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Showing results for "incidents".

401. Table 5.A.1. Evidence Table (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
     January 01, 2014 - Table 5.A.1. Evidence Table …

402. Hospital Evacuation Decision Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/hospevac4.html
     July 01, 2018 - Hospital Evacuation Decision Guide Public Health Emergency Preparedness This resource was part of AHRQ's Public Health Emergency Preparedness program, and focused on post-event evacuations. Post-Event Evacuation Decision Guide Post-event evacuations have occurred either following Advanced Warning Events …

403. 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.

404. 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

405. 097-Ss-Normothermia-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/097-ss-normothermia-one-pager.docx
     April 01, 2025 - Normothermia Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries​ Why is maintaining normothermia during surgery important?1-4 · Mild hypothermia can increase blood loss, leading to wound hematomas or the need for transfusions, both of which can increase surgical site infection (…

406. NICU Family Information Packet, Appendix B, Bronchopulmonary Dysplasia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-bpd.pdf
     June 02, 2025 - NICU Family Information Packet, Appendix B, Bronchopulmonary Dysplasia Bronchopulmonary Dysplasia Characteristics ■ Need for supplemental oxygen at 36 weeks postmenstrual age, with radiographic changes on chest x-ray (bilateral, diffuse hazy lungs; interstitial thickening; increased lung inflation). ■ Symptoms: …

407. 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

408. 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

409. 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:…

410. 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 …

411. 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.

412. 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 …

413. 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…

414. 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 …

415. 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…

416. 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…

417. 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…

418. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
     April 01, 2022 - differentiates member- or patient-focused organizations from others is whether and how they handle these incidents

419. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
     January 01, 2025 - Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) Title of Project: Failure to Rescue-Patient Safety Learning Lab (FTR-PSLL) Principal Investigator and Team Members: Dartmouth-Hitchcock: George Blike, MD, MHCDS, PI; Susan McGrath, PhD, CoI; Todd McKenzie, PhD; Irina Pearrard, PhD…

420. 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…