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Showing results for "incidents".

441. Research on Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/research/index.html
     November 01, 2024 - Research on Diagnostic Safety and Quality Since 2007, AHRQ has invested in research to discover findings that advance the knowledge of diagnostic safety and to develop practical tools and resources to improve diagnostic safety. AHRQ funds research to better understand how diagnostic errors happen and what can b…

442. Subglottic Secretion Drainage Endotracheal Tube Facts | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-fact-sheet.html
     January 01, 2017 - Subglottic Secretion Drainage Endotracheal Tube Facts AHRQ Safety Program for Mechanically Ventilated Patients Did You Know? Continuous subglottic suctioning and frequent intermittent subglottic suctioning drainage of subglottic secretions, via a cuffed endotracheal tube, are associated with up …

443. 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/slides1.html
     October 01, 2017 - Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed Slide Presentation Slide 1: Preventing Pressure Injuries in Hospitals ADD Name of Hospital Here Module 1–Understanding Why Change Is Needed Image: Cover of Preventing Pressure Ulcers in Hospitals Toolkit. Slide …

444. Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
     August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum Previous Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Appr…

445. Chart Abstraction Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
     December 14, 2011 - Chart Abstraction Form Basic Elements Patient ID Race Ethnicity Gender Payer Preferred Language Age upon admission (YEARS) [e.g. for 12.5 year old, years = 12) Age upon admission (MONTHS) [ e.g. for 12.5 year old, months = 6] 1 White Non-Hispanic Female Medicaid English …

446. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
     April 02, 2020 - re nt ly d ev el op ed fo r r ea l-t im e su rv ei lla nc e. 10 Learning From Known Incidents … While research has examined the predictive validity of NLP algorithms for detection of safety incidents … Can patients report patient safety incidents in a hospital setting? A systematic review. … Multifactorial Context of Diagnostic Safety Choosing Data Sources for Measurement Learning From Known Incidents

447. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
     April 02, 2020 - re nt ly d ev el op ed fo r r ea l-t im e su rv ei lla nc e. 10 Learning From Known Incidents … While research has examined the predictive validity of NLP algorithms for detection of safety incidents … Can patients report patient safety incidents in a hospital setting? A systematic review. … Multifactorial Context of Diagnostic Safety Choosing Data Sources for Measurement Learning From Known Incidents

448. Appendix C. Article Exclusion List with Reason for Exclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
     January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Appendix C. Article Exclusion List with Reason for Exclusion Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface Methods P…

449. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - Identify Defects Through Sensemaking, Facilitator Notes CUSP Toolkit The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.   Contents …

450. Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
     January 01, 2024 - Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery Program Director/Principal Investigator (Last, First, Middle): Martinez, Elizabeth A. Final Progress Report Title of Project: Organization of Care and Outcomes in Cardiac Surgery Principal Investigator: Elizabeth A. Martinez, MD, MHS T…

451. Appendix C: The Health Care Safety Hotline: Operations Manual (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
     July 01, 2015 - Appendix C: The Health Care Safety Hotline: Operations Manual Appendix C. Operations Manual The Health Care Safety Hotline: Operations Manual Denise D. Quigley, RAND Corporation Shaela Moen, RAND Corporation Robert Giannini, ECRI Institute Lauren Hunter, RAND Corporation Operations Ma…

452. Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health Plan - Key Driver Diagram (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/healthplan-key-drive-diagram.pdf
     June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health Plan - Key Driver Diagram Transcranial Doppler Screening for Children with Sickle Cell Anemia Health Plan - Key Driver Diagram Key Drivers Strateg…

453. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
     June 01, 2020 - Can patients report patient safety incidents in a hospital setting? A systematic review.

454. Nutritional Research Series: Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp5.pdf
     October 01, 2011 - Nutritional Research Series: Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations       Technical Review 17 Nutritional Research Series Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations Prepared for: A…

455. Community-Acquired Pneumonia in the Emergency Department Setting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_ed-pamphlet.pdf
     January 01, 2018 - Community-Acquired Pneumonia in the Emergency Department Setting Community-Acquired Pneumonia in the Emergency Department Setting Background on Community-Acquired Pneumonia Community-acquired pneumonia (CAP) is the eighth leading cause of death in the United States.1 Approximately 6 million cases are reported annua…

456. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-factsheet.docx
     January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Did You Know? Continuous subglottic suctioning and frequent intermittent subglottic suctioning drainage of subglottic secretions, via a cuffed endotracheal tube, are associated with up to a 50 percent decrease in the incidence of gastric aspiration, a potential cause…

457. Resident And Family Engagement: What is my role as a leader? | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/engage/leader.html
     March 01, 2017 - Resident And Family Engagement: What is my role as a leader? AHRQ Safety Program for Long-Term Care: HAIs/CAUTI What is resident and family engagement? Resident and family engagement is one component of person-centered care, a philosophy that recognizes residents as individuals and as partners…

458. Preventing Pressure Injuries in Hospitals
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
     June 16, 2017 - Preventing Pressure Injuries in Hospitals Preventing Pressure Injuries in Hospitals ADD Name of Hospital Here Module 1 – Understanding Why Change Is Needed 1 Ice Breaker Describe an interesting fact about yourself. 2 Compelling Reasons To Implement Program Pressure injury rates continue to escalate. The inci…

459. Involving Patients and Families in Safety: Slide Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/involving-patients-families-in-safety-slides.pdf
     July 25, 2023 - Involving Patients and Families in Safety: Slide Presentation The National Action Alliance to Advance Patient Safety Summer Webinar Series Involving Patients and Families in Safety July 25, 2023 2:00-3:00 PM ET Special Guest Speakers Sue Sheridan, MIM, MBA, DHL Founding Member, Patients For Patient Safety U…

460. Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022 (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/castro-report.pdf
     January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022 Title Page – Final Progress Report Title: Diagnostic Error in Medicine Conference 2020-2022 Principal Investigator: Gerry Castro, PhD, MPH Team Members: 2022 Conference Chairs, Co-chairs and Planning Commitee members Andrew Olson…