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Total Results: 716 records

Showing results for "incidents".

401. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
     July 01, 2023 - patient safety experiences during hospitalizations in the United Kingdom, about one-third of the “incidents

402. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
     November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment Worksheet Purpose The Self-Assessment Worksheet is a worksheet designed to help staff review how they currently identify residents who have experienced a change in falls risk, how they determine if new clinica…

403. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
     October 01, 2017 - Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed Training Guide Module Aim The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training. Module Goals The goals of this introductory module are to identify the overall objectives…

404. Fiscal Year 2011 Research on Child and Adolescent Health | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
     October 01, 2014 - Fiscal Year 2011 Research on Child and Adolescent Health New Starts This fact sheet summarizes new grants and contracts focused on child and adolescent health and health care—including research, conference, and training projects, as well as other initiatives—funded in FY 2011 by the Agency for Hea…

405. Equipment and Supplies | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
     July 01, 2018 - Equipment and Supplies Public Health Emergency Preparedness 1. Preplanning Description: The equipment and supplies team must lay the groundwork for procurement prior to a surge event. Key decisions include: determining whether to outsource staffing and procurement of the equipment and supplies, deciding wh…

406. Failure to Rescue Patient Safety Learning Lab (FTR PSLL) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html
     April 01, 2021 - Failure to Rescue Patient Safety Learning Lab (FTR PSLL) Principal Investigator: George Blike, M.D., Dartmouth-Hitchcock, Lebanon, NH AHRQ Grant No.: HS024403 Project Period: 09/30/15-03/31/20 Description: The overall goal of this project was to create the ideal hospital rescue system. Minimizing fai…

407. Preface | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/preface.html
     March 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Preface Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter 3. Outline the Evidence …

408. Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
     July 01, 2023 - Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension Hospital AIM Team Leads SPPC‐II Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension Module 1 of 8 SPPC‐II Toolkit SCRIPT Thank you for participating in the Safety Program for Perinatal Care II (also known as SPPC‐ II) …

409. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
     April 02, 2025 - Hospital Survey on Patient Safety Culture Version 2.0 SOPS® Hospital Survey Version: 2.0 Language: English For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, and pro…

410. Hospital Survey on Patient Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
     April 02, 2025 - Hospital Survey on Patient Safety SOPSTM Hospital Survey Version: 1.0 Language: English Note · For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based survey, and preparing and analyzing data, and producing re…

411. Survey on Patient Safety (facility version) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
     April 02, 2025 - Survey on Patient Safety (facility version) 1 Survey on Patient Safety Instructions This survey asks for your opinions about patient safety issues, medical error, and event reporting in your facility and will take about 10 to 15 minutes to complete. If you do not wish to answer a question, or if a question …

412. 2022 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
     October 01, 2022 - 2022 National Healthcare Quality and Disparities Report Executive Summary e 2022 National Healthcare Quality and Disparities Report Executive Summary This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2022 Nat…

413. A Model for Sustaining and Spreading Safety Interventions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
     October 01, 2015 - A Model for Sustaining and Spreading Safety Interventions Next Page Table of Contents A Model for Sustaining and Spreading Safety Interventions Appendix A. Action Plan Tool for Project Sustainability Contents Background and Acknowledgments How To Use This Guide Why Sustainab…

414. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
     December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Sustainability: Learning From Defects Say: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …

415. Module 1: Preventing Pressure Injuries in Hospitals (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
     July 12, 2017 - Module 1: Preventing Pressure Injuries in Hospitals Module 1: Preventing Pressure Injuries in Hospitals — Understanding Why Change Is Needed Module Aim The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training. Module Goals The goals of this introductory module are to identify …

416. Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
     August 01, 2024 - While inappropriate transfusion may reflect mismanagement of a correctly diagnosed patient, such incidents

417. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/bibliography/index.html
     January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 1-50 of 505 Bibliography Items displayed Pagination 1 2 3 4 5 6 7 8 9 next …

418. Final Progress Report: Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
     January 01, 2025 - All four errors with harm were separate incidents that occurred for two patients with comorbid mental

419. Appendix 2-A. Application and System Development Requirements | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/pubcomguide/pcguide2apa.html
     November 01, 2018 - Publishing and Communications Guidelines Appendix 2-A. Application and System Development Requirements Previous Page Next Page Table of Contents Publishing and Communications Guidelines Section 1: Product Development Audio and Video Products Appendix 1-A. Release Forms Appendix 1-B. Trademar…

420. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4c_combo_psi06-pneumothorax-bestpractices.pdf
     May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4c Selected Best Practices and Suggestions for Improvement PSI 06: Iatrogenic Pneumothorax Why Focus on Iatrogenic Pneumothorax? • Iatrogenic pneumothora…