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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
January 01, 2017 - Across varying industries, companies that have higher levels of staff engagement have fewer safety incidents … Engaged Employees
Percaentage
Higher Profitability Higher Customer Ratings Less Theft Fewer Safety Incidents … Percaentage
Higher Profitability 22%
Higher Customer Ratings 10%
Less Theft 28%
Fewer Safety Incidents
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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
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www.ahrq.gov/teamstepps-program/evidence-base/anesthesiology.html
May 01, 2023 - Anesthesia crisis resource management training: Teaching anesthesiologists to handle critical incidents
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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
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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
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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.
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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
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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
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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
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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.
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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
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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
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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
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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
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.pdf
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 ....
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www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
January 01, 2024 - Participants: This study involved a retrospective review of hospital reported incidents. … Conclusions: This application effectively captured incidents, actions, and follow-up of
certain areas … The rate
of incidents reported was relatively similar to other reports. … (PAWEs are defined as incidents that have the potential to cause serious, life-
threatening, or fatal … Incidents were detected through retrospective review of nursing home records in 3-
month segments,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/overview.docx
March 01, 2017 - Feedback & Communication About Incidents
Applying Safety Principles
Senior Leader Engagement
Teamwork
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
March 01, 2004 - Reasons for not reporting adverse incidents: an
empirical study. J Eval Clin Pract 1999;5:13–21. … Additional responses regarding care providers’ experience and
participation in the mandatory review of incidents … further evidence of limited endorsement of the current
processes of reporting errors and reviewing incidents … providers see value in reporting minor events and potential
precursors that could lead to more serious incidents … Reasons
for not reporting adverse incidents: an empirical study.