 83% 85% 2. … Feedback and Communication About Incidents 79% 82% 86% 2. … Feedback and Communication About Incidents 79% 90% 2. … Feedback and Communication About Incidents 85% 77% 78% 2.

52. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part I (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
    January 01, 2023 - Feedback and Communication About Incidents Staff discuss ways to keep residents safe, tell someone if … they see something that might harm a resident, and talk about ways to keep incidents from happening … Highlights HIGHEST Scoring Composite Measure Feedback and Communication About Incidents 83% of … (Item B4) 81% In this nursing home, we talk about ways to keep incidents from happening again. … Feedback and Communication About Incidents 83% 11.40% 43% 68% 77% 85% 90% 95% 100% 2.

53. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part II (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
    January 01, 2023 - Feedback and Communication About Incidents 86% 81% 2. … Feedback and Communication About Incidents 78% 84% 2. … Feedback and Communication About Incidents 77% 83% 87% 81% 2. … Feedback and Communication About Incidents 80% 89% 2. … Feedback and Communication About Incidents 85% 78% 79% 2.

54. TeamSTEPPS Limited English Proficiency Module: Implementation Slide Handouts (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/impslhandouts.pdf
    July 25, 2012 -  Common languages  Interpreter resources  Bilingual staff  Other information  Hospital incidents

55. A Study of Adverse Occurrences and Major Functional Impairment Following Surgery (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
    March 15, 2004 - studies that have used comparison groups have focused on death as the outcome and found that adverse incidents … Not all incidents were the result of medical treatment. … Nurses were trained to identify whether incidents occurred—not whether the occurrences were due to medical … By adopting the approach of examining the presence of incidents rather than attempting to discern errors … Like other studies, we found that adverse incidents increased LOS.23–25 Zhan & Miller, 17 looking at

56. Slide 1
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepslimp.pptx
    February 03, 2006 - Assessment Data % LEP Common languages Interpreter resources Bilingual staff Other information Hospital incidents

57. Team Checkup Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/team-checkup-tool.html
    July 01, 2023 - project’s goals.           4 All team members can list the number of days between incidents

58. The National Action Alliance to Advance Patient Safety Summer Webinar Series: CDC Presentation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
    July 25, 2023 - other means of emergency communication that limit staff’s ability to appropriately respond to violent incidents … Approximately 9% of nurses, or about 1 in 10, felt reporting incidents to management was more difficult … Going through past records of incidents is advisable, but also being mindful of workplace violence that … in 10 nurses found it more challenging to report their incident are so important – already too many incidents … Then each of 5 case studies presented by video-based scenarios based on real-life incidents are their

59. TeamSTEPPS Limited English Proficiency Module, Train-the-Trainer Session: Implementation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepslimp.pdf
    July 26, 2012 - % LEP  Common languages  Interpreter resources  Bilingual staff  Other information  Hospital incidents

60. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
    January 01, 2001 - Similarly, the severity of incidents shows an overall decline approaching statistical significance. … routine component of continuous quality improvement (CQI), most medical facilities track errors and incidents … information made available by increased reporting, it is subsequently believed that the severity of incidents … reports from the Multi- Service Inpatient Unit, the total number of reports filed, the severity of incidents … Evaluation of the severity of incidents reported showed 172 near misses (no impact on patient) among